CGS Visits Reimbursement Forum Members

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On Thursday, June 21, The Center’s Reimbursement Forum members met with representatives from CGS Administrators, LLC (CGS) to discuss Medicare audit and reimbursement issues.

On Thursday, June 21, The Center’s Reimbursement Forum members met with representatives from CGS Administrators, LLC (CGS) to discuss Medicare audit and reimbursement issues. CGS, which assists in hospitals’ claims processing and payment, works regularly with The Center's Northeast Ohio hospital members to address reimbursement questions and concerns pertaining to the Medicare program. Two staff members from CGS, Judith Cummings, accounting manager, and JoEllen Draper, audit manager, delivered a presentation and answered questions for Reimbursement Forum members.

The presentation covered many Medicare topics hospitals regularly deal with, including:

  • Reopening of Cost Reports
  • Cost Report appeals process
  • Cost Report auditing
  • Hospital wage index
  • Bad debt claims and review
  • Changes in CMS rules

Following the presentation, CGS representatives addressed a number of pre-submitted questions from Reimbursement Forum members. Representatives from University Hospitals, Cleveland Clinic, Lake Health, Southwest General, MetroHealth and St. Vincent’s Charity Medical Center all participated in the meeting. Additionally, guests from OSU Wexner Medical Center and Western Reserve Hospital joined member hospitals.

For questions about The Center’s Reimbursement Forum members or the recent meeting with CGS, please contact George Jeney at 216.255.3666, or Bob Kaliszewski at 216.255.3652.

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With a rich history as the Northeast Ohio hospital association, dating back to 1916, The Center for Health Affairs serves as the collective voice of hospitals and the source for Northeast Ohio hospital and healthcare information. As the leading advocate for Northeast Ohio hospitals, The Center aims to enhance the effectiveness of the healthcare community and the health of the communities it serves by providing expertise, resources and solutions to address the challenges faced by the region’s healthcare providers. The Center’s efforts focus on areas that benefit member hospitals from a regional approach, including healthcare workforce; emergency preparedness; public policy and advocacy; finance and reimbursement; and community initiatives. And because of its business affiliation with CHAMPS Healthcare, The Center has the resources to provide a broad level of professional services to its members. The Center, located in downtown Cleveland, is proud to advocate on behalf of more than 35 acute-care hospitals located in six counties. For more, visit neohospitals.org. The Center for Health Affairs is honored to be named as one of The Cleveland Plain Dealer’s Top Workplaces in 2014 and 2015, as well as to ERC’s NorthCoast99 List in 2003, 2004, 2010, 2012, 2014, 2015 and 2016.

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