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Guides & Charts

CGS developed the documents below to help suppliers navigate Medicare claims, documentation requirements, and appeals.

Note: Visit the Forms & Checklists page for documents used to submit information to the JC DME MAC. Access the full list of Documentation Checklists here.

Title Description
Auditing EntitiesPDF Auditing entities can review your claims to determine if you billed them correctly. Review the names of the common auditing entities.
Calling Customer Support GuidePDF Flowchart showing the questions you will be asked when calling Customer Support.
Claim Narratives ChartPDF Outlines DMEPOS items or beneficiary scenarios that require claim narratives.
Claim Span Dates & Claim Narratives ChartPDF Outlines DMEPOS items that require claim span dates and claim narratives in a chart format.
Claim Status Inquiry (CSI) User GuidePDF User guide for companies using CSI to electronically check claim status through a network service vendor. Visit Claim Status & Remittance Advice/Payment Information for more information.
Disaster Resource GuidePDF Provides important information on waivers and billing replacement items due to hurricanes, wildfires, storms, and other natural and man-made disasters.
Español En esta pãgina encuentra los documentos, formularios, guías, y herramientas en español junto con una breve explicación acerca de su uso.
Interactive Voice Response (IVR) Letter GuidePDF Quick reference guide for entering alphabetical letters using your telephone keypad to access information in the IVR.
Interactive Voice Response (IVR) System User GuidePDF Flowchart of how to access all the options available through the IVR.
myCGS Reference GuidePDF Quick reference guide for accessing myCGS features. Visit myCGS Web Portal for more information.
myCGS Registration & Account Management Guide Detailed instructions on how to register for the myCGS web portal. Visit myCGS Web Portal for more information.
myCGS User Manual Learn how to use the myCGS web portal. Visit myCGS Web Portal for more information.
Ordering/Referring Provider Denial Job Aid Provides guidance on correcting a claim denial due to a missing/incomplete/invalid ordering provider name and/or NPI.
Orthotics ChartPDF Provides off-the-shelf, custom fit, and custom-fabricated brace definitions in a chart format.
Reopenings ChartPDF Outlines which claim adjustments can be processed through the myCGS web portal, telephone reopenings, or written reopenings. Visit Reopenings for Minor Errors and Omissions for more information.
Signature RequirementsPDF Provides examples of signatures that do and do not meet CMS requirements.
Standard Written Order (SWO) Fact SheetPDF This fact sheet illustrates a side-by-side comparison of a detailed written order (DWO) to a standard written order (SWO).
Supplier Manual This manual contains an overview of important and useful information for DMEPOS suppliers regarding the Medicare program. It is the first resource to use for Medicare billing questions. The Supplier Manual is updated on a quarterly basis.
Therapeutic Shoes for Persons with Diabetes Activity TimelinePDF Outlines activities, responsibilities, requirements, and timing of events in a chart format. Refer to the Therapeutic Shoes for Persons with Diabetes – Policy Article (A52501)External Website
Therapeutic Shoes for Persons with Diabetes: Know the Roles These charts provide an overview of the distinct roles involved in furnishing diabetic shoes under the Therapeutic Shoes for Persons with Diabetes benefit (Social Security Act §1861(s)(12)).

The documents offered above are in Adobe PDF format. Download a free copy of Acrobat ReaderExternal Website.


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