MedicaidAdministrativeMedium impact
Updates Regarding National Correct Coding Initiative (NCCI) Quarter 4 2025 Files
Nevada Medicaid·NV·Billing & Coding
Effective date
Oct 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has updated NCCI Quarter 4 2025 files with CMS replacement files effective October 1, 2025. Claims from October 1 through November 17, 2025 may be automatically reprocessed, which could result in payment adjustments or new denials.
Action Required
Monitor upcoming remittance advice reports for any reprocessed claims from October 1 through November 17, 2025. Review any new claim denials resulting from reprocessing and prepare appeals if necessary using Medicaid Services Manual Chapter 100 and Billing Manual guidelines.