MedicaidAdministrativeMedium impact
Updates Regarding National Correct Coding Initiative (NCCI) Quarter 1 2025 Files
Nevada Medicaid·NV·Billing & Coding
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid implemented replacement files for the National Correct Coding Initiative (NCCI) Quarter 1 2025 update. Claims with dates of service from January 1, 2025 through March 17, 2025 may be automatically reprocessed, which could result in payment adjustments or new denials.
Action Required
Immediately: Monitor future remittance advices for reprocessed claims from January 1 - March 17, 2025. Review any new denials or payment adjustments resulting from NCCI replacement file implementation. Prepare to appeal denied claims if appropriate, following Medicaid Services Manual Chapter 100 and Billing Manual guidelines.