Very Brief Blog: CMS Announces New Correct Coding Edits Contractor

For years, Medicare has maintained a publicly available system of computerized and manualized edits and coding rules, collectively called the National Correct Coding Initiative.  The rules also apply, by law, to Medicaid (here). 

On February 8, 2019, CMS announced that the NEW contractor for managing the edits is Capitol Bridge LLC, in Virginia.  See CMS announcement below the break; link here.  The consultancy's website is here.  The final cutover date (after a transition period) is March 15, 2019.

The prior contractor was called Correct Coding Solutions LLC, and was headed by Dr. Niles Rosen.

CMS posted some ridiculous new laboratory coding edits in late November 2018, which stakeholders are currently dealing with at the agency level.


February 10, 2019
CMS announcement re new NCCI contractor

CMS National Correct Coding Initiative (NCCI) Medicare and Medicaid Program Announcement:

CMS would like to announce that on February 1, 2019, the National Correct Coding Initiative (NCCI) Medicare and Medicaid Program Contract was awarded to a new contractor, Capitol Bridge LLC (2300 9TH STREET, SOUTH, PH3 ARLINGTON, VA 22204 Congressional District: VA-08).

The incumbent contractor, CCS WP LLC/Correct Coding Solutions LLC and its principles will be retiring on March 16, 2019, immediately after the transition period with Capitol Bridge LLC.

The transition period started on February 3, 2019, and will end on March 15, 2019.  

Please continue to send all correspondence to CCS WP LLC/Correct Coding Solutions LLC until March 14, 2019.  After that date, please send all correspondence to the Capitol Bridge LLC address, until otherwise notified.  

Any NCCI inquiries can still be sent to the following email address: NCCIPTPMUE@cms.hhs.gov.  Additional forthcoming information will be updated via the following NCCI PTP and MUE Medicare and Medicaid webpages:

Medicare Websites:

NCCI PTP - https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/index.html

NCCI MUE - https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/MUE.html

Medicaid Website: - https://www.medicaid.gov/medicaid/program-integrity/ncci/index.html

CMS welcomes Capitol Bridge LLC.  CMS would also like to thank CCS WP LLC/Correct Coding Solutions LLC for the 14 successful and valued years as the incumbent NCCI Contractor.