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Jurisdiction B POE Advisory Group (POE AG) Meeting Minutes – May 27, 2026

Meeting Date and Time: May 27, 2026, 2 pm ET

Facilitator: Denise Winsock, JB POE Sr. Analyst

CGS Representatives: Elizabeth Daniels, Tausha Duncan, Maurdi Wilson

Advisory Group Members: Tonia Burrell Pace, Lori Cunningham, Missy Cross, Kindra Selberg, Jera Sitton, Kim Stamper, Mary Ellen Spradlin, Cassie Wright

Agenda:

  • Welcome & Introductions
  • News & Updates
  • Website Updates & myCGS
  • MCE Surveys
  • POE Educational Activities
  • Feedback & Suggestions
  • Open Discussion
  • Upcoming Meeting Date: July 29, 2026
  1. Welcome & Introductions

    Denise welcomed the group to the meeting and reviewed the primary role of the POE AG.

  2. News & Updates

    Denise reviewed these articles and publications and asked for comments:

    • Rejections Due to Missing Modifiers on Nebulizer Claims (including Dispensing Fees)
    • Widespread Pre-Pay Service Specific Medical Record Review Announcement – HCPCS Code A6023
    • Updated Advance Beneficiary Notice of Noncoverage (ABN) Form Now Available!
    • Claims Rejected for Missing KG Modifier
    • Lymphedema Compression Treatment Items – Correct Coding and Billing – Revised
    • Widespread Pre-Payment Medical Record Review Announcement – New Suppliers
    • New Code Added to CGS Connect®!

      Denise talked about the group's earlier suggestion to add RAD to CGS Connect. Medical Review is aware of the request, but they aren't adding this policy right now.

    • Dear Physician Letter – Written Order Prior to Delivery and Face-to-Face Encounter
    • CERT Deadline for Late Documentation is June 12!
    • Functional Electrical Stimulation (FES) – Coverage and HCPCS Coding – Revised
    • Exemption Process for Prior Authorization of Certain DMEPOS Items
  3. Website & myCGS DME Web Portal Updates & Feedback

    Denise reviewed the following updates to the myCGS portal:

    • myCGS 11.1 This version includes the following updates:
      • Added Prior Auth Notice of Exemption letters
      • Added Prior Auth Exemption Opt-Out Form
      • Increased the amount of Home Health Records on Eligibility
      • Added new HCPCS codes to display in Same/Similar
      • Added new Program Category of Pneumatic Compression Devices (PCD) in PASS
    • myCGS 11.2: New feature called eLetters, which makes it much easier to find and manage important Medicare letters:
      • Added email that is sent after 3 invalid login attempts
      • Updated new user registration guidelines
      • Updated Reopening Form Submission
      • Enabled the eLetters Inbox and email notifications

      Tonia said she is very pleased with the new eLetters feature. It was a suggestion she had made in a previous meeting.

  4. MCE Surveys: How to increase participation?

    Mary Ellen suggested adding the survey to the myCGS portal.

  5. POE Educational Activities

    Denise led discussions on the following activities:

    • Workshops:
      • Summer 2026 Virtual Workshop – June 10th & 11th  
      • Nashville In-Person Workshop – August 19th
    • Ask the Contractor Meeting (ACM)
      • Redeterminations – July 15, 2026
    • Collaborative Events/Articles:
      • A/B-DME Collaborative webinar – June 17, 2026
        • Glucose Monitors
      • CERT Awareness Month
      • Weekly articles about CERT
      • Last day to submit late/missing documents to CERT – June 12, 2026
    • Webinars: Denise pointed out the new "Spotlight" webinars. She stressed the importance of reaching all DMEPOS suppliers, so they get needed education and billing guidance.

      "Spotlight" Webinars

      1. Overpayments – June 24th h
      2. High Frequency Chest Wall Oscillation Devices -July 9th
    • Tools
      • To the Point Video – myCGS DME Web Portal: eLetters
      • Watch our new myCGS® videos on YouTube or our website!
        1. How to Reset Password
        2. How to Register as an End User
        3. How to Register as a Designated Approver
        4. How to Submit a Prior Authorization Request
  6. Feedback & Suggestions/Open Discussion

    MaryEllen suggested adding a webinar focused on the use of second ventilators.

    Denise said a short "To the Point" video might work better and will look into this.

  7. Upcoming meeting date: July 29, 2026
  8. Meeting Adjourned

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