Guides & Charts
CGS developed the documents below to help suppliers navigate Medicare claims, documentation requirements, and appeals.
Note: Visit the Forms & Checklists page for documents used to submit information to the JB DME MAC. Access the full list of Documentation Checklists here.
Title |
Description |
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Auditing entities can review your claims to determine if you billed them correctly. Review the names of the common auditing entities. |
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Flowchart showing the questions you will be asked when calling Customer Support. |
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Outlines DMEPOS items or beneficiary scenarios that require claim narratives. |
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Outlines DMEPOS items that require claim span dates and claim narratives in a chart format. |
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User guide for companies using CSI to electronically check claim status through a network service vendor. Visit Claim Status & Remittance Advice/Payment Information for more information. |
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Provides important information on waivers and billing replacement items due to hurricanes, wildfires, storms, and other natural and man-made disasters. |
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Inpatient Hospital/SNF DMEPOS Claim Submission Reference Aid |
Provides step-by-step instructions on how to determine if an item can be billed directly to the DME MAC for some of the most common inpatient hospital and Skilled Nursing Facility (SNF) discharge scenarios. |
Quick reference guide for entering alphabetical letters using your telephone keypad to access information in the IVR. |
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Flowchart of how to access all the options available through the IVR. |
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Quick reference guide for accessing myCGS features. Visit myCGS Web Portal for more information. |
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Detailed instructions on how to register for the myCGS web portal. Visit myCGS Web Portal for more information. |
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Learn how to use the myCGS web portal. Visit myCGS Web Portal for more information. |
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Provides guidance on correcting a claim denial due to a missing/incomplete/invalid ordering provider name and/or NPI. |
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Provides off-the-shelf, custom fit, and custom-fabricated brace definitions in a chart format. |
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Provides initial, recertification, or revised Certificate of Medical Necessity CMS-484-Oxygen Form |
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Outlines which claim adjustments can be processed through the myCGS web portal, telephone reopenings, or written reopenings. Visit Reopenings for Minor Errors and Omissions for more information. |
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Provides examples of signatures that do and do not meet CMS requirements. |
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This fact sheet illustrates a side-by-side comparison of a detailed written order (DWO) to a standard written order (SWO). |
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This manual contains an overview of important and useful information for DMEPOS suppliers regarding the Medicare program. It is the first resource to use for Medicare billing questions. The Supplier Manual is updated on a quarterly basis. |
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Therapeutic Shoes for Persons with Diabetes Activity Timeline |
Outlines activities, responsibilities, requirements, and timing of events in a chart format. Refer to the Therapeutic Shoes for Persons with Diabetes - Policy Article (A52501) |
The documents offered above are in Adobe PDF format. Download a free copy of Acrobat Reader.