New Supplier Welcome Center
Welcome to the Medicare program! As the Jurisdiction C DME MAC, we process Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) claims and provide you with the services to assist in the billing and payment of claims for the states of Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Virginia, and West Virginia.
We have created the following checklist to help you start your journey to enrolling in Medicare, understanding the program, and filing a compliant and accurate Medicare claim.
New Supplier Checklist
Enrollment
Apply, Enroll and Register
- Visit the Supplier Enrollment page for information about National Provider Enrollment (NPE).
- Complete forms for electronic transactions (claim submission, remittance advice) with CEDI
- Register for myCGS – The Jurisdiction C Web portal to check patient eligibility, claim status, claim denial information and much more
- Subscribe to electronic mailing list DME MAC Jurisdiction C News email subscription
Education
Learn about basic Medicare rules and guidelines for claim submission:
- Welcome to Medicare Online education series
- Attend the following webinars (held monthly or bi-monthly): Medicare 101, Medicare 102, and Documentation Requirements
Resources
Review Resources for Medicare policies and guidelines:
- Jurisdiction C Supplier Manual
- Local Coverage Determinations (LCDs)
- Medical Review Claim Audit Resources
- Frequently Asked Questions (FAQs)
- Fee Schedules
- Pricing, Data Analysis and Coding (PDAC) Contractor
- The Centers for Medicare & Medicaid Services (CMS)
- Medicare Learning Network (MLN) Products
- Online Tools & Calculators
Patient Intake
Make sure all information and documentation required for claim submission is collected:
- Suggested Intake Form
- Medicare Secondary Payer (MSP) Decision Tree
- Documentation Checklists
- Dear Physician Letters – Documentation Requirements
Claim Submission
Review information about how to submit your claim
Where to go for help
For claim specific assistance:
For education on policies and guidelines: