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 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

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.

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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.
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 website.
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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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JURISDICTION 15 HOME HEALTH & HOSPICE

About the CGS OEC Center

CGS offers many online education courses on popular topics. These presentations range from 15 to 45 minutes and provide a valuable overview of both policy specific topics and general topics like Advance Beneficiary Notice of Non-coverage. These are great training tools for new staff as well as opportunities for veteran providers and staff to brush up on their knowledge or learn about a new policy. Best of all, these online education courses are available whenever you find it most convenient; you can pause the course and come back later. It's another way we strive to provide information that will help your company thrive.

Recommended Courses

for JURISDICTION 15 HOME HEALTH & HOSPICE

Introduction to myCGS

Home Health Billing Process: Notice of Admission (NOA)

Hospice Billing: Part 1

How to Properly Document the Six-Month Terminal Prognosis and Avoid Claim Denials

Available Courses

	Comprehensive Error Rate Testing Program (CERT) Length: 45:00 At the conclusion of the course, you will be able to define what the CERT program is, understand how CMS applies the methodology to calculate error rates, be prepared to take appropriate action when you receive a CERT request, and have information to share with your doctors about common documentation and coding errors.
	Direct Data Entry (DDE) Basics Length: 30:00 DDE is a component of the Fiscal Intermediary Standard System (FISS), that standard Part A claim processing system. Learn about DDE functions and how to access information.
	Direct Data Entry (DDE): Inquiry Menu Options 12, 17, and 56 Length: 45:00 This course will introduce you to three FISS menu options: the Claim Inquiry menu, the Reason Code inquiry screen, and the Claim Count Summary screen.
	EDI Products & Services Length: 15:00 This course explains EDI services available to participating providers, minimum system requirements for Medicare Claims Express and Medicare Remit Easy Print, and helps you locate your EDI resources.
	Fiscal Intermediary Standard System (FISS): Overview of Claims Processing Length: 45:00 This course provides a foundational overview of the Fiscal Intermediary Standard System (FISS), the primary platform used by Medicare Administrative Contractors (MACs) to process Part A institutional claims. Participants will learn how FISS supports claim entry, editing, payment, and inquiry functions, along with key navigation techniques and system terminology essential for effective Medicare claims processing.
	Home Health Face-to-Face Encounter Length: 45:00 This course covers who performs the FTF encounter, FTF requirements, supporting documentation, and resources.
	Home Health Billing Process: Notice of Admission (NOA) Length: 45:00 This course is designed to assist home health agencies in achieving a basic understanding of the requirements for consolidated billing under the Home Health Prospective Payment System. Beneficiary eligibility requirements for Medicare payment of home health services are also addressed. In addition, the course describes the billing process and data elements necessary to submit Requests for Anticipated Payment RAPs to Medicare for services provided by a home health agency.
	Home Health Billing Process: Period of Care Claims (POC) Length: 45:00 This course is designed to provide basic education regarding home health billing, including the data elements necessary to bill a typical home health final claim to Medicare. In addition, the submission of non-routine supplies provided to the beneficiary by the home health agency during an episode of care will also be discussed.
	Hospice Billing Part 1 Length: 45:00 This course will explain basic hospice coverage guidelines, define a hospice notice of election (NOE), discuss NOE timely filing requirements, identify required NOE data elements, and describe NOE submission using DDE/FISS.
	Hospice Billing Part 2 Length: 45:00 This course will review requirements for hospice notices of election (NOE) relating to hospice claims, address hospice sequential billing requirements, discuss required data elements for submitting hospice claims, review submission of hospice claims using DDE/FISS, and provide resources for submitting hospice claims.
	How to Properly Document the Six-Month Terminal Prognosis and Avoid Claim Denials Length: 30:00 This course will describe the Medicare requirements for a terminal illness prognosis, explain local coverage determination guidance on hospice determining terminal status, and the importance of proper medical record documentation supporting hospice terminal prognosis to reduce claim denials.
	Introduction to myCGS Length: 30:00 In this course you will learn about myCGS system requirements, availability, registration, logging in, roles, and support.
	Medicare Claim Appeals Process Length: 30:00 This course provides an overview of the Medicare claims appeals process, outlining the rights and responsibilities of parties to an appeal, procedures for appointing a representative, and the five levels of the appeals process. Participants will also learn where to find key resources and guidance to navigate appeals effectively.
	Medicare Secondary Payer Claim Entry via Direct Data Entry (DDE) Length: 30:00 After completing this course you will be able to submit an MSP claim directly into the Fiscal Intermediary Standard System (FISS) via DDE, submit correct Claim Adjustment Segment (CAS) code information, review examples of MSP DDE claims, and access MSP resources on the CGS website.