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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.


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Mailing Addresses

Who to Write

Addresses and Additional Information

Customer Service

Written inquiries may be submitted to:

CGS Administrators, LLC
J15 Part A PCC
PO Box 20200
Nashville, TN 37202

Email: Online Help Center

Note: DO NOT send Protected Health Information (PHI) or Personally Identifiable Information (PII) via email.

CMS guidelines allow up to 45 business days to respond.

AppealsPDF

Mailing address:
CGS Administrators, LLC
J15 Part A Appeals
PO Box 20006
Nashville, TN 37202

FedEx/UPS/Certified Mail:
CGS Administrators, LLC
J15 Part A Appeals
26 Century Blvd STE ST610
Nashville, TN 37214-3685

935 Appeals related to Overpayments:
CGS
J15 Part A Overpayments Appeals
PO BOX 20022
Nashville, TN 37202

myCGS

Claims

CGS Administrators, LLC
J15 Part A Claims
PO Box 20211
Nashville, TN 37202

CMS Regional Office

Send feedback about your experiences with CGS to the Centers for Medicare & Medicaid Services (CMS): OPOLE_IFM_CHIKCGP@cms.hhs.gov

Congressional Inquiries

CGS Administrators, LLC
J15 Part A/B Correspondence
PO Box 20018
Nashville, TN 37202

J15 Project Officer

Melissa Lamb
J15 Project Officer
CGS Administrators, LLC
26 Century Blvd STE ST610
Nashville, TN 37214-3685

Cost Reports

Mailing Address:
CGS Administrators, LLC
J15 Part A Audit and Reimbursement
PO Box 20020
Nashville, TN 37202

FedEx/UPS/Certified Mail:
CGS Administrators, LLC
J15 Audit and Reimbursement
26 Century Blvd STE ST610
Nashville, TN 37214-3685

Medicare Cost Report e-Filing (MCReF) systemExternal Website

Cost Report Overpayments (checks only)

Kentucky Providers:

CGS Administrators, LLC – Part A Kentucky
PO Box 957582
St. Louis, MO 63195- 065

Overnight Delivery:

CGS Administrators, LLC – Part A Kentucky
Lockbox 957582
3180 Rider Trail South
SL-MO-R1LB
Earth City, MO 63045

Ohio Providers

CGS Administrators, LLC – Part A Ohio
PO Box 957635
St. Louis, MO 63195-7352

Overnight Delivery:

CGS Administrators, LLC – Part A Ohio
Lockbox 957635
3180 Rider Trail South
SL-MO-R1LB
Earth City, MO 63045

Credit Balance Reports

Mailing Address:
CGS Administrators, LLC
J15 Credit Balance Reporting
PO Box 20023
Nashville, TN 37202

FedEx/UPS/Certified Mail:
CGS Administrators, LLC
J15 Credit Balance Reporting
26 Century Blvd STE ST610
Nashville, TN 37214-3685

myCGS

Medical Director

Send clinical questions

Neil S. Sandler, MD
Chief Medical Officer, J15 A/B MAC
CGS Administrators, LLC
26 Century Blvd STE ST610
Nashville, TN 37214-3685
Email: cmd.inquiry@cgsadmin.com

Medical Review

Mailing Address:
CGS Administrators, LLC
J15 Part A Medical Review
PO Box 20021
Nashville, TN 37202

FedEx/UPS/Certified Mail:
CGS Administrators, LLC
J15 Part A Medical Review
26 Century Blvd STE ST610
Nashville, TN 37214-3685

Medicare Secondary Payer (MSP)

To update beneficiary information with the Benefits Coordination & Recovery Center (BCRC),

Mailing address:
Medicare – MSP General Correspondence
P.O. Box 138897
Oklahoma City, OK 73113-8897

Freedom of Information (FOIA)

J15 – Part A/B Correspondence
CGS Administrators, LLC
PO Box 20018
Nashville, TN 37202

Provider Enrollment

Electronic Funds Transfer (EFT) Authorization Agreement (CMS-588) FormExternal PDF

CGS
J15 Part A Provider Enrollment
PO Box 20004
Nashville, TN 37202
For telephone assistance, please call the Provider Contact Center at 866.590.6703
Access Internet-based PECOSExternal Website(note: your facility's Authorized Official must register first)
Obtain electronic CMS 855 application formsExternal Website

Investigational Device Exemption Requests

E-mail: J15IDE@cgsadmin.com

Provider Audit – Desk Reviews, Audits & Settlements

Mailing Address:
CGS Administrators, LLC
J15 Part A Audit and Reimbursement
PO Box 20020
Nashville, TN 37202

FedEx/UPS/Certified Mail:
CGS Administrators, LLC
J15 Part A Audit and Reimbursement
26 Century Blvd STE ST610
Nashville, TN 37214-3685

Provider Audit – Appeals and Reopenings

Mailing Address:
CGS Administrators, LLC
J15 Part A Audit and Reimbursement
PO Box 20020
Nashville, TN 37202

FedEx/UPS/Certified Mail:
CGS Administrators, LLC
J15 Part A Audit and Reimbursement
26 Century Blvd STE ST610
Nashville, TN 37214-3685

E-mail address for filing cost report appeals: J15.CR.Appeals@CGSAdmin.com
E-mail address for filing cost report reopenings: J15.CR.Reopening@CGSAdmin.com

Provider Reimbursement

  • Interim rate information
  • Reimbursement issues
  • Reimbursement specialist
  • Submission of certificates

Mailing Address:
CGS Administrators, LLC
J15 Part A Audit and Reimbursement
PO Box 20020
Nashville, TN 37202

E-mail: J15.Reimbursement@CGSAdmin.com

FedEx/UPS/Certified Mail:
CGS Administrators, LLC
J15 Part A Audit and Reimbursement
26 Century Blvd STE ST610
Nashville, TN 37214-3685

Provider Outreach and Education (POE)

Request education/training or request a speaker for association meetings in your state.
CGS
J15 Part A POE
P.O. Box 20200
Nashville, TN 37202
Email your request to J15_PartA_Education@cgsadmin.com

Refund Checks

Kentucky Providers:

CGS – J15 Part A Kentucky
PO Box 957582
St. Louis, MO 63195-7065

Overnight Delivery:

CGS – J15 Part A Kentucky
Lockbox 957582
3180 Rider Trail South
SL-MO-R1LB
Earth City, MO 63045

Ohio Providers:

CGS – J15 Part A Ohio
PO Box 957635
St. Louis, MO 63195-7352

Overnight Delivery:

CGS – J15 Part A Ohio
Lockbox 957635
3180 Rider Trail South
SL-MO-R1LB
Earth City, MO 63045

Overpayments

  • Overpayments
  • Checks for cost report and credit balances
  • Immediate offset requests

Kentucky Providers:

CGS – J15 Part A Kentucky
PO Box 957582
St. Louis, MO 63195-7582

Overnight Delivery:

CGS – J15 Part A Kentucky
Lockbox 957582
3180 Rider Trail South
SL-MO-R1LB
Earth City, MO 63045

Ohio Providers:

CGS – J15 Part A Ohio
PO Box 957635
St. Louis, MO 63195-7635

Overnight Delivery:

CGS – J15 Part A Ohio
Lockbox 957635
3180 Rider Trail South
SL-MO-R1LB
Earth City, MO 63045

Qualified Independent Contractor (QIC) Part A West Jurisdiction (KY and OH)

Maximus Federal Services
3750 Monroe Ave
Part A West – Suite 706
Pittsford, NY 14534
http://www.medicarepartaappeals.comExternal Website

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