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CGS Administrators, LLC

Serving the states of MN, WI, IL, IN, OH, KY and MI

Online Education Portal

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Login to our Online Education Portal to take any of the training sessions listed below.

Note: You can click on any of the images below to be taken to our Online Education Portal.

ABN

Title:Advance Beneficiary Notice of Non-Coverage (ABN): Part 1

Length: 45:00

Course Summary:
Use of ABN, Triggering Events, General ABN Requirements, Retention and Period of Effectiveness, ABNs for Upgraded DMEPOS and Competitive Bidding, and Additional ABN Resources.

Completing ABN

Title: Advance Beneficiary Notice of Non-coverage (ABN) Part 2

Length: 45:00

Course Summary:
Completing the ABN, Other Considerations, Electronic Issuance of ABNs, and Additional ABN Resources

Commode Chairs

Title: Commode Chairs

Length: 20:00

Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Commode Chairs to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed.

CERT

Title: Comprehensive Error Rate Testing Program

Length: 30:00

Course Summary:
This course will provide suppliers with an overview of the CERT process. Information such as how to identify a CERT documentation request and the proper way to respond will be addressed.

CPPA

Title: Condition of Payment Prior Authorization (PA) Program

Length: 30:00

Course Summary:
This course will provide an overview of the CPPA program, discuss affected codes, how to submit a Prior Authorization Request (PAR), documentation, timeframes, and more.

External Breast Prostheses

Title: External Breast Prostheses

Length: 30:00

Course Summary:
This course will define the Medicare coverage requirements for breast prostheses, list the documentation requirements for breast prostheses, and explain coding rules for breast prostheses, including replacement items.

Eye Prostheses

Title: Eye Prostheses

Length: 15:00

Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Eye Prostheses to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed.

Facial Prostheses

Title: Facial Prostheses

Length: 20:00

Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Facial Prostheses to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed.

HCPCS

Title: HCPCS Codes and Modifiers

Length: 45:00

Course Summary:
This course will give suppliers a clear understanding of the DME Fee Schedule category modifiers as well as provide information on the PDAC and how specific modifiers should be used when billing claim to Medicare.

Medicare Fee Schedules

Title: Medicare Fee Schedules

Length: 20:00

Course Summary:
The course will review the Medicare fee schedule categories and explain Medicare claim payment methodologies.

Osteogenesis Stimulators

Title: Osteogenesis Stimulators

Length: 30:00

Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill Ostegenesis stimulators to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources will also be addressed.

Ostomy Supplies

Title: Ostomy Supplies

Length: 30:00

Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Ostomy supplies to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed.

Repairs, Maintenance, & Replacement

Title: Refractive Lenses

Length: 30:00

Course Summary:
This course will give suppliers an overview Coverage Criteria, Documentation Requirements, Billing Reminders and Resources.

Repairs, Maintenance, & Replacement

Title: Repairs, Maintenance, & Replacement

Length: 30:00

Course Summary:
This course will give suppliers an overview of the Medicare guidelines surrounding repair, maintenance and replacement of durable medical equipment. Including proper billing and modifier usage.

Seat Lift Mechanisms

Title: Seat Lift Mechanisms

Length: 20:00

Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Seat Lift Mechanisms to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed.

Ventilators

Title: Ventilators

Length: 30:00

Course Summary:
Suppliers taking this course will be provided with information on coverage criteria, correct coding, documentation requirements, Comprehensive Error Rate (CERT), and resources.

Walkers

Title: Walkers

Length: 20:00

Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Walkers to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed.

Welcome to Medicare: Segment 1

Title: Welcome to Medicare: Segment 1: Medicare Basics

Length: 30:00

Course Summary:
Medicare Basics will provide suppliers with an overview of the Medicare program as well as the role of the DME MAC in the Medicare process.

Welcome to Medicare: Segment 2

Title: Welcome to Medicare: Segment 2: Coverage and Medical Policy

Length: 30:00

Course Summary:
This segment will explain the role of the National and Local Coverage Determinations in the Medicare program as well as how to locate them on the CGS and CMS websites.

Welcome to Medicare: Segment 3

Title: Welcome to Medicare: Segment 3: Claim Submission

Length: 30:00

Course Summary:
This segment will review all that is needed for proper claim submission to Medicare, including Assignment Agreements, claim filing time limits, and much more.

Welcome to Medicare: Segment 4

Title: Welcome to Medicare: Segment 4: Place of Service / Consolidated Billing

Length: 30:00

Course Summary:
This segment will outline proper place of service codes for Medicare claims as well as review the consolidated billing process.

Welcome to Medicare: Segment 5

Title: Welcome to Medicare: Segment 5: Understanding Upgrades

Length: 30:00

Course Summary:
This segment will provide step by step instructions on how to properly bill an upgrade to Medicare. Including the correct modifiers to utilize to ensure that you claims are paid accurately.

Welcome to Medicare: Segment 6

Title: Welcome to Medicare: Segment 6: Medicare Secondary Payer

Length: 60:00

Course Summary:
This segment will provide suppliers with a detailed review of Medicare Secondary Payer guidelines and practices.

Welcome to Medicare: Segment 7

Title: Welcome to Medicare: Segment 7: Overpayment Recovery

Length: 30:00

Course Summary:
This segment details the Overpayment Recovery process as well as walks suppliers through the correct OPR forms to utilize when refunding Medicare.

Welcome to Medicare: Segment 8

Title: Welcome to Medicare: Segment 8: Telephone and Written Inquiries

Length: 20:00

Course Summary:
This segment examines the CGS Customer Service program and how to submit written inquiries to CGS.

Welcome to Medicare: Segment 9

Title: Welcome to Medicare: Segment 9: Reopenings

Length: 20:00

Course Summary:
This segment provides suppliers with a look at the Reopenings process, including how to properly file a Reopening Request and examples of the types of issues the Reopening Department can address.

Welcome to Medicare: Segment 10

Title: Welcome to Medicare: Segment 10: The Appeals Process

Length: 45:00

Course Summary:
This segment will review all of the different levels of the Medicare appeals process. Including how to submit proper appeal requests to each level.

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