AHA Coding Clinic® for HCPCS - 2010 Issue 4; FOR your INFORMATION

NCCI Edits and Medicaid

In early September, the Centers for Medicare & Medicaid Services issued initial guidance to state Medicaid directors implementing the National Correct Coding Initiative (NCCI) for Medicaid claims filed on or after Oct. 1, 2010, as required by the Patient Protection and Affordable Care Act. The guidance outlines the statutory requirements, methodologies, resources and funding for implementing the program, which applies coding policies and edits to services performed by the same provider for the same beneficiary on the same date of service. CMS has determined that the five methodologies currently in use for Medicare Part B are compatible methodologies for...

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