Archive for April, 2011

J15 Implementation-Cigna Government Services

Wednesday, April 27th, 2011

As you are probably aware, Cigna Government Services (CGS) will take over Medicare Part B administration for the states of KY & OH effective 04/30/11. As they have recently communicated, the first step in this process was for all current Medicare Part B providers to submit a new group Medicare 588 “Electronic Funds Transfer” form to CGS prior to the 04/30/11 cut-off date. Recently, more information has been released about the change-over process and how providers will be affected moving forward. I hope you find the following dates and information to be helpful:

 

  • If  you have questions related to J15, your EFT status, etc. inquires may be e-mailed to j15implementation@cigna.com.
  • If you currently receive paper checks from Medicare, you do not have to submit an EFT enrollment form to CGS. You will continue receiving paper checks after 04-30.
  • If CGS has not been able to verify your EFT enrollment accurately against the records Medicare currently has on file for your practice, Medicare Part B payments will be held until this information is verified/updated!
  • Temporarily the current contractor will speed up the payment process for all claims currently processed, approved and on the payment floor. These claims will be paid out prior to 04/29/2011. The outgoing contractor, National Government Services, will transfer all pending and in-process operations to CGS after 04/30, including but not limited to claims, appeals, and enrollments.
  • There will be a few “dark days”, 04/30, 05/1 and 05/2 while NGS and CGS complete the conversion process. During this time payments, remittances, IVR, PPTN, the provider contact center, etc. will not be available. After 05/3 providers may call CGS for any questions at (877) 819-7109.
  • Beginning Friday, 04/29/11, providers must change the contractor number from “00600” to “15102” on all claim forms.  
  • News was released recently that Blue Cross Blue Shield of South Carolina bought CGS at the end of March. However, CGS is a wholly-owned subsidiary of Cigna, and BCBS of SC bought the entire CGS unit from Cigna. Therefore, there will be no need to fill out another EFT form in the future. The acquisition only affects things on the back-end for now, and providers should see no changes in administration on the front end.