What does CGS stand for in Medicare?
CGS Administrators, LLC (CGS) is a Medicare Administrative Contractor (MAC) for the Centers for Medicare & Medicaid Services (CMS), and it is part of BlueCross BlueShield of South Carolina™'s Celerian Group of companies. Around 1,000 CGS employees provide a variety of services for over 28 million Medicare beneficiaries and 105,000 health care ...
What does CGS stand for?
CGS Administrators, LLC provides a variety of services for Medicare beneficiaries, health care providers, and medical equipment suppliers in 38 states supporting the needs of over 24 million Medicare beneficiaries nationwide. As a Medicare Part A, Part B, Home Health and Hospice, and Durable Medical Equipment contractor for the Centers for ...
What does CGS stand for in customer?
CGS has provided quality, cost-effective services and technical solutions to the Centers for Medicare & Medicaid Services (CMS) for over 50 years, impacting the lives of over 28 million Medicare beneficiaries and over 105,000 healthcare providers and suppliers of medical equipment in 38 states. CGS is headquartered in Nashville, Tennessee.
What services are covered by Medicare?
Apr 04, 2022 · COVID-19 Provider Enrollment and Accelerated Payment Telephone Hotline: The telephone hotline 1.855.769.9920 has been created for providers and suppliers to initiate provisional temporary Medicare billing privileges and address questions regarding provider enrollment flexibilities and accelerated payments, afforded by the COVID-19 waiver. The hotline …
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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.
What does CGS stand for in Medicare?
Celerian Group Customer ServiceParent Company Celerian Group. Customer Service Telephone, online, myCGS portal, and CGS Medicare app. Phone Number 866-590-6727. Official Website www.cgsmedicare.com.
What is CGS code?
Zero-Code, Cloud AI application platform CGS-One is the first Application Platform that allows you to create safe applications in cloud environment without any coding.
What states are in Medicare Jurisdiction C?
DME MAC Jurisdiction C – DME Facts JC processes FFS Medicare DME claims for Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Virginia, and West Virginia.Dec 28, 2021
Who is the Medicare contractor for Michigan?
WPS Government Health Administrators (WPS GHA) has served Medicare beneficiaries since 1966, providing over 50 years of service to the Centers for Medicare & Medicaid Services (CMS) and the Medicare program.Jul 15, 2016
What are Medicare regions?
CMS Regional OfficesRegionRegional Office LocationContactRegion 1BostonROBOSORA@cms.hhs.govRegion 2New YorkRONYCORA@cms.hhs.govRegion 3PhiladelphiaROPHIORA@cms.hhs.govRegion 4AtlantaROATLORA@cms.hhs.gov6 more rows•Dec 1, 2021
What is jurisdiction K for Medicare?
A/B MAC Jurisdiction K (formerly known as Jurisdiction 13 and 14) – Part A and Part B Facts. JK processes FFS Medicare Part A and Part B claims for Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont.Dec 28, 2021
What states are in Medicare Region A?
DME MAC Jurisdiction A - DME FactsJA processes FFS Medicare DME claims for Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.Total Number of Fee-for-Service Beneficiaries: 7,649,029 (as of 9/30/2021)More items...•Dec 28, 2021
What is a Medicare administrative contractor?
A Medicare Administrative Contractor (MAC) is a private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B (A/B) medical claims or Durable Medical Equipment (DME) claims for Medicare Fee-For-Service (FFS) beneficiaries.Jan 12, 2022
Is national government services the same as Medicare?
National Government Services, Inc. provides health care information and support services. The Company offers medicare insurance claims processing services, including hospital, health, and medical insurance administration. National Government Services serves customers throughout the United States.
What are the different Medicare jurisdictions?
CMS has already accomplished consolidating three pairs of A/B MAC contract areas (six A/B MACs) into three jurisdictions: Jurisdiction F (formerly Jurisdictions 2 and 3); Jurisdiction H (formerly Jurisdictions 4 and 7); and Jurisdiction K (formerly Jurisdictions 13 and 14).
What is CGS medical?
CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare providers, and medical equipment suppliers for more than 50 years. Click to see full answer. People also ask, what does CGS stand ...
What is MAC in Michigan?
MAC is a nonpartisan, nonprofit organization that advances education, communication and cooperation among county government officials in Michigan. Subsequently, one may also ask, what is Medicare Jurisdiction C?
Limitation on Recoupment (935) Overpayments
The limitation on recoupment (935), as required by Section 935 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) changes the process by which CGS can recoup an overpayment resulting from a post payment adjustment, such as a denial or Medicare Secondary Payer (MSP) recovery.
Resources
Refer to the Claims Correction Menu (Chapter 5) of the Fiscal Intermediary Standard System (FISS) Guide for information about how to submit claim adjustments or cancellations using FISS.
