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LICENSES AND NOTICES

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 websiteExternal 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

These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright © 2002, 2004 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.

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.

  1. 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.
  2. 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 websiteExternal Website.
  3. 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.
  4. 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.
  5. 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.


Impact

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CGS Customer Experience

CGS Customer Experience

We believe healthcare administration should be easy, consistent, and transparent. We simplify the system and deliver valuable solutions that IMPACT lives.

Help improve our website, portal and other services by providing your valuable feedback in our various satisfaction surveys:

Education Prior Authorization
Redeterminations TPE
PCC Written Correspondence customer support
Survey Pop-up Feedback
Satisfaction surveys of CGS services. This survey link will appear randomly on our website or myCGS portal. It allows you to rate and provide feedback about your experience. Provide feedback from any page on our website about its content, a technical issue, or something else.

How You Made an IMPACT

This table shares recent operational improvements that are direct results from your survey feedback.

Survey Feedback Solution Date Implemented
Suppliers asked for a way to send offset and overpayment recovery forms through the myCGS DME Web Portal. myCGS 9.0 adds a major new feature to the myCGS DME Web Portal that many users have requested—the ability to submit Overpayment Recovery forms. This new feature allows you to submit either an Offset Request Form or an Overpayment Recovery Request Form through myCGS. This is the first phase in a series of planned enhancements to the Finance menu. 10.25.24
The publication dates for individual Dear Physician Letters and Documentation Checklists should be visible from the web page that lists all the documents. We added the publication date for each document next to the title and hyperlink on the Dear Physician Letters and Documentation Checklists webpages. Users can now easily see the publication date and know when we last revised a document before they open the PDF. 09.16.24
Website users prefer to see information without needing to scroll down the webpage. We added an expand/collapse feature to the Orthoses and PMD Prior Authorization pages. Scan the section headings and click to see the information you want to read without scrolling through all the content. 08.27.24
Suppliers need more education about when to use the KU modifier. We created a KU Modifier Tool to let you know when to use the KU modifier for an accessory used on a manual or power wheelchair. 08.20.24
myCGS users want to know when the Common Working File (CWF) last updated the skilled nursing facility (SNF) or hospital date shown. myCGS 8.9 added a new field to SNF/Hospital Inquiries. The SNF/Hospital Information screen now shows the "Last Updated" field. 08.19.24
We continue to see complaints about password and other security requirements in the myCGS DME Web Portal. It is important that all users understand the reason behind these requirements and the importance of protecting both beneficiary and supplier information. Provider Education created two "To the Point" videos to address the myCGS Password Requirements and myCGS Terms of Use. Help prevent a cyberattack or a breach of information – make sure you and your staff are aware of and follow the protocols established to keep the myCGS portal secure. 08.02.24
Suppliers want to search for a Remittance Advice (RA) by date of service. We added the View RA feature to the Claim Status Summary screen with myCGS 8.8. 07.30.24
Suppliers like information summarized and easy to access on a web page instead of a PDF. We created CGS Fact Sheets to summarize important information and resources. Additional fact sheets with concise and reliable information on a variety of topics will be listed here. 06.05.24
A top reason suppliers visit our web site is looking for prior authorization information. We moved the Prior Authorization for DMEPOS section to the main left navigation menu so you can access information with only one click. 06.03.24
We get comments about how to enter the Medicare Beneficiary Identifier (MBI) on the telephone keypad when you call CGS Customer Support or the Interactive Voice Response (IVR). Use the MBI Letters to Numbers Converter to change alpha characters to numbers on your telephone keypad. We added a chart to show what to enter for each alpha character in an MBI. For example, enter *11 for the letter Q or *72 for R. 04.19.24
Please add the error rate category to the Medical Review Quarter Reports page. We added the individual error rates for each category to the table on the Medical Review Quarter Reports page to make it easier for suppliers to view error rates for all categories on one page. 03.18.24
I would love to see an Ostomy supplies documentation checklist. An Ostomy Supplies Documentation ChecklistPDF was published on March 12, 2023. 03.12.24
Suppliers are dissatisfied with password and security requirements for myCGS. We increased the visibility of the myCGS Security Awareness Training video and myCGS Terms of Use on our website. Links to the video and terms were added to the myCGS web page on the CGS education website so users can access it quickly and easily for training and education purposes.

We encourage all myCGS users to review the training video and Terms of Use to understand the importance of keeping data secure and preventing cybercrime and Medicare fraud.
01.31.24
Providers are not sure which Medicare Administrative Contractor (MAC) website to search. We added more information about MAC jurisdictions to the CGS Medicare Home page to help visitors find the correct MAC for their jurisdiction and line of business. 01.31.24
Suppliers would like a video to educate first time users about using CGS Connect. CGS Provider Education recorded a new "To-the-Point" Submitting a CGS Connect Request video. 01.11.24
Refresh the Education section of the website so available educational options are easy to see and access. The Education and Outreach landing page was redesigned with a fresh new look. New icons make accessing the variety of educational options easy. A Quick Links section includes links to commonly used educational resources. 10.27.23
Ability to edit or correct information in a Prior Authorization Request after it is submitted to prevent incomplete or invalid requests. Prior Authorization Smart Submission (PASS) was added to myCGS. With Smart Submission, we guide suppliers through all the steps for their specific Prior Authorization request to help make sure they send everything we need to make a decision the first time. Wait time for notification that the request was invalid or incomplete is eliminated. 10.27.23
See the correct sequence of digits needed to enter into the IVR when using the MBI Lookup in myCGS The IVR MBI Number Converter was added to the MBI Lookup with myCGS 7.3.14. 09.11.23
Unable to find registration information on upcoming workshops. Improved communications about workshops planned but not yet ready for registration on the CGS JB DME Provider Outreach & Education (POE) In-Person Workshops page. 08.24.23
Information about oxygen modifiers and billing We published How to Choose the Correct Oxygen Modifier 08.11.23
Suppliers look for information about the GW modifier and need education on the requirements. We published an article educating you about when to use the GW Modifier for hospice patients. 07.12.23
Suppliers look for information about coverage of ventilators. Since these are paid based on NCD, there was limited information on our website. We published the article "Ventilator Resources" to provide education and resources about coverage and billing of ventilators. 07.07.23
There are many variations on how suppliers search for information related to same or similar: same or similar, same and similar, same/similar. Our search engine is improving all the time, and results can vary depending on the search term. CGS published the "Same or Similar" Resource List to provide a comprehensive list of information for the various search terms for same or similar information. 06.30.23
myCGS End Users need information on how to obtain access to locked portal features. CGS published an article, Access to myCGS Features, to highlight the role of the Designated Approver and remind the end user to contact their approver to update their access in the portal. 06.22.23
Information about how to file claims after the end of the COVID-19 PHE The DME MACs collaborated to publish Post COVID-19 PHE Collaborative Q&As. 06.15.23
Information about the CMS national coverage decision establishing coverage for power seat elevation for power wheelchairs. CGS published Payment of Power Seat Elevation Equipment on Power Wheelchairs 06.08.23
Details on the effects of the end of the COVID-19 PHE CGS updated the post-PHE webpage, published a new online education course, and shared other resources, like the end of the COVID-19 PHE teleconference Q&As. May 2023
Several myCGS enhancement suggestions CGS implemented many myCGS updates including giving users the ability to set a default NPI/PTAN, allowing Designated Approvers to "select all" when granting user access, expanding eligibility Medicare Advantage Plan (MAP) data to include historical periods, and updating the Prior Authorization status screen to include date of decision. May 2023
Easier password/login processes, including account lock/unlock. myCGS 7.3.8 introduced several enhancements, including the ability for users to unlock their own accounts without calling customer support. 02.27.23

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