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 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

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.

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.
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 website.
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.
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.
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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February 27, 2020 - Updated: 03.18.20

Process Improvements Based On Your 2019 MSI Survey Feedback!

Your voice was heard and appreciated. We made improvements within the past year in response to your comments in the 2019 Medicare Administrator Contractor (MAC) Satisfaction Indicator (MSI) Survey feedback results. A few of the enhancements made, based on your feedback are listed below. Stay tuned for information about more CGS enhancements.

Claims

The Claims department created a Medicare Secondary Payer (MSP) workgroup. This workgroup reviewed MPS related reason codes that cause MSP claims to be returned to the provider (RTP). As a result, 85 reason code narratives were updated to better explain what action providers need to take to allow the claim to continue processing (e.g., 31102 and U6805).
Work processes related to MSP claims were created to reduce the number of claims being RTPd.
The Claims department and Provider Outreach and Education (POE) department worked to respond to MSP related questions received from the MSP Basics webinar.

myCGS Web Portal

From the myCGS MBI Lookup tab, if you need additional eligibility information, you can simply click the "Check Eligibility" button and myCGS will take you directly to the Eligibility tab.
The myCGS Administrators unlock feature has been enhanced to allow you to unlock users who are disabled for not meeting the 30-day log-in requirement!

Provider Contact Center (PCC):

Last year we created the IVR and CTI Converter Tools. To better identify how this tool can be used by providers the name was changed to Medicare Beneficiary Identifier (MBI) and Name to Number Converter. This tool was also enhanced to reveal the characters needed to enter the MBI using the telephone keypad as they are entered. In addition, we've added examples showing how the beneficiary last name is entered when it's less than six characters.
CGS developed a "How Do I…? web page. Before you call the PCC, review the How Do I…? resource to find answers to your questions.
The Customer Service Contact Information Web pages were updated by adding a pop-up message that displays when your mouse hovers over the icon. The message explains what information is available for that icon.
In addition to the monthly PCC trainings set aside for our customer service representatives (CSRs), we continually review the top 10 telephone inquiries and have update internal tools to improve CSR consistency and 1st call resolution to better serve you.

Provider Enrollment:

To better serve the provider community, CGS Provider Enrollment Management Team created the "What to Expect When Enrolling" informational guide explaining the provider enrollment process from the contractor's perspective and gives providers an easy to follow guideline to the enrollment process. The guide delivers the answer as well as needed information for every step of the enrollment process.
We removed the requirement to include your zip code so it's easier than ever to search for the status of your application.
Provider enrollment letters were updated to improve overall understanding of information provided to establish clear expectations through the enrollment process.
Providers receive monthly enrollment tips to help ensure information submitted is accurate, which improves the time to process enrollment applications.
Providers were surveyed to identify topics of interest for upcoming Ask-the-Contractor Teleconferences (ACTs)
Further enhancements are planned for provider enrollment status tools on our website to expand search elements and multiple results.

Provider Outreach and Education (POE):

In January 2020, J15 Part A and HHH launched a pilot "Test your knowledge" bulletin quiz in order to increase the number of providers reviewing the monthly bulletin and ensuring understanding. J15 Part B launched the bulletin quiz in November 2019. Ten questions are presented as a survey at the end of the bulletin relating to the articles included. If a provider completes the quiz with 80% accuracy, they are sent a certificate of completion, which they can present to their respective associations or employers for education credit. The Quiz Central page was posted on the J15 Bulletin pages to house all quizzes.
Three videos were developed to introduce new providers to various resources, such as the listserv notification services offered by CGS and CMS, common websites, electronic billing, Calendar of Events and the Medicare Bulletin.
The Calendar of Events page was redesigned to provide an easy to view list of educational events. In addition, you may have noticed that we have significantly increased our educational events offerings! In 2019, CGS offered 83 webinar/teleconferences, 139 in-person events, and 7 ask-the-contractor teleconferences (ACTs).We heard your feedback, and we are out and about! Make sure you stay up to date on where we will be next or what webinar topic we have coming…
We also have plans for our first CGS Medicare Exhibition: Focus on Medicare, to be held June 17th and 18th in Columbus, OH. It's our opportunity to hear directly from you, show what we have to offer and build rapport with the provider community. Save the Date!
Did you miss an event?? Don't worry! We have recorded and posted many of our previous webinars! Check them out at the top of the Calendar of Events page!

Website:

The scrolling advertisement banner located on the top of the Part A, Part B, and HHH J15 main web page was updated to allow providers to navigate through ads and to prior ads. No more waiting for the next ad to scroll by!
CGS continues to add new online tools and calculators to the Self-Service Options Web page. Check out all the tools available that will assist you in your everyday tasks.

The 2020 MAC Satisfaction Indicator (MSI) Is Here

Evaluate Our Services!

The MAC Satisfaction Indicator (MSI) is the best way to share your opinions directly with the Centers for Medicare & Medicaid Services (CMS) about your experience with us. These survey results will help us gain valuable insights and determine process improvements.

Thank you for your feedback.