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.

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Medicare Cost Report E-Filing (MCReF) Submissions

Cost Report Submissions

Submit cost reports via mail or MCReF. Do not use both methods to submit the same cost report(e.g., MCReF and mail).

What is MCReF?

MCReF allows Part A providers to electronically file their Medicare cost report (MCR) package, including all supporting documents, directly to CGS. CGS receives successful MCReF submissions immediately to begin the 30-day cost report acceptance process.

How to Access MCReF

A provider's Security Official (SO) and Backup Security Official (BSO) with an EIDM PS&R system account in good standing automatically inherits access to MCReF. The SO or BSO may also approve any number of user requests for the MCReF authorized user role to submit cost reports on behalf of the provider.

Reference How to Request MCReF User Role for details.

Important: Ensure your EIDM credentials remain in good standing to avoid problems using MCReF to e-file cost reports and obtain your PS&R. This includes password updates and timely replacement of SOs due to staffing changes per CMS policy. Issues with maintaining EIDM credentials will not constitute a valid reason for filing a cost report past its due date.

Required Cost Report Documents

Generally, each provider must perform the following steps to properly submit an MCR:

ECR (Electronic Cost Report) file – Created by approved vendor software and includes encryption dates, times and codes
PI (Print Image) file – Created by approved vendor software and includes encryption dates, times and codes
Signed Certification Page (Worksheet S)
- All provider types except Home Offices – An electronic signature, including the check box, is required. If any signature field is left blank, your cost report will reject
- Home Office Providers – Although your cost report is not e-signature capable, you may still use MCReF. Submit a scanned copy of the certification page via MCReF AND mail the signed copy with an original signature to CGS. To avoid rejection, ensure CGS receives the mailed copy of the certification page within 10 days of the MCReF submission,.
IRIS (Intern Resident Information System) – A zipped file is required, if applicable.
Other – Supporting documentation may include, but is not limited to: the working trial balance, financial statements, Medicare bad debt listing, Form CMS-339 with a signature, etc. Upload any applicable documents in a single zipped file.

To accelerate acceptance and tentative settlement, we encourage all providers to use the optional Electronic Cost Report Exhibit Templates to submit Bad Debt, Medicaid Eligible Days and Charity Care. When submitted in accordance with the specifications outlined on the CMS website, MCReF can check the files for adherence to cost reporting instructions and give feedback about potential problems with documentation.

Review the Cost Report Acceptance page for more information about cost report submissions.

NOTE: MCReF is a secure portal that CMS approves for transmission of MCR materials (including PHI/PII). Do not encrypt or password-protect uploaded files (including files within ZIP/archive files).

Instructions for Using MCReF

A User Manual and other resources are available on the CMS website under Downloads.

MCReF Submission Information

Upon submission, the MCReF system performs a variety of validations. If MCReF doesn't identify any issues (i.e., no error/warning messages), the Confirmation screen will display with a success message to indicate the submission is complete (e.g., "Success S0000: The Cost report submission for provider: 12-3456 and Fiscal Year End: 12/31/2017 has been electronically postmarked with CMS as of 03/30/2018 3:23 PM ET. Please retain e-Filing ID 2918535 for your records."). Save a screen shot of this message for your records.

The postmark date is the day your cost report is submitted successfully through MCReF. If submitted before 3 p.m. EST, the received date is the same as the postmark (cost report submission) date. If submitted after 3 p.m., the received date is the next federal business date.

CGS will not grant an extension due to MCReF submission issues. If you experience issues with MCReF, mail your cost report to us.

Cost Report Acceptance

CGS must accept or reject cost report submissions within 30 days of receipt. Please note that a cost report submitted through MCReF is not a guarantee of acceptance.

Troubleshooting/Assistance

Please email J15cracceptance@cgsadmin.com for the following:

You reviewed the Trouble Shooting section of the MCReF "Help" manual and aren't able to resolve an error received during the submission process
You submitted a cost report in error before your cost report due date. Email us as soon as possible. Include a request to void the submission, provider number, FYE and MCReF e-filing ID.
MCReF submission errors, including fiscal period beginning and end dates, or sub-provider issues

For issues with EIDM access, please contact the EIDM help desk at 866-484-8049.

CGS will not grant an extension due to MCReF submission issues. If you experience issues with MCReF, mail your cost report to us.