Kentucky and Ohio Part A Contact Information
Effective February 4, 2013, CGS is changing the mailing addresses for incoming Jurisdiction 15 (J15) Part A documentation. Please utilize the following addresses for any documents you mail to CGS.
| Department | Contact Information (through February 3, 2013) | Contact Information (beginning February 4, 2013) | Type of Inquiry |
|---|---|---|---|
| Appeals | CGS J15 Part A Appeals Mail Code: AG-630 P.O. Box 100187 Columbia, SC 29202-3187 Fax: (803) 462-2585 For Fed Ex/UPS/Certified Mail 935 Appeals related to Overpayments |
CGS
J15 Part A Appeals For Fed Ex/UPS/Certified Mail 935 Appeals related to Overpayments |
|
| Beneficiary Customer Service Center | 1-800-MEDICARE (1-800-633-4227) TTY: (877) 486-2048 Visit the Medicare Web site at www.medicare.gov |
1-800-MEDICARE (1-800-633-4227) TTY: (877) 486-2048 Visit the Medicare Web site at www.medicare.gov |
|
| Carrier Medical Director | Carrier Medical Director: Michael Montijo, MD
CGS Administrators, LLC Phone: 615.660.5710 |
Carrier Medical Director: Michael Montijo, MD
CGS Administrators, LLC Phone: 615.660.5710 |
|
| Claims | CGS J15 Part A Claims Mail Code: AG-600 P.O. Box 100112 Columbia, SC 29202-3112 |
CGS J15 Part A Claims PO Box 20211 Nashville, TN 37202 |
|
| Cost Report | Cost Report Filing Fed Ex/UPS/Overnight Courier CGS J15 Cost Report: 3021 Montvale Drive, Suite C Springfield, IL 62704 Cost Report Overpayment Address (checks only) Kentucky providers: |
Cost Report Filing Fed Ex/UPS/Overnight Courier CGS J15 Cost Report: 3021 Montvale Drive, Suite C Springfield, IL 62704 Cost Report Overpayment Address (checks only) Kentucky providers: |
|
| Credit Balance Reporting | Regular and Certified Mail CGS Attn: J15 Credit Balance Reporting P.O. Box 100131 Columbia, SC 29202-3131 Fed Ex/UPS/Overnight Courier Reports may be faxed to: VRU: (803)763-6418 All e-mail inquiries may be sent to Credit.Balance@PalmettoGBA.com |
Regular and Certified Mail CGS Attn: J15 Credit Balance Reporting PO Box 20023 Nashville, TN 37202 Fed Ex/UPS/Overnight Courier Reports may be faxed to: VRU: (803) 763-6418 All e-mail inquiries may be sent to Credit.Balance@PalmettoGBA.com |
|
| Electronic Data Interchange (EDI) | J15 — Part A EDI CGS Administrators, LLC PO Box 20014 Nashville, TN 37202 EDI Help Desk: 866-590-6703 |
J15 — Part A EDI CGS Administrators, LLC PO Box 20014 Nashville, TN 37202 EDI Help Desk: 866-590-6703 |
|
| Investigational Device Exemption Request mailbox | J15IDE@cgsadmin.com | J15IDE@cgsadmin.com | |
| Interactive Voice Response (IVR) System | IVR System: (866) 289-6501
Note: You will be prompted for your PTAN, NPI and TIN. |
IVR System: (866) 289-6501
Note: You will be prompted for your PTAN, NPI and TIN. |
|
| Medical Affairs | CGS J15 Part A Medical Affairs Mail Code: AG-300 P.O. Box 100238 Columbia, SC 29202-3238 Fax: (803) 935-0199 |
CGS J15 Part A Medical Affairs Mail Code: AG-300 PO Box 20200 Nashville, TN 37202 Fax: (803) 935-0199 |
|
| Medical Review | CGS J15 Part A Medical Review Mail Code: AG-256 P.O. Box 100140 Columbia, SC 29202-3140 For FedEx/UPS/Overnight Courier For inquiries regarding medical review, please call (803) 763-4999 Faxgate number: (803) 462-2596 |
CGS J15 Part A Medical Review PO Box 20021 Nashville, TN 37202 For FedEx/UPS/Overnight Courier For inquiries regarding medical review, please call (803) 763-4999 Faxgate number: (803) 462-2596 |
|
| Medicare Secondary Payer (MSP) | For Coordination of Benefits Contractor (COBC) questions, call (800) 999-1118 or TTY/TDD at (800) 318-8782 for the hearing and speech impaired. Customer Service Representatives are available to provide you with quality service Monday through Friday from 8 a.m. to 8 p.m. ET, except holidays.
Address for general written inquiries: |
For Coordination of Benefits Contractor (COBC) questions, call (800) 999-1118 or TTY/TDD at (800) 318-8782 for the hearing and speech impaired. Customer Service Representatives are available to provide you with quality service Monday through Friday from 8 a.m. to 8 p.m. ET, except holidays.
Address for general written inquiries: |
|
| Overpayments | Checks should be sent to the following addresses: CGS - J15 Part A Kentucky PO Box 957582 St. Louis, MO 63195-7582 CGS - J15 Part A Ohio For Extended Repayment Schedules: Provider Inquiries: To request an immediate offset, fax your request to (615)664-5958. |
Checks should be sent to the following addresses: CGS - J15 Part A Ohio For Extended Repayment Schedules: For Extended Repayment Schedules: Provider Inquiries: To request an immediate offset, fax your request to (615)664-5958. |
|
| Provider Audit | CGS J15 Provider Audit: (mailing and FedEx, UPS...) 3021 Montvale Drive, Suite C Springfield, IL 62704 CGS |
CGS J15 Provider Audit: (mailing and FedEx, UPS...) 3021 Montvale Drive, Suite C Springfield, IL 62704 CGS |
|
| Provider Contact Center (PCC) | CGS J15 Part A PCC Mail Code: AG-705 P.O. Box 100116 Columbia, SC 29202-3238
J15 Part A PCC Hours: Monday through Wednesday and Friday: Thursday: The J15 Part A PCC Training hours on the first four Thursdays of the month will change to 2:30 p.m. to 4:30 p.m. 4:30 p.m. to 5 p.m. ET |
CGS J15 Part A PCC PO Box 20200 Nashville, TN 37202
J15 Part A PCC Hours: Monday through Wednesday and Friday: Thursday: The J15 Part A PCC Training hours on the first four Thursdays of the month will change to 2:30 p.m. to 4:30 p.m. 4:30 p.m. to 5 p.m. ET |
|
| Provider Enrollment | CGS J15 Part A Provider Enrollment Mail Code: AG-331 P.O. Box 100197 Columbia, SC 29202-3197 For inquiries regarding provider enrollment, please call the PCC at (866) 590-6703 |
CGS J15 Part A Provider Enrollment PO Box 20004 Nashville, TN 37202 For inquiries regarding provider enrollment, please call the PCC at (866) 590-6703 |
|
| Provider Outreach and Education (POE) | CGS J15 Part A POE Mail Code: AG-650 P.O. Box 100238 Columbia, SC 29202-3238 |
CGS J15 Part A POE P.O. Box 20200 Nashville, TN 37202 |
|
| Provider Reimbursement | CGS J15 Provider Reimbursement P.O. Box 100148 Columbia, SC 29202-3148 |
CGS J15 Provider Reimbursement PO Box 20020 Nashville, TN 37202 |
|
| Quality Improvement Organization (QIO)- Ohio | Ohio KePro Rick Run Center Suite 100 5700 Lombardo Center Drive Seven Hills, OH 44131 1-800-385-5080 |
Ohio KePro Rick Run Center Suite 100 5700 Lombardo Center Drive Seven Hills, OH 44131 1-800-385-5080 |
|
| Quality Improvement Organization (QIO)- Kentucky | Health Care Excel of Kentucky, Incorporated 1941 Bishop Lane Suite 400 Louisville, KY 40218 (502) 454-5112 |
Health Care Excel of Kentucky, Incorporated 1941 Bishop Lane Suite 400 Louisville, KY 40218 (502) 454-5112 |
|
| Qualified Independent Contractor (QIC) Part A West Jurisdiction (KY and OH) | MAXIMUS Federal Services, Inc. QIC Part A West Project PO Box 62410 King of Prussia, PA 19406 Standard Reconsiderations: Web site: www.maximus.com |
MAXIMUS Federal Services, Inc. QIC Part A West Project PO Box 62410 King of Prussia, PA 19406 Standard Reconsiderations: Web site: www.maximus.com |
|
| Zone Program Integrity Contractor (ZPIC) | Cahaba Safeguard Administrators, LLC 375 Riverchase Parkway East Birmingham, AL 35244 |
Cahaba Safeguard Administrators, LLC 375 Riverchase Parkway East Birmingham, AL 35244 |
|
Feedback to the Centers for Medicare & Medicaid Services (CMS)
If you would like to send any feedback to CMS regarding your experiences with CGS, please direct your comments to:
POE Coordinator for KY
CMS Region IV
61 Forsyth Street, S.W., Suite 4T20
Atlanta, GA 30303-8909
POE Coordinator for OH
CMS Region V
233 N. Michigan Avenue
Suite 600 Chicago, IL 60601
- Contracting Officer's Representative
-
Should you wish to offer comment to CMS concerning CGS' performance, please write to the address below:
Steven A. Smetak
Contracting Officer's Representative (COR) for the J15 A/B MAC
Western MAC Program Management Division
Medicare Contractor Management Group
Centers for Medicare & Medicaid Services
1600 Broadway, Suite 700
Denver, CO 80202 - J15 Project Officer
-
Melissa Lamb
J15 Project Officer
CGS Administrators, LLC
Two Vantage Way
Nashville, TN 37228
Updated: 02.28.13
Updated: 02.28.13
