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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MCReF Cost Report Submissions

Cost Report Submissions

Cost reports can now be submitted via mail or electronically via the new CMS MCReF program. It is not a requirement for you to file your cost report electronically. Providers should not submit the same cost report submission by MCReF and mail.

What is MCREF

MCReF (Medicare Cost Report E-Filing) system was created by CMS to streamline the cost report submission process by allowing providers to electronically submit their cost report documents directly to their MAC (Medicare Audit Contractor). The MCReF system became available on May 1, 2018 at 4 p.m. est effective for 12/31/2017 cost reports. MCReF will be hosted at the following URL: https://MCReF.cms.gov.

How to sign up

A provider’s Security Official (SO) and Back up Security Official (BSO) with access to the EIDM PS&R system will be authorized to use this program. Part A Provider Security Officials and their backups, already registered in EIDM for access to CMS PS&R, will inherit access to MCReF by default through their existing account. In addition, there is a new user role for designated cost report filers. The Security Official may grant permission for this new user role to their designated cost report filer.

Providers that are not registered in EIDM, but wish to gain access to MCReF, must register in EIDM and assign an SO for their organization. Questions about EIDM set up for the PS&R and MCReF programs may also be directed to the EIDM help desk at 866-484-8049.

It is important for providers to keep their EIDM credentials in good standing to avoid problems using MCReF to e-file cost reports and obtain their PS&R. This includes password updates per CMS policy and the timely replacement of SOs due to staffing changes. Issues with maintaining EIDM credentials will not constitute a valid reason for filing a cost report past its due date.

Gathering required cost report documents

Generally, each provider must perform the following steps to properly submit an MCR to their MAC.

ECR (Electronic cost report) file - Created by approved vendor software
PI (Print Image) file – Created by approved vendor software
Signed Certification Page (Worksheet S) –
- If your cost report is e-signature capable (excludes RHC and CMHC providers), you will be required to sign this form with an electronic signature. Certification pages submitted without an electronic signature, will be rejected.
- If your cost report is not e-signature capable, you may still submit your cost report submission through MCReF. In addition to submitting a scanned copy of the certification page through MCReF, you will also have to mail the signed copy of your certification page with an original signature to your MAC. The mailed copy of the certification page must be received within 10 days of the MCReF submission to avoid a rejection.

Note: An e-signature consists of checking the e-signature box on the certification page and signing the cost report. More information about electronic signatures can be found here: Medicare Cost Report Electronic Signature Transmittals.

IRIS (Intern Resident Information System) – Required to be sent in a zipped file, if applicable.
Other – Provider supporting documentation including, but not limited to, the working trial balance, financial statements, Medicare bad debt listing, Medicare form 339 with a signature, etc. All of these files should be zipped into a single file to be uploaded into MCREF.

Please visit the Cost Report Acceptance sections for J15 Part A and J15HHH of the CGSMedicare.com website for more information about cost report submission.

Since the MCREF program is a secure CMS approved program for the protection of PHI/PII, you must not encrypt or password protect any zipped files or documents.

Instructions for using MCReF

CMS hosted a webinar on the new MCReF system. The training slides from this webinar may be accessed at: https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2018-05-01-MCREF-Presentation.pdf.
Instructions may also be found in the “Help” manual link located in the upper right hand corner of the e-File Cost Report Materials screen of MCReF or on our website.

MCReF Submission Information

If there are no errors/warnings after you have submitted your cost report through MCReF, you will receive a message similar to this one “Success S0000: The Cost report submission for provider: 12-3456 and Fiscal Year End: 12/31/2017 has been electronically postmarked with CMS as of 03/30/2018 3:23 PM ET. Please retain e-Filing ID 2918535 for your records.”. Save a screen shot of this message for your records.

The postmark date will be the day that your cost report is submitted successfully through MCReF. If the cost report submission is submitted before 3 p.m. est, the received date will be the same date as the postmark (cost report submission) date. If the cost report submission is submitted after 3 p.m., the received date will be the next federal business date.

Cost report extensions will not be granted for issues with submitting your cost report through MCReF. Providers experiencing issues with MCReF may mail their cost report to the MAC.

Cost Report Acceptance

Cost reports must be accepted or rejected within 30 days of receipt of the cost report. Please note that a cost report submitted through MCReF is not a guarantee of acceptance.

Trouble Shooting/Assistance

If you receive errors during the cost report submission process., review the Trouble Shooting section of the MCReF “Help” manual for assistance. If you are not able to resolve the error, please e-mail J15cracceptance@cgsadmin.com.

If you submitted a cost report in error, please e-mail your provider #, FYE and MCReF e-filing ID as soon as possible to J15cracceptance@cgsadmin.com to report the error and request that this submission be voided.

For MCReF submission errors, including fiscal period beginning and end dates or sub-provider issues, please e-mail J15cracceptance@cgsadmin.com.

For issues with EIDM access, please contact the EIDM help desk at 866-484-8049.

Cost report extensions will not be granted for issues with submitting your cost report through MCReF. Providers experiencing issues with MCReF may mail their cost report to the MAC.

License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition

AMA Disclaimer of Warranties and Liabilities.

CMS Disclaimer

POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

MCReF Cost Report Submissions

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