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February 27, 2018

CAC, Compliance and Open Public Meeting

Contractor Advisory Committee (CAC)

CGS maintains a CAC for each state within Jurisdiction 15 with the purpose of offering:

  • A formal mechanism for physicians in their respective states to be informed of and participate in development of an LCD in an advisory capacity
  • A mechanism to discuss and improve administrative policies that are within contractor discretion
  • A forum for information exchange between CGS Medical Directors and physicians

The focus of the CAC is to discuss Draft Local Coverage Determinations (LCDs), issues presented in each state, and administrative policies. This is not the forum to address:

  • Issues /policies related to private insurance business,
  • For peer review,
  • Discussion of individual cases, claims, or providers.

While the CAC reviews all draft LCDs, the final implementation decision about LCDs rests with the CMD’s who jointly develop the agenda with the CAC members.

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.

Meetings

Meetings occur no less than three times per year. The following state-by-state CAC meetings are for members and invited guests.

State

Date

Time

Location

Kentucky

* 2/13/2018

6:00 - 7:00 P.M. EST

Joint Teleconference

Contractor Advisory Committee Meetings

* 6/19/2018

6:00 - 7:00 P.M. EST

Bethesda Hospital North
10500 Montgomery Road Golder Conference Room
Cincinnati, Ohio 45242

Closed Meetings - Members & Invited Guests

* 11/13/2018

6:00 - 7:00 P.M. EST

Marshall Women’s Health & Education Center
4123 Dutchmans Lane
Plaza 1 Lower Level Room D
Louisville, KY 40207

Ohio

* 2/13/2018

6:00 - 7:00 P.M. EST

Joint Teleconference

Contractor Advisory Committee Meetings

* 6/19/2018

6:00 - 7:00 P.M. EST

Bethesda Hospital North
10500 Montgomery Road
Golder Conference Room
Cincinnati, Ohio 45242

 Closed Meetings - Members & Invited Guests

* 11/14/2018

6:00 - 7:00 P.M. EST

OSU Physicians, Inc.
700 Ackerman Rd., Suite 600
Columbus, Ohio 43202

Compliance Meeting

Compliance Officers Only

These meetings 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.

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.

State

Date

Time

Location

Kentucky

* 2/13/2018

2:30 - 3:30 P.M. EST

Joint Teleconference

Compliance Officers Meetings

* 6/19/2018

2:30 - 3:30 P.M. EST

Bethesda Hospital North
10500 Montgomery Road
Golder Conference Room
Cincinnati, Ohio 45242

Closed Meetings - Members & Invited Guests

* 11/13/2018

2:30 - 3:30 P.M. EST

Marshall Women’s Health & Education Center
4123 Dutchmans Lane
Plaza 1 Lower Level Room D
Louisville, KY 40207

Ohio

* 2/13/2018

2:30 - 3:30 P.M. EST

Joint Teleconference

Compliance Officers Meetings

* 6/19/2018

2:30 - 3:30 P.M. EST

Bethesda Hospital North
10500 Montgomery Road
Golder Conference Room
Cincinnati, Ohio 45242

 Closed Meetings - Members & Invited Guests

* 11/14/2018

2:30 - 3:30 P.M. EST

OSU Physicians, Inc.
700 Ackerman Rd., Suite 600
Columbus, Ohio 43202

Open Public Meeting

The Part A/B Open Public Meetings (formerly known as Open Draft Meeting) are scheduled by CGS Contractor Medical Director(s).  The open public meeting is to provide the opportunity for the public to submit information for CGS’ consideration in Medicare LCD development. However, specific claims are not discussed during these meetings.

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:

  • Name, address, telephone number and e-mail address of presenter
  • Name, address, telephone number and e-mail address of organization
  • Name of draft LCD
  • Copy of the presentation

The presentation must be attached to your request. Each presentation will be limited to 10 minutes.

Attendance

There are two ways to participate:

  • In person (at host site location)
  • Teleconference

There is no registration process at this time

Dial IN: 1.877.375.2583
Pass Code: 995271

Web Conferencing LinkExternal Website

Draft Link:

State

Date

Time

Location

Kentucky

* 2/13/2018

4:00 - 5:00 P.M. EST

Joint Teleconference

Open Meetings to Discuss Draft Local Coverage Determinations

* 6/19/2018

4:00 - 5:00 P.M. EST

Bethesda Hospital North
10500 Montgomery Road
Golder Conference Room
Cincinnati, Ohio 45242

ListServ Message will be sent approximately 2 weeks prior to the meeting

Open to the Public

* 11/13/2018

4:00 - 5:00 P.M. EST

Marshall Women’s Health & Education Center
4123 Dutchmans Lane
Plaza 1 Lower Level Room D
Louisville, KY 40207

Ohio

* 2/13/2018

4:00 - 5:00 P.M. EST

Joint Teleconference

Open Meetings to Discuss Draft Local Coverage Determinations

* 6/19/2018

4:00 - 5:00 P.M. EST

Bethesda Hospital North
10500 Montgomery Road
Golder Conference Room
Cincinnati, Ohio 45242

 ListServ Message will be sent approximately 2 weeks prior to the meeting

Open to the Public

* 11/14/2018

4:00 - 5:00 P.M. EST

OSU Physicians, Inc.
700 Ackerman Rd., Suite 600
Columbus, Ohio 43202

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

Draft LCDs are accessible from the CGS Draft LCDs webpage

Reference:

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