Yesterday the Centers for Medicare & Medicaid Services (CMS) published the latest in a series of “Dear Medicaid Director” letters following the implementation of the Patient Protection and Affordable Care Act of 2010 (PPACA)—better known as the health care reform act. This letter provides initial guidance on Section 6507 of the PPACA concerning the Mandatory State Use of National Correct Coding Initiative (NCCI). States are required to incorporate the new NCCI methodologies and begin the process of editing claims against the methodologies for claims filed on or after October 1, 2010. Though this letter was directed to State Medicaid programs, providers should be aware that the States and federal government are actively coordinating their coding mechanisms to combat health care fraud and abuse.
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Comments for CMS Issues Initial Guidance to States on the National Correct Coding Initiative