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HIGLAS

HIGLAS

HIGLAS Video *NEW*

The HIGLAS video summarizes CGS’ transition from the DME Shared System to the Healthcare Integrated General Ledger Accounting System (HIGLAS) financial accounting system.

If you would prefer to watch on YouTube, click here.

 

HIGLAS Letters

As a DMEPOS supplier you received a letter from CGS Jurisdiction B regarding Medicare payment system changes. A copy of the letter you received is herePDF.

In summary of the letter, effective February 21, 2020, Jurisdiction B will transition our financial accounting system from the DME Shared System (VMS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS).  The DME MAC will continue to use VMS for claim processing activities.  Suppliers will continue to file claims and appeals as they do today.  Please continue to submit claims and appeal requests as normal.

As we prepare for the HIGLAS transition, the Centers for Medicare and Medicaid Services (CMS) approved a temporary waiver of the claims processing payment floor for paper and electronic claims.

What does this all mean to suppliers?

  • On February 19, 2020, the payment floor will be reduced to zero days for electronic and paper claims and payments will be released for claims that have already been approved for payment.
  • The temporary reduction of the payment floor will result in payments being issued early. This may give the appearance that your cash revenues have increased but your claims may have simply paid earlier than usual.
  • Following the Jurisdiction B transition to HIGLAS, CGS will resume normal cycles on February 24, 2020.
  • Payments will not be issued on February 24 - 25, 2020.
  • Suppliers will experience a temporary gap in most payment activity because most claims will have been paid early due to the temporary payment floor reduction.
  • As we transition, there is potential for temporary interrupts in the financial information available on the Interactive Voice Response (IVR), the myCGS web portal, and online remittance advices.
  • There will be some visual changes to remittance advices and demand letters after transition. The changes to the visual appearance of the remittance advices and demand letters will be permanent.
  • After transitioning to HIGLAS, when two or more suppliers are affiliated and have the same Tax Identification Number (TIN), payments may be withheld from one supplier to collect another supplier's overpayments. Overpayment collections from affiliated suppliers will begin once HIGLAS is implemented.

CGS is committed to keeping suppliers informed of the HIGLAS implementation. The aforementioned dates are subject to change. Updated information regarding HIGLAS will be provided on this site.

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