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Use CGS® Connect to Reduce Claim Denials! June 26, 2025 Use CGS® Connect to Reduce Claim Denials! Unsure if your documentation meets Medicare guidelines? The CGS Connect program can help! This service offers a professional review and evaluation of your pre-claim documentation and provides feedback See what other DME suppliers have to say about CGS Connect: "The CGS Connect program has been an asset in our business Staff are prompt
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
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)
Attention: Phishing Fax Requests - CGS Medicare Alert: Medicare Fraud Scheme Involving Phishing Fax Requests CMS has identified a fraud scheme targeting Medicare providers and suppliers Scammers are impersonating CMS and sending phishing fax requests for medical records and documentation, falsely claiming to be part of a Medicare audit Important: CMS doesn't initiate audits by requesting medical records via fax Protect your information
DME Program Manager Articles This section includes a series of articles from DME MAC Program Managers with Jurisdictions A, B, C, and D The articles provide information on how all DME MACs collaborate to improve services
Beneficiary Information Authentication Fact Sheet - CGS Medicare Beneficiary Information Authentication Fact Sheet When you use the myCGS DME Web Portal or call our JC Customer Support line or JC Interactive Voice Response (IVR) System, you must give specific information to access beneficiary details This includes: Provider National Provider Identifier (NPI) Provider Transaction Access Number (PTAN) Last 5 digits of Tax Identification Number (TIN) Medicare
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 This page provides comprehensive listings of fee maximums used to reimburse physicians practitioners, ambulance suppliers, clinical laboratories, ambulatory surgery centers
CGS To Conduct Mega Workshop in Nashville on August 13! June 17, 2025 CGS To Conduct Mega Workshop in Nashville on August 13! The DME Provider Outreach and Education (POE) team is excited to announce a full day of Medicare education in Nashville on August 13, 2025 Join us at the Southwestern Conference Center for a Mega Workshop! This workshop has so much to offer our DMEPOS supplier community! Begin your morning with a discussion of recent
FISS DDE Screen Changes – July 2025 - CGS Medicare June 17, 2025 FISS DDE Screen Changes – July 2025 The July 2025 quarterly system release, scheduled for production on July 7, 2025, includes the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) screen changes below Please share this information with appropriate staff Eligibility Detail Inquiry (MAP175J MAP175M) To access these screens: Select '01' (Inquiries) Select