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Heading: Providers Code Updates
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 NCCI Compliance

The Patient Protection and Affordable Care Act (PPACA) mandates that all claims submitted on or after October 1, 2010, must be filed in accordance with the Centers for Medicare & Medicaid Services (CMS) National Correct Coding Initiative (NCCI) guidelines.
NCCI was developed to promote the correct coding of health-care services. NCCI consists of procedure-to-procedure (PTP) edits that define pairs of procedure codes that should not be reported together, and Medically Unlikely Edits (MUEs) that define the maximum units of service applicable for each procedure code per client per date of service.

Providers can refer to the CMS Medicaid website, The National Correct Coding Initiative in Medicaid, for additional information.

This web page was created to provide updates as TMHP implements the new guidelines. A link to the CMS website is also available. Providers are encouraged to refer to the TMHP website regularly for the most up-to-date information.

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 Articles About NCCI Compliance

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