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Recent News

Visit the Part A News page for all articles, alerts and updates.


Education Opportunities

June 12 – Inpatient PPS Outlier BillingExternal website
The Part A Provider Outreach & Education team invites you to join us as we shed light on the topic of outlier billing. Feel free to submit related questions to: J15_PartA_Education@cgsadmin.com. Log in to add this session to your schedule!External website

June 18 – Understanding the TPE Process
External website
During this webinar, we will present a comprehensive overview of the Targeted Probe & Educate (TPE) process, covering all aspects from initiation to completion. Our discussion will include valuable insights on how to effectively respond to Additional Documentation Requests (ADRs), navigate the appeals process, and prepare for upcoming TPE reviews. Log in to add this session to your schedule!External website

June 24, 25 & 26 – CGS J15 A/B CERT Roadshow – OhioExternal website
This in-person educational event will include information specific to Medicare Part A & Part B providers in Jurisdiction 15. CGS clinical staff will discuss comprehensive actions we're taking to reduce the Comprehensive Error Rate Testing (CERT) error rate in Ohio. We will provide an overview of our current CERT errors and identify key factors you and your staff can address to ensure your medical record documentation is complete and meets CMS' medical necessity requirements. Register now!External website

July 16 – Let's Talk OverlapExternal website
Still having issues with your claim's dates of service overlapping another facility's? Join us as we discuss how to work through the claim overlap process. Feel free to pre-submit questions to J15_PartA_Education@cgsadmin.comExternal website. Log in to add this session to your schedule!External website

July 30 – Navigating the RAC Process: Session 3External website
Join us for the third and final session of the Recovery Audit Contractor (RAC) series. This session will provide an overview of the prior sessions and include these topics of discussion: new issue development, the RAC audit selection process, and how to use the provider portal. Log in to add this session to your schedule!External website

August 28 & 29 – CMS National Provider Enrollment Conference – San Diego, CAExternal website
CMS, in collaboration with Noridian Healthcare Solutions, will host this annual conference at the San Diego Convention Center. The purpose is to educate the provider and supplier community on multiple aspects of provider enrollment. CMS and MAC staff will co-present on two full days of provider enrollment topics. Designated booths will also be available for attendees to visit with their MAC's provider enrollment experts and raise provider enrollment specific questions. There is no registration fee for this event. Register now!External website

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