Part B - Idaho & North Carolina
CIGNA Government Services, LLC is a wholly owned subsidiary of CIGNA Corporation
- one of the nation's premiere health insurance companies. For more than
125 years, CIGNA has been helping people lead healthier, more secure lives.
Since 1966, CIGNA and its predecessor companies have administered the federal
Medicare program. Today, CIGNA Government Services is the Part B Carrier
for Part B Idaho and North Carolina.
In this role, we process and pay Medicare
claims according to Title XVIII of the Social Security Act, Health Insurance
Regulations, and the Centers for Medicare & Medicaid
Services Rulings.
Our offices are located in Nashville, Tennessee, and High Point, North Carolina.
Claims Processing
This section has important information about filing claims to the DME MAC.
Most Medicare suppliers are required to bill claims electronically (rather
than paper) in accordance with the Administrative Simplification Compliance
Act (ASCA).
- General Claims Resources
How to submit Part B claims. Here you'll find claims resources, help with
common slaim submission errors, the IVR system, and more! - Comprehensive Error Rate Testing (CERT)
The Centers for Medicare & Medicaid Services (CMS) developed the Comprehensive
Error Rate Testing (CERT) program to produce national, contractor-specific,
and service-specific paid claim error rates. Find CERT information and resources
here. - Electronic Data Interchange (EDI)
Looking for EDI information? Learn about MREP, crossover claims, how to
get started billing electronically, and much more.
Coverage & Pricing
- Medical Review
-
What is Medical Review? What are the types of contractors we work with
to achieve the goal of reducing improper payments?
- Medical Review Articles
-
This section represents articles published by the Medical Review department
in an effort to educate the provider community on proper coding and billing
related to Local Coverage Determinations (LCDs), National Coverage Determinations
(NCDs), and/or from issues noted in the carrier's claims and probe review
activities.
- Medical Director Contact
Information
-
Mailing and telephone information for your Idaho and North Carolina Medial
Directors.
- Fee Schedules
-
The Part B Physician Fee Schedule, Ambulatory Surgical Center Fee Schedule
database, Physician Fee Schedule Relative Value Units, ZIP Code Files,
and more.
- Local Coverage Determinations
(LCDs)
-
Review active LCDs and Policy Articles, as well as draft articles and
the LCD Reconsideration Process.
Education
-
ACT (Ask the Contractor Teleconferences)
-
This is your opportunity to ask questions regarding Medicare issues that
impact your company and receive answers from PartB subject matter experts.
-
Online Education Center
-
Don't have time to attend a workshop or sit in on a Webinar? Our Online
Education Center allows you to choose from a variety of courses and to
explore them at your own pace.
-
Video Education
-
Our video education modules provide targeted information on a variety
of Medicare topics.
-
Idaho Education Page
-
This section includes the Calendar of Events, and Workshop and Webinar
Listings for Idaho.
-
North Carolina Education Page
-
This section includes the Calendar of Events, and Workshop and Webinar
Listings for North Carolina.
Provider Enrollment
Provider/Supplier enrollment is a critical function that attempts to ensure
that only qualified and eligible individuals and entities are enrolled in the
Medicare Program and receive reimbursement for services furnished to beneficiaries.
CIGNA Government Services is the Part B Medicare Carrier for Idaho and North
Carolina.
FAQs
- CMS FAQs
-
By selecting this option you will be taken to the CMS website.
- Part B FAQs
-
Choose from a variety of topics, including Coordination of Benefits, Electronic
Data Interchange, Medicare Secondary Payer, and more. You'll also find
a complete listing of past FAQs on a variety of topics, including Overpayment
Recovery, Medical Review and more.
News & Publications
- Medicare Bulletin
-
The Medicare Bulletin contains important information that will assist
the provider community in day to day operations. It includes information
published during the previous quarter by the Centers of Medicare and Medicaid
Services (CMS) and by CIGNA Government Services
- Provider Manual
-
This manual is designed for Medicare Part B providers and is linked to
the appropriate sections of the Online Centers for Medicare & Medicaid
Services (CMS) Manual System for your convenience. This assures that you
always have access to the most up-to-date information on guidelines related
to the Medicare Program.
- News
-
Important and timely articles and information for the current month.
- News Archive
-
Past articles and information from 2007 to present.
-
Fee Schedules
-
The Part B Physician Fee Schedule, Ambulatory Surgical Center Fee Schedule
database, Physician Fee Schedule Relative Value Units, ZIP Code Files,
and more.
- Medicare Participating Physicians/Suppliers Database (MEDPARD)
-
This Directory contains the names, addresses, telephone numbers and specialties
of Medicare participating physicians and suppliers who have agreed to accept
assignment on all Medicare covered services. Searches can only be performed
by state and specialty at this time.
- Specialty Manuals
-
The specialty-specific coverage and billing guidelines are available through
these PDF files. Any changes, additions, or modifications to these manuals
will be posted to the CIGNA Government Services Web site and in the Medicare
Bulletin.
- Medicare Resources Manual
-
An overview or the Medicare Program, including the Medicare Appeals Process,
Provider Enrollment, Web Tools, and more.
- EDI Connection
-
The EDI Connection has been developed especially for software vendors.
The EDI Connection, together with occasional special releases, serves as
legal notice to vendors concerning the responsibilities and requirements
imposed upon them by Medicare law, regulations and guidelines.
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