LICENSES AND NOTICES

License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition

End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). All Rights Reserved (or such other date of publication of CPT). CPT is a trademark of the AMA.

You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA websiteExternal Website.

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements.

AMA Disclaimer of Warranties and Liabilities.

CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

CMS Disclaimer

The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

This license will terminate upon notice to you if you violate the terms of this license. The AMA is a third party beneficiary to this license.

POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

End User License Agreement

These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright © 2002, 2004 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.

THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.

IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.

IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.

  1. Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT-4 only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
  2. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. License to use CDT-4 for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the American Dental Association websiteExternal Website.
  3. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Please click here to see all U.S. Government Rights Provisions.
  4. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT-4. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third-party beneficiary to this Agreement.
  5. CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. End users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". If you do not agree to the terms and conditions, you may not access or use the software. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen.


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January 30, 2019 - Revised: 07.22.20

CAC, Compliance, Open, and Provider Touch Point Meetings

In order to be in compliance with 21st Century Cures Act and the Medicare Program Integrity Manual (PIM) Chapter 13, CGS is updating their previously published meeting schedule for Jurisdiction 15.

CGS will continue the Compliance Officer meeting and the informal Medicare informational meeting, now called the Provider Touch Point meeting. These two meetings are informal and are not to discuss any policies. The purpose of the touch point meetings is for the CAC members and invited guests to have an opportunity for open discussion about Medicare in which to promote collaboration and communication within our jurisdiction. They are not open to the public and are for facility compliance teams and invited members of the provider community in J15.

Contractor Advisory Committee (CAC) and Open Public Meetings are scheduled as needed. The CAC meeting is open to listen to evidence development aspects of the potential policy. If a policy is developed from the CAC meeting an open public meeting will be held after the proposed policy is made public through the Medicare Coverage database (MCD). The open meeting is to discuss the rationale and evidence for the proposed LCD and allows interested parties to make presentations with advance notice.

The Provider Touch Point Meeting will be held after the open meeting and will not be open to the public. This closed meeting will not have discussions of evidence for a proposed or revised LCD.

CAC and Open Public meetings are scheduled as needed and will be announced through our website and invites.

Contractor Advisory Committee (CAC)

MACs shall establish one CAC per state or have the option of establishing one CAC per jurisdiction or multi-jurisdictional CAC with representation from each state.

CGS maintains a CAC for each state within Jurisdiction 15. The purpose of the CAC is to provide a formal mechanism for healthcare professionals to be informed of the evidence used in developing the LCD and promote communications between the MAC and the healthcare community. CAC members should serve in an advisory capacity as representatives of their constituency to review the quality of the evidence used in the development of an LCD. The CAC is advisory in nature, with the final decision on all issues resting with MACs. Accordingly, the advice rendered by the CAC is most useful when it results from a process of full scientific inquiry and thoughtful discussion with careful framing of recommendations and clear identification of the basis of those recommendations.

MACs shall record (video, audio or both) the CAC meetings and as part of the LCD record, assure the recording is maintained on their contractor website. Contractors have the option of hosting in-person and/or telephonic/video/on-line conference/etc. meetings. All CAC meetings will be open to the public to attend and observe.

Membership

The CAC is composed of volunteer physicians (no more than one per specialty/provider type), a beneficiary representative, and representatives of other medical organizations. The role of each CAC member who serves is to improve the relations and communication between Medicare and the provider community. This includes dissemination of draft LCDs, information about the Medicare program, and discussions regarding inconsistent or conflicting Medicare medical review policies.

Compliance Officers Meeting

These meetings are not required by CMS, they help promote communication, education, and collaboration between facilities providing care to Medicare beneficiaries and CGS. While there is usually a brief agenda, most of the meeting is devoted to open discussions between compliance officers and CGS staff. CGS wants these meetings to be your venue to discuss hot topics wherein you may see opportunities for improvement of our services, plus we will bring some of the latest items of interest to share. A meeting invitation with the information regarding the meeting will be sent approximately two weeks prior to the meeting date.

We do ask that no Protected Health Information (PHI) be shared. If you wish to bring examples of cases to share with others, please redact the PHI prior to the meeting

Provider Touch Point Meetings

Touch-Point meetings are for members and invited guests. A meeting invitation with the information regarding the meeting will be sent approximately two weeks prior to the meeting date. While these meetings are not required by CMS, CGS feels these help promote communication, education, and collaboration between provider community providing care to Medicare beneficiaries and CGS. While there is usually a brief agenda, most of the meeting is devoted to open discussions between provider members and CGS staff. CGS wants these meetings to be your venue to discuss hot topics, opportunities for improvement of our services and a venue in which we may share items of interest. No policies or proposed policies will be discussed during this meeting.

Open Public Draft/Revised LCD Discussion Meeting

After the proposed LCD is posted as a draft, MACs shall hold open meetings to discuss the review of the evidence and the rationale for the proposed LCD(s) with stakeholders in their jurisdiction. The open meeting should endeavor to accommodate some in-person attendance, subject to limitations based on venue.

Interested parties (generally those that would be affected by the LCD, including providers, physicians, vendors, manufacturers, beneficiaries, caregivers, etc.) can make presentations of information related to the proposed LCDs. MACs should provide an email address on their contractor website where all interested parties shall submit their presentation materials. However, all formal comments must be submitted in writing to the MAC. Contractors shall remain sensitive to parties that may have an interest in an issue and endeavor to invite them to participate in meetings at which a related LCD is being discussed. In recognition that the efficient use of resources may require several proposed LCDs to be discussed during one meeting, time for presentation by interested parties may be limited. The presentation time shall be equally divided amongst the LCDs discussed at the meeting. Members of the CAC may also attend these open meetings. MACs shall record (video, audio or both) the Open Meetings and as part of the LCD record, assure the recording is maintained on their contractor website.

MACs are required to notify the public about the dates, times, and location for the open meeting. MACs have the option of setting up email listservs to announce this information or may use other education methods to inform the public. The listserv or other method should clearly identify the location, times, dates and telephone/video/on-line conference information for the open meeting to ensure that this information is clearly distinguished from the information for the CAC meetings. MACs shall include the planned agenda with the listserv announcement for the open meeting a minimum of two weeks prior to the event on their contractor website.

Presenters / Speakers
Interested parties who wish to make presentations related to draft LCD(s) must submit a written request no later than one week prior to the scheduled meeting date, to CMD.Inquiry@cgsadmin.com and include the following information:

Attendance

There are two ways to participate:

  • In person (at host site location)
  • Webinar/Teleconference
    • Webinar/Teleconference and registration information will be posted via listserv message on the CGS Medicare Website approximately two weeks prior to the meeting.
    • Registration is required
  • If you wish to receive ListServ notifications regarding the Open Meeting, you must register on the CGS Medicare website Join/Update ListServ

Draft Links:

Contact Information for ALL Meetings

LCDs are administrative and educational tools that assist providers, physicians and suppliers in submitting correct Medicare claims for coverage.

Send all written comments for Part A and B regarding draft policies by email to: cmd.inquiry@cgsadmin.com

Reference:

Schedule for Upcoming Provider Touch Point, Compliance, and Open Draft/Revised LCD Discussion Meetings

The following state-by-state schedule for the remainder of the year is listed below. CAC meetings for evidence of development for potential LCDs before they go into the draft phase are scheduled as needed and therefore are not listed in these schedules.

NOTE: In order to continue to comply with current regulations regarding group gatherings and because we can effectively host via teleconference CGS, with CMS approval, has decided to cancel the in-person component of the October meetings. The meetings will be held entirely via teleconference/webinar.

Compliance Officers Meetings

State Date Time Location
Kentucky

Compliance Officers Meetings

Closed Meetings – Members & Invited Guests

* 2/18/2020 2:30–3:30 P.M. EST Joint Teleconference/Webinar
* 6/23/2020 2:30–3:30 P.M. EST Bethesda Hospital North
10500 Montgomery Road
Golder Conference Room
Cincinnati, Ohio 45242
* 10/14/2020 2:30–3:30 P.M. EST Joint Teleconference/Webinar
Ohio

Compliance Officers Meetings

Closed Meetings – Members & Invited Guests

* 2/18/2020 2:30–3:30 P.M. EST Joint Teleconference/Webinar
* 6/23/2020 2:30–3:30 P.M. EST Bethesda Hospital North
10500 Montgomery Road
Golder Conference Room
Cincinnati, Ohio 45242
* 10/14/2020 2:30–3:30 P.M. EST Joint Teleconference/Webinar

Open Draft/Revised LCD Discussion Meeting

State Date Time Location
Kentucky

Open Meetings to Discuss Draft Local Coverage Determinations

ListServ Message will be sent approximately 4 weeks prior to the meeting

*Open to the Public

* 2/18/2020 4:00–5:00 P.M. EST Kentucky Medical Association
9300 Shelbyville Rd., Suite 850
Louisville, KY 40222
* 6/23/2020 4:00–5:00 P.M. EST Bethesda Hospital North
10500 Montgomery Road
Golder Conference Room
Cincinnati, Ohio 45242
* 10/13/2020 2:00–5:00 P.M. EST Joint Teleconference/Webinar
Ohio

Open Meetings to Discuss Draft Local Coverage Determinations

ListServ Message will be sent approximately 4 weeks prior to the meeting

Open to the Public

* 2/18/2020 4:00–5:00 P.M. EST Kentucky Medical Association
9300 Shelbyville Rd., Suite 850
Louisville, KY 40222
* 6/23/2020 4:00–5:00 P.M. EST Bethesda Hospital North
10500 Montgomery Road
Golder Conference Room
Cincinnati, Ohio 45242
* 10/13/2020 2:00–5:00 P.M. EST Joint Teleconference/Webinar

Provider Touchpoint Meetings

State Date Time Location
Kentucky

Provider Touchpoint Meetings

Closed Meetings – Members & Invited Guests

* 2/18/2020 6:00–7:00 P.M. EST Joint Teleconference/Webinar
* 6/23/2020 6:00–7:00 P.M. EST Bethesda Hospital North
10500 Montgomery Road
Golder Conference Room
Cincinnati, Ohio 45242
* 10/14/2020 4:30–6:00 P.M. EST Joint Teleconference/Webinar
Ohio

Provider Touchpoint Meetings

Closed Meetings – Members & Invited Guests

* 2/18/2020 6:00–7:00 P.M. EST Joint Teleconference/Webinar
* 6/23/2020 6:00–7:00 P.M. EST Bethesda Hospital North
10500 Montgomery Road
Golder Conference Room
Cincinnati, Ohio 45242
* 10/14/2020 4:30–6:00 P.M. EST Joint Teleconference/Webinar

Check back later on during the year for updates to 2020 meeting times/dates/venue.

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