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June 24, 2020

CGS Interactive Voice Response (IVR) System Changes

CGS has implemented changes to the Part A, Part B, and Home Health and Hospice (HHH) IVR system prompts to provide you more information.  Please review the changes below and share with your appropriate staff.

Beneficiary Information (Preventative HCPCS)

  • Part A and HHH IVR – After you press 2 for Beneficiary Information, and then press 6 for Hepatitis B and Preventive HCPCS Code information, the IVR will now provide Pneumococcal Pneumonia Vaccination (PPV) HCPCS codes (90670 and 90732) including the dates of service and associated National Provider Identifier (NPI). 
  • Part B IVR – After you press 2 for Eligibility & Deductible Information, and then press 6 (Hepatitis B and Preventive HCPCS Code) and then press 2 (Preventive HCPCS), the IVR will now provide PPV HCPCS codes (90670 and 90732) including the dates of service and associated National Provider Identifier (NPI).

This will assist providers to determine if the beneficiary already received either or both vaccines, as well as when, and from which provider.

Beneficiary Information (Patient Status)

  • Part A and HHH IVR – After you press 2 for Beneficiary Information, and then press 1 (For HH, MA, MSP HOSP, ESRD), then press 2 (verify Bene in Home Health Episode), the IVR will now provide the most recent start and end date, along with the patient status code and description based on the date range selected.  This will assist home health agencies to determine if they need to initiate a transfer from another home health agency before they start providing services.
  • Part B IVR - After you press 2 for Eligibility & Deductible Information, and then press 1 (Eligibility Information) and then press 4 (HHH Episode Dates), the IVR will now provide the most recent start and end data, along with the patient status code and description based on the date range selected.

Eligibility Information

  • Part A and HHH IVR – After you press 2 for Beneficiary Information, then press 3 from the submenu for Hospital or Skilled Nursing Facility (SNF) information, the IVR will now provide you the option to access hospital days (Option 1) or SNF days (Option 2).  Based on the specific date range selected, the IVR will provide all stays along with Start Date, End Date (if applicable) and billing NPI with each stay.

Remember, the CGS IVR system is designed to assist Medicare providers in obtaining answers to numerous inquiries.  The IVR phone numbers are listed below and links to the IVR User Guides. 

Part A – 1.866.289.6201

Part B – 1.866.290.4036

Home Health and Hospice – 1.877.220.6289

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