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February 20, 2015

Audit and Reimbursement Related Correspondence

Letters typically sent out by the Audit and Reimbursement (A&R) department at CGS are based on financial information or from the cost report.

These letters contain information on reimbursement for items that are “pass through” in nature such as:

  • Bad debts
  • Reimbursement for medical education
  • Disproportionate Share Hospital (DSH) payment methodology
  • Cost to Charge Ratio (CCR)

Generally, these letters are sent to the designated cost report or financial contact person, and would not be sent to billing personnel.

Use the Audit and Reimbursement Contact List for appropriate contact information.

The Part A Provider Contact Center (PCC) can provide copies of appeal decision letters, demand letters, and request duplicate letters from Provider Enrollment. The copies will be sent to the applicable address that is on file. The address to which the letters are mailed cannot be changed by the PCC.

For copies of the letters mentioned above, contact the Part A PCC at 866.590.6703.

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