WAC 182-500-0075

Effective July 30, 2011

WAC 182-500-0075 Medical assistance definitions -- N.

"National correct coding initiative (NCCI)" is a national standard for the accurate and consistent description of medical goods and services using procedural codes. The standard is based on coding conventions defined in the American Medical Association's Current Procedural Terminology (CPT¦) manual, current standards of medical and surgical coding practice, input from specialty societies, and analysis of current coding practices. The Centers for Medicare and Medicaid Services (CMS) maintain NCCI policy. Information can be found at: http://www.cms.hhs.gov/NationalCorrectCodInitEd/.

     "National provider indicator (NPI)" is a federal system for uniquely identifying all providers of healthcare services, supplies, and equipment.

     "NCCI edit" is a software step used to determine if a claim is billing for a service that is not in accordance with federal and state statutes, federal and state regulations, agency or the agency's designee's fee schedules, billing instructions, and other publications. The agency or the agency's designee has the final decision whether the NCCI edits allow automated payment for services that were not billed in accordance with governing law, NCCI standards or agency or agency's designee policy.

     "Nonapplying spouse" see "spouse" in WAC 388-500-0100.

     "Noncovered service" see "covered service" in WAC 388-500-0020.

     "Nursing facility" see "institution" in WAC 388-500-0050.


This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.