REMINDER – NCCI CLAIMS REPROCESSING CONTINUES

The Division of Medicaid continues to reprocess claims for dates of service April 1-December 19, 2011 due to the implementation of National Correct Coding Initiative (NCCI) methodology. Claims denied for NCCI edits may be adjusted by appending an appropriate modifier to the procedure code or correcting the units of service. Modifiers should only be appended to a procedure code when the clinical circumstances justify the use. Please refer to the CMS NCCI website for information on modifiers. Timely filing policies will apply to resubmitted claims.