RevOptix1 is the software. PDPM Audit Optimization Group is the expert team. This page is educational. It is not legal, coding, or billing advice.
Prepare an ADR response from the chart you already have
An additional documentation request asks the facility to send the records that support a Medicare claim. The useful question is narrow: for this stay, do the chart, the MDS, and the billed HIPPS describe the same resident and the same conditions?
Start with one stay
Pull the letter, the claim dates, the MDS for that assessment window, and the clinical record that was in the building at the time. Typical pieces are the physician history and physical, diagnosis list, orders, therapy notes, and nursing documentation. Do not email a resident chart to a vendor. If you use RevOptix1, upload happens inside the platform after the Business Associate Agreement is signed.
Read Section I against the notes
MDS Section I is where diagnoses are recorded. An NTA comorbidity that is written in the history and physical and missing from Section I is a documentation gap. The reverse is also a gap: an item on the MDS that the note does not support. The published sample stay, ST-0047, is the first pattern. The physician history and physical dated 03/12/2026 records an NTA comorbidity that is not on the MDS. The sample names the source note, the disagreement, and the chart action. It is one sample, not a dollar result for your building.
Answer from the record
A response is stronger when each contested item points at a page, a date, and a role. RevOptix1’s stay-level report is built to cite that source so a director of nursing or a reimbursement lead can open the same page. Your clinicians still decide what belongs in the response. A reviewer from PDPM Audit Optimization Group joins only if you book an expert track.
Related reading: where the MDS and the chart diverge, NTA review, and how a sample chart is reviewed.
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