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CGS Medicare CGS provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 24 million Medicare beneficiaries and 100,000 healthcare professionals nationwide
Electronic Data Interchange (EDI) - CGS Medicare Electronic Data Interchange (EDI) CGS encourages providers to conduct business with Medicare electronically Benefits of electronic submission include:
Provider Enrollment - CGS Medicare Provider Enrollment All providers who serve Medicare patients are required to enroll with Medicare Providers and Suppliers interested in the most efficient process to enroll or make updates to their enrollment records should do so by submitting their information online via the Internet Based PECOS system Please consider electronically signing your application and uploading supporting
Home Health and Hospice - CGS Medicare Important Notice: CGS is currently experiencing longer than normal Medicare enrollment application processing times We are actively working to return to our standard processing times, and we regret any inconvenience this may cause To monitor the progress of your application, please use the CGS Application Status Check tool on our website Thank you for your understanding and patience
Medically Unlikely Edits - CGS Medicare Medically Unlikely Edit (MUE) Tool A Medically Unlikely Edit (MUE) value assigned to a CPT HCPCS code indicates the maximum units of service (UOS) for a single beneficiary on a single date of service (on most appropriately reported claims)
DME MAC Jurisdiction C - CGS Medicare Recent News Visit the Jurisdiction C News page for all articles, alerts and updates CGS To Conduct Mega Workshop in Nashville on August 13! – 06 17 2025 MLN Connects Newsletter: June 12, 2025 – 06 12 2025; Urological Supplies FAQs – 06 11 2025; Upper Extremity Prosthetic Myoelectronic Control – Correct Coding and Code Verification Review Requirement – 06 05 2025
Part B Fee Schedules Reimbursement - CGS Medicare Kentucky and Ohio Part B Fees On the go? Use the CGSMedicare App to search the fee schedule on your mobile device! A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers suppliers
Jurisdiction 15 Part A - CGS Medicare Recent News Medicare Portable X-Ray Survey Reminder Newsletter – 06 16 2025; MLN Connects Newsletter: June 12, 2025 – 06 12 2025; Reference Guide to Avoid Duplicate Documentation for a CERT ADR – 06 10 2025; Revised LCD L38773: Repeat RFA Procedures – 06 09 2025; Sacroiliac Joint Procedures at the S1-S2 S2-S3 Levels – 06 09 2025; Visit the Part A News page for all articles, alerts