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CGS Medicare CGS provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 24 million Medicare beneficiaries and 100,000 healthcare professionals nationwide
DME MAC Jurisdiction C - CGS Medicare CGS Connect Claim Denial Help Coverage and Policies Customer Support Disaster Resources Events Calendar Medical Review Quarterly Reports Modifiers myCGS Password Help myCGS Registration Guide Prior Authorization Self-Service Tools Supplier Manual Targeted Probe and Educate (TPE) Webinar Registration
Home Health and Hospice - CGS Medicare Important Notice: CGS is currently experiencing longer than normal Medicare enrollment application processing times We are actively working to return to our standard processing times, and we regret any inconvenience this may cause
Prior Authorization Process - CGS Medicare Upon receipt of the requested documentation, CGS will perform a review to determine the validity of the ABN See the standard claim review guidelines and timelines outlined in the CMS Medicare Claims Processing Manual (Pub 100-04), chapter 30 , § 40
Part B Fee Schedules Reimbursement - CGS Medicare Kentucky and Ohio Part B Fees On the go? Use the CGSMedicare App to search the fee schedule on your mobile device! A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers suppliers
Local Coverage Determinations (LCDs) - CGS Medicare CMS has contracted with CGS to process Durable Medical Equipment, Prosthetic, Orthotic and Supply (DMEPOS) claims for Jurisdiction C This responsibility includes the development of Local Coverage Determinations (coverage policies)
Phone Fax - CGS Medicare Before calling to speak with a Customer Service Representative (CSR) in the Provider Contact Center (PCC), consider using the Self Service Tools CGS offers
Claim Payment Alerts - CGS Medicare CGS recently detected a significant number of incorrectly billed hospice claims Claims have been submitted for continuous care using the admission date as the “From” date of service on the claim, instead of the beneficiary’s start of care date
Contact Us - CGS Medicare Thank you for your interest in CGS Administrators, LLC To contact us, please select the option that corresponds with the type of services you provide: Durable Medical Equipment (DME) MAC – Jurisdiction B