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National Correct Coding Initiative (NCCI) Information

National Correct Coding
Initiative (NCCI) Information

Content updated January 3, 2017

The Patient Protection and Affordable Care Act ((H.R. 3590) Section 6507 (Mandatory State Use of National Correct Coding Initiative (NCCI)) requires State Medicaid programs to incorporate “NCCI methodologies” into their claims processing systems. The Centers for Medicare and Medicaid Services (CMS) originally developed the NCCI to promote national correct coding methodologies and to control improper coding leading to inappropriate payments in Medicare Part B claims. The purpose of the NCCI edits is to prevent improper payments when incorrect code combinations are reported. Arkansas Medicaid implemented NCCI methodologies for claims with dates of service on or after 4/1/2011.

Please refer to this page periodically for information regarding NCCI or contact your Hewlett Packard Enterprise Provider Representative.

Page Contents

Official Notices Regarding NCCI Implementation
Remittance Advice Messages Regarding NCCI Implementation
NCCI Inpatient Only Procedure Codes

Official Notices Regarding NCCI Implementation

Date Number Subject
1/1/15 ON-004-14 National Corrective Coding Initiative New Procedure-to-Procedure (PTP) – Associated Modifiers
10/1/11 ON-007-11 National Correct Coding Initiative
4/1/11 ON-004-11 National Correct Coding Initiative

Remittance Advice Messages Regarding NCCI Implementation

Date Subject
5/22/14-5/29/14 NCCI Auditing of EPSDT/Sick Visit Rendered Same Date of Service
4/11/13-4/18/13 National Correct Coding Initiative (NCCI) 2013 Quarterly Update
12/20/12-12/27/12 National Correct Coding Initiative (NCCI) Methodologies

NCCI Inpatient Only Procedure Codes

Document Name File Name File Size
NCCI Inpatient Only Procedure Codes NCCIInptOnlyCodes.xls 111k