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 |
Closed Meetings - Members & Invited Guests |
* 11/13/2018 |
6:00 - 7:00 P.M. EST |
Marshall Women’s Health & Education Center |
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 |
Closed Meetings - Members & Invited Guests |
* 11/14/2018 |
6:00 - 7:00 P.M. EST |
OSU Physicians, Inc. |
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 |
Closed Meetings - Members & Invited Guests |
* 11/13/2018 |
2:30 - 3:30 P.M. EST |
Marshall Women’s Health & Education Center |
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 |
Closed Meetings - Members & Invited Guests |
* 11/14/2018 |
2:30 - 3:30 P.M. EST |
OSU Physicians, Inc. |
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
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 |
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 |
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 |
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. |
Contact Information for ALL Meetings:
- Sue Walker, Meeting Coordinator – Phone: 615.660.5834
Email: paula.walker@cgsadmin.com
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
- Draft link for KY: Kentucky Proposed/Draft LCDs Not Released to Final
- Draft link for OH: Ohio Proposed/Draft LCDs Not Released to Final
Reference: