License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition

End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). All Rights Reserved (or such other date of publication of CPT). CPT is a trademark of the AMA.

You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA website.

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements.

AMA Disclaimer of Warranties and Liabilities.

CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

CMS Disclaimer

The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

This license will terminate upon notice to you if you violate the terms of this license. The AMA is a third party beneficiary to this license.

POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

End User License Agreement

THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.

IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.

IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.

Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT-4 only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. License to use CDT-4 for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the American Dental Association website.
Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Please click here to see all U.S. Government Rights Provisions.
ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT-4. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third-party beneficiary to this Agreement.
CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. End users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". If you do not agree to the terms and conditions, you may not access or use the software. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen.

Intro

What is myCGS?

The myCGS portal is a secure, web-based application that's accessible 24/7 and free of charge to all CGS Jurisdiction 15 providers and their staff.

myCGS offers a wide range of self-service options that give providers immediate access to information and functionalities, such as:

Eligibility
Get your patient's Medicare Beneficiary Identifier (MBI), plan coverage, service eligibility, and financial limitations.
Prior Authorization
Submit a prior authorization request for certain ASC or HOPD services, RSNAT, or WISeR.
Claims
Submit claims and reopenings (Part B), get claim status, view or print your remittance advice.
Appeals
Submit a redetermination request (first-level appeal), check status, or submit a second-level appeal (Part A & HHH).
Medical Review
Identify and respond to an Additional Documentation Request (ADR), get status, and request a Medical Review reopening or redetermination, if applicable.
Financial
Report a credit balance, request an immediate offset, or get overpayment data, payment floor status, last 3 checks issued, and payment history.
Forms
Use A&R secure messaging (Part A & HHH), submit an overpayment recovery request (Part B), request a Comparative Billing Report, or send a general inquiry.
Messages
Get electronic correspondence related to your myCGS submissions.

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Terms & Conditions

CMS is committed to maintaining the integrity and security of health care data in accordance with applicable laws and regulations.

The Terms and Conditions provide privacy and security notices consistent with applicable federal laws, directives, and other guidance for accessing this Government system, including:

This computer network,
All computers connected to this network, and
All devices and storage media attached to this network or to a computer on this network.

Note: Don't use more than 1 browser or session at the same time.

This system is provided for Government authorized use only.

Unauthorized or improper use of this system is prohibited and may result in disciplinary action or civil and criminal penalties.

Personal use of social media and networking sites on this system is limited as to not interfere with official work duties and is subject to monitoring.

By using this system, you understand and consent to the terms. To review all terms and conditions, go to myCGS login and select "Terms" (bottom right corner).

getting started

HETS Rules of Behavior

The HETS Rules of Behavior establish your responsibilities when using the HIPAA Eligibility Transaction System (HETS) to obtain, disseminate, or use Medicare beneficiary eligibility data. CMS monitors inquiries in HETS for improper use or violations (e.g., use of outside technology or a high ratio of eligibility inquiry submissions). By using this system, you're subject to and must follow all applicable rules and regulations.

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System Requirements

To optimize usability, please verify your system adheres to these requirements:

Operating System:

Windows 10 (latest security patches)
Mac OS X 11.x or above

Supported Internet Browsers:

Microsoft Edge
Google Chrome: Version 98.x and above

Note: myCGS doesn't support more than 1 login or session at the same time. To avoid processing delays, limit usage to 1 Internet browser tab.

Recommended Screen Resolution: 1024 x 768

Additional Requirements:

Adobe Acrobat Reader Version DC or Adobe Acrobat Pro Version DC
JavaScript enabled
Compatibility view disabled
Pop-up blocker disabled
Use TLS 1.2 selected in browser settings

Note: Although you may still access myCGS without meeting these requirements, we can only support the options above. Failure to meet these requirements may adversely affect functionality and layout.

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Registration

Before you register, make sure each provider (PTAN/NPI combination) has an Electronic Data Interchange (EDI) Enrollment Agreement on file with CGS. If not, please complete and submit the correct form:

Registration Process

Go to myCGS Login.
Click Create Your Account.
Terms of Use: Please review. If you agree, click ACCEPT.
Enter/Re-enter Your Password: Type a password that you create using the requirements shown on the screen or the password suggestion.

Click Create My Account.
myProfile:
- Type your:
  - First name
  - Last name
  - Email address
  - Re-enter email address
  - Work phone number
  - Work phone extension
  - Mobile phone number (not required; allows myCGS to send Multi-Factor Authentication (MFA) codes for future logins)
- Click Authenticator Setup (to use Google Authenticator as a third option to receive MFA codes for future logins; you can also complete this step later; see My Account.)
- Click Save & Proceed.
mySecurity: Select security questions and type your answers (used to confirm your identity if you forget your password and need to reset it).

Click Save & Proceed.
Email Verification: You'll receive an email with a 7-digit code.
Verify My Email: Type your 7-digit PIN; click Verify My Email.
The myCGS login and “email validated” message displays. Your myCGS registration is complete; you may log in to use the portal.
See My Account / myProviders to continue your account setup (e.g., add provider account(s) and permissions).

myaccount myproviders

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User Roles

myCGS user roles include:

Provider Administrator

First person to register under a provider's PTAN/NPI combination.
Can access all myCGS tabs and functions.
Maintains the provider account and manages Provider User accounts.

See Admin for additional information.

Note: Each provider (PTAN/NPI combination) should establish at least 2 Provider Administrators. This practice protects your account and other users' access in the event a Provider Administrator can't log in at least once every 30 days, changes roles, is no longer employed, etc.

Provider User

Each additional user who registers or the Provider Administrator adds to the provider account.
The number of Provider Users is unlimited.
Provider Users must send requests to the Provider Administrator for access to provider accounts or portal functions, unlock accounts, etc.

See My Account for additional information.

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Log In & Out

Login Requirements

Please review the myCGS Password & Login Quick Reference Guide.

Login Instructions

Go to Login.
Type your unique username and password.
Click Log in.

Note: If a login error occurs, a message code that directs you to your registered email address for details displays.
Find your multi-factor authentication (MFA) code (sent to the option you chose during registration: text, email, or Google Authenticator; see My Account).
- Text or email: You may use the same 8-digit code for up to 12 hours.
- Google Authenticator: The 6-digit code changes every 30 seconds.
Type your MFA code; click Submit.
A “Terms of Use” message displays. If you agree, click I Acknowledge.

Logout Instructions

To end your session, click Logout (top right of each myCGS screen).

logout

Note: For security purposes, sessions time out after 30 minutes of inactivity.

A notification box displays as you approach the limit; click Stay and Continue to extend your session.
If you're already logged out, log in (instructions above).

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