MedicaidAdministrativeMedium impact
Claims Impacted by National Correct Coding Initiative Quarter 4 2023 Replacement Files Have Been Reprocessed
Nevada Medicaid·NV·Billing & Coding
Effective date
Sep 13, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid automatically reprocessed claims from July 1-September 30, 2023 due to updated NCCI Quarter 4 2023 replacement files. Reprocessing results appear on September 13, 2024 remittance advice, and providers may see claim denials or no additional payment despite reprocessing.
Action Required
By September 13, 2024: Billing team must review remittance advice dated September 13, 2024 for any Nevada Medicaid claims with dates of service July 1-September 30, 2023 that were automatically reprocessed. If claims were denied upon reprocessing, determine if appeals are warranted and file within required timeframes per Medicaid Services Manual Chapter 100.