September 23, 2020
Drug Invoice Change
In order to provide better service, CGS is changing the DME MAC Jurisdiction B Drug Fees, Pharmacy Dispensing Fees and Pharmacy Supply Fees on the CGS website, beginning with the January 1, 2020, listings. The "To Be Developed (TBD)" indicator in the Fee field is changing to an indicator of "Invoice".
Rather than waiting for CGS to complete development for the invoice to process these claims, the supplier should utilize the PWK (Paperwork) process to submit the invoice when filing the claim. If the documentation is not received, the claim line will be denied for missing information.
Instructions for utilizing the PWK process can be located in Chapter 6 of the Supplier Manual.