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.

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.

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.
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.
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.
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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Nashville Mega Workshop

DME MAC Jurisdictions B & C
Nashville Mega Workshop
August 5, 2024 | 8 am–4:30 pm

Location:
Southwestern Conference Center, 2451 Atrium Way, Nashville, TN, 37214

Registration Fee: $80

Workshop Session Descriptions

Session One: 8–9:00 am CT (All Attendees)

Medicare Updates
Everyone will start their day with an overview of recent changes and updates to the Medicare program. Dr. Robert Hoover and Dr. Sunil Lalla, medical directors for Jurisdiction B and C, will be on hand for this session.

Session Two: 9:15–11 am CT (Select One)

Documentation Requirements for DME & Supplies
This session provides an overview of standard documentation requirements in the Supplier Manual and Policy Article A55426. DME suppliers will ensure that they are aware of documentation requirements on amendments, corrections to medical records, signature requirements, standard written orders, continued use vs. continued need, request for refills, and proof of delivery.

Documentation Requirements for Orthotics & Prosthetics (O&P)
This session supplies an overview of medical record documentation from an O&P perspective, including information on written order prior to delivery, face-to-face encounters, and the differences between custom fit and custom-fabricated orthotics.

Session Three: 12:15–1:15 pm CT (Select One)

Successful Claim Submission
This session supplies basic information on eligibility, the intake process, and the claim submission process. We recommend this course for new suppliers and employees whose roles have recently changed in your company.

Orthoses: Prior Authorization, Errors, and Resolutions
This session looks at the prior authorization requirements for orthoses. We will also share examples of the most common reasons for denials, non-affirmations, and tips on how to avoid them.

Oxygen Local Coverage Determination (LCD) Updates
Join this session to learn about the latest updates to the Oxygen & Oxygen Equipment LCD and Policy Article (PA).

Glucose Monitors Updates, Errors, and Resolutions
This session reviews the latest updates and information about Medicare coverage and documentation requirements for glucose monitors and continuous glucose monitors (CGMs). We will also share information on common claim submission errors and resolutions.

Session Four: 1:25–2:25 pm CT (Select One)

Self-Service Tools
This session provides an overview of the free self-service solutions available on the CGS website. We will discuss how these services help find the answers you need without calling customer support. Attendees will learn ways to find information on claim submissions, claim denials, and claim denial resolutions.

Prostheses: Prior Authorization, Errors, and Resolutions
This session looks at the prior authorization requirements for prostheses. We will also share examples of the most common reasons for denials, non-affirmations, and tips on how to avoid them.

Positive Airway Pressure (PAP) Devices and Supplies
This session supplies discusses the coverage criteria, documentation requirements and recent updates for PAP devices and supplies.

Reopenings, Redeterminations and Overpayments
This session will explain when it is appropriate to submit a reopening, a claim correction, or a redetermination request. We will discuss the fastest and most effective ways to request each for a successful outcome along with information on handling overpayments.

Session Five: 2:35–3:35 pm CT (Select One)

Advance Beneficiary Notices (ABNs) & Upgrades
This session reviews financial implications associated with ABNs, as well as when and how to deliver ABNs to Medicare beneficiaries and submit claims for upgrades.

Auditing Entities
This session reviews who the auditing contractors are, the role of the auditing contractors, and how to prepare for an audit.

Mobility
This session will provide an overview of the Prior Authorization process for both power mobility devices (PMDs) as well as manual wheelchairs, with a discussion of the most common denial reasons and how to avoid them.

Consolidated Billing
Knowing who and how to bill when beneficiaries are in a skilled nursing facility, home health episode, or hospice can be challenging. This session provides detailed information on how consolidated billing works. The GW modifier for beneficiaries in hospice will also be discussed.

Session Six: 3:35–4:30 pm CT (Select One)

Choose one of two Question & Answers (Q&A) periods. These sessions are a great way to end your day with a chance to ask any remaining questions you may have.

Orthotics & Prosthetics Questions & Answers (Q&A)

DME Questions & Answers (Q&A)

Save your spot and register today!