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11/14/2016

CGS Has Updated LCDs - Waiting to Hear From Medicare Advantage Plans

CGS Has Updated Glaucoma and AMD LCDs

The OOS has been working with CGS and received notice last week that they have now updated their LCDs to reflect the new ICD-10 codes (as of Oct. 1). Claims should now be processing correctly. Below are the direct instructions from CGS staff:

Our systems team completed the updates to include these codes. Please feel free to advise your providers to either resubmit or request a reopening on any claims that were denied in error.

We understand that the same problem exists with all the Medicare Advantage Plan. We have reached out to each plan and to the CMS office in Chicago that regulates the plans to correct the problem as quickly as possible and to advise what to do with claims that are outstanding or that have been denied. We will provide updates as soon as we have them.

If you have any questions, please contact the OOS at oos@ohioeye.org.