How are hospice teams actually tracking ADR deadlines right now?

I’ve been trying to understand how hospice agencies manage ADR requests once they come in.

From a few teams I spoke with, it seems like the process becomes messy pretty fast:

• tracking ADR deadlines

• making sure documentation is complete

• knowing which claims are still under review

• coordinating between billing and compliance

Some people told me they still rely heavily on spreadsheets and shared folders.

Others said their EMR doesn’t really handle ADR workflow well.

I’m curious what most teams are doing in reality.

Do you manage ADR tracking inside the EMR, or is it usually handled outside with spreadsheets or task tools?

Would love to hear how different teams are handling this.