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.

Messages

The "Messages" tab of myCGS will allow you access to a secure messaging system within myCGS. This messaging system will send messages and alerts regarding system access and functions performed while in myCGS. For example, when you submit a redetermination through myCGS, a confirmation message is delivered to your myCGS inbox, letting you know it was received and accepted for processing.

Message Inbox

You may access the messages sent to you/your NPI by either selecting the "Messages" tab located in the menu or clicking Retrieve Messages displayed in the Message Bar. The Retrieve Messages link is accessible from all tabs.

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Both options will take you directly to your Message Inbox.

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Inbox Folders

myCGS defaults to display all messages delivered to your inbox. Each message will be sorted to its corresponding folder, allowing you quick access to view a specific type of message. The folders available are:

Inbox (All Messages) *You will only see message sent through myCGS. This will not display all items in your inbox.*	ADRs	Audit and Reimbursement
Claim Inquiries	Correspondence (Other)	Customer Service
Education	Financial	Medical Review
Prior Auth	Redeterminations	Reopening’s
myCGS	eLetters	Roster Bill

To find a specific type of letter sent to your NPI, go to the appropriate folder.

For example, to find a letter sent to your NPI requesting additional documentation to complete processing of a submitted claim, go to the ADR folder. There you will find all messages that include the additional documentation/development requests sent to the NPI.

Inbox - ADR

NOTE: Messages will be automatically moved to the ARCHIVED MESSAGES sub-tab after 60 days. Messages will NOT be available after 365 days.

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Inbox Filtering

As a user opening the Messages tab, the “Submitted By” field will be prepopulated with the user’s name and only pull messages submitted by that user:

Messages - Submitted By

You can search other users’ messages by typing in their name and hitting “Submit”. Any active or disabled users within your NPI/PTAN will auto populate for easy selection.

Clearing this field and hitting search will pull all messages submitted by any active, disabled, or deactivated users under your NPI/PTAN

Inbox Filtering is available to allow you to search your inbox for a specific message or letter*. You may filter your inbox by:

FILTER OPTION	DESCRIPTION
Date of Submission Range	Allows you to filter up to 90 days at a time.
ADR Type	Filter based on Non-Med ADR, MED ADR, and PA ADR
ADR Claim Number	Filter by the ADR Claim Number
Submitted By	Filter by the individual who submitted the form, message, etc.
Medicare ID	Filter based on the patient's Medicare Beneficiary Identifier (MBI)
Last Name	Filter based on the last name of the patient
Status	Status of the ADR or Form that was submitted
Decision	Filter based on the decision made on the item submitted.
UTN	Filter based on the UTN (Unique Tracking Number)
Claim Number	Filter by the Claim Number
Bene DOB	Filter based on beneficiary’s date of birth
Submission ID*	Search for a specific submission ID assigned to a request submitted through myCGS

Filter

Once you have placed the data you would like to search for in the filter please click “Search”.

NOTE: Confirmation messages for Claim Inquiries you submit are not available when you filter by MBI or Claim Number; however, the confirmations can be found in the Claim Inquires inbox folder. Also, when in the ADR folder, you can filter by those related to MR and unrelated to MR; in addition to those related to the Prior Authorization (PA) program.

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Viewing Messages

You can change the columns that appear in your Message inbox.

Columns

Your inbox will default to a date sort so that all messages are in order by date of receipt. You may change the sort by clicking on the column headers for subject or submission ID.

Default

Your inbox also includes pagination, allowing you to quickly move through multiple pages (located at bottom).

Pagination

To view a message, click on the link in the "Details" button. A window will open, providing details being the actual correspondence.

Details

Click on the “History” tab to show a list of entries for the history of the correspondence.

History

Click on “Files” to see a listing of files “You sent us” regarding this correspondence and an option to generate a PDF of “Files generated by your submission”.

Files

If you click on “User entered information in PDF format” you will get a PDF of the following:

PDF Format

To save a step, you also have the option to download a PDF copy of the letter directly from your messages Inbox. Click on the download icon located in the "Submission ID" column.

Download Icon

Either way, a PDF copy of the correspondence mailed to you will display. In some cases, you may be prompted to save a copy of the correspondence before it can be viewed.

PDF Copy

NOTE: Messages delivered to all users and Admin's inboxes that include correspondence specific to a particular workload will also be mailed to your office/facility hardcopy if your organization has not opted in for Green Mail.

Messages received as a result of forms submitted to us for processing will have a subject, "Form Received," to advise you that your submission has been received. It will not display a submission ID until one has been assigned by CGS.

Once CGS has assigned the submission ID, you will receive another message with a link, "Secure Form Confirmation," under the "Subject" column. Click on this link to view the message. The message identifies the unique identifier assigned to your request (e.g., Appeal DCN) and includes instructions on how to use the identifier to track the status of your request.

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Printing and Exporting Messages Data

You can now print the Message Inbox or export the data to Excel.

Printing/Exporting

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Archiving Messages

To maintain your inbox, you have the option of archiving messages.

To archive a message or multiple messages, check the box of the message and click the "Archived Selected" button.

NOTE: Messages will be automatically moved to the ARCHIVED MESSAGES sub-tab after 60 days.

Archive Selected

A message will display asking you to confirm. Click "OK" to archive the message.

Click OK

To access archived inbox messages, select the "Archived Messages" sub-tab.

Archived Messages

NOTE: The Inbox Folders and filtering options are available for you to locate archived messages.

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Saved Forms

myCGS will allow you to save incomplete forms, giving you the opporunity to complete and submit them at a more convenient time.

NOTE: This feature is currently offered on the following forms:

Prior Authorization of Repetitive, Scheduled, Non-emergency Ambulance Trips (RSNAT)
Part B Reopenings
Home Health, Hospice, Part A, and Part B Redeterminations

A 'Save' button will be available at the bottom of the form.

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When selected, a message will display to confirm the form has been saved.

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The form will be added to the "Saved Forms" sub-tab under the Messages tab.

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To access a saved form, click the link under the MBI column and it will load so that you can edit and submit it when completed.

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Deleting Messages

You also have the option of deleting messages from either your inbox or under the "Archive" tab. To delete a message or multiple messages, check the box of the message and click the "Delete Selected" button.

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