MedicaidAdministrativeMedium impact
Updates Regarding National Correct Coding Initiative (NCCI) Quarter 2 2025 Files
Nevada Medicaid·NV·Billing & Coding
Effective date
Apr 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has updated their NCCI Quarter 2 2025 files with replacement files from CMS, effective for claims with dates of service April 1, 2025 and later. Claims processed between April 1 and June 16, 2025 may be automatically reprocessed, which could result in additional payments, denials, or no change.
Action Required
Monitor upcoming remittance advice for any reprocessed claims with dates of service from April 1, 2025 through June 16, 2025. Review any new denials that result from reprocessing and prepare appeals if necessary using Medicaid Services Manual Chapter 100 and Billing Manual guidelines. No immediate system changes required as updates are automatic.