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