LICENSES AND NOTICES

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 websiteExternal 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

These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright © 2002, 2004 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.

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.

  1. 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.
  2. 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 websiteExternal Website.
  3. 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.
  4. 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.
  5. 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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CGS Customer Experience

CGS Customer Experience

We believe healthcare administration should be easy, consistent, and transparent. We simplify the system and deliver valuable solutions that IMPACT lives.

Help improve our website, portal and other services by providing your valuable feedback in our various satisfaction surveys:

Audit & Reimbursement EDI Education
Prior Authorization Provider Enrollment Redeterminations
TPE PCC Written Correspondence customer support
Survey Pop-up Feedback
Satisfaction surveys of CGS services. This survey link will appear randomly on our website or myCGS portal. It allows you to rate and provide feedback about your experience. Provide feedback from any page on our website about its content, a technical issue, or something else.
Survey Feedback Solution Date Implemented
Let me look at the info before you make me take a survey. Updated the Survey Creative to allow users to complete their tasks before taking the survey. Once the user is finished with their task they can close out the window/tab and the survey will pop for them to take. August 2023
Would like to be able to save Forms and come back to update them later. Deployed the feature for Saving Redeterminations in PTA. July 2023
Would like to be able to save Forms and come back to update them later. Deployed the feature for Saving Redeterminations PTB and HHH. June 2023
Please add more reason codes to HHH Reason Code Search and Resolution. CGS has been adding new codes as we get them. June 2023
Unable to view account admin at login. Deployed updated to allow users to see account admin at login. March 2023
Unable to see future payments. Deployed update to correct issue where providers were unable to see future payments on the Financial Tab. March 2023
Unable to view account admin at login. Deployed updated to allow users to see account admin at login. March 2023
LCD/NCD able to search by DATE newest and any updated items. Added a downloadable Excel file that users can sort/filter to the LCDs/Medical Policies webpage. February 2023
Users were not receiving their MFA codes in a timely manner via email or text. Many did not know about using Google Authenticator for fast easy logins to myCGS.  Created a user-friendly video instructing users on installing and using Google Authenticator.  January 2023
Unable to save Incomplete Forms. Turned on saving for PA RSNAT. Forms had the save button added and saved forms can be viewed within the Inbox Tab. January 2023

Customer Experience Enhancements Archive

Survey Feedback Solution Date Implemented
Unable to find information on Website Deployed updated search engine on website December 2022
Need more detailed claim information Revised the myCGS Inpatient eligibility and Claims tabs so Part A, home health and hospice providers can better understand a patient's utilization of inpatient benefit days, view FISS reason codes and line-item details assigned to claims, and identify/resolve claim overlap errors. December 2022
Did not receive information Added the myCGS Education tab which provides information about important policy or process updates and changes, responses to survey feedback and upcoming educational events. September 2022
Function not available in myCGS myCGS users can submit roster bills and Medical Review reopenings. August 2022
Unable to locate information about a public health emergency in my area Added a "Disaster Resources" page on our website that provides access to information about any waivers or flexibilities in place due to a PHE in Jurisdiction 15. August 2022
Unable to obtain prior authorization Added a "Prior Authorization Decision Tree" to the J15 Part B Self-Service Options page on our website that allows providers to determine if a Medicare Part B service requires prior authorization.
July 2022
Unable to complete task due to missing information Updated error messages on various screens in the myCGS portal to alert users when required search data is missing. May 2022
Easier MBI search The myCGS MBI Look-Up Tool SSN field allows users to copy/paste. May 2022
Opt out of the prior authorization exemption Part A hospital outpatient departments (OPDs) that qualify for the prior authorization exemption may submit an opt-out request via the myCGS portal. May 2022
Access LCDs Changed the "Medical Policies" left navigation menu and landing page headings to "LCDs / Medical Policies" to clarify where LCD policies are located on our website. April 2022
Unable to obtain a beneficiary's MBI Minimized the myCGS MBI Look-Up Tool required search fields. March 2022
Update/add to my account information Added the myCGS My Account tab where users can update profile, security and account information. Read this article for more details. January 2022
Reduce unwanted inbox messages myCGS messages are only delivered to the NPI level. December 2021
Detailed preventive services information Added the HCPCS code short descriptors and ability to print the patient's history to the myCGS Preventive sub-tab (under Eligibility). December 2021
Improve navigation Minimized the content on the J15 home pages, updated Quick Links to correspond with the top website searches and added "Recent News". November 2021
Find information specific to my provider type Added jurisdictional maps to the CGS home page to distinguish each contract and prevent access to an incorrect line of business. November 2021
Access to overpayment information Added the myCGS Overpayment Data sub-tab (under Financial Tools) that includes detailed account receivable (AR) information, overpayment demand letters, remaining balances, etc. Reference the myCGS User Manual for additional information. November 2021
Locate the answer to my question Streamlined our FAQs pages to address the top telephone/written inquiries and claim submission errors. "Top Provider Questions" are also available on most of our operational area pages. September 2021
Recertify my account less often Reduced the timeframe to complete the myCGS recertification process from every 90 days to every 360 days. September 2021

Updated: 01.19.24

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