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Denial of claims based on ASP NDC-HCPCS Crosswalk
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o.salas:
Hi All.
Is really the ASP NDC-HCPCS Crosswalk the source of truth for PART-B claim revision. My main doubt is about this file is updated quarterly, if a HPCS or NDC doesn't appear on the new file, can i deny a claim, or the insurance has free to continue working with its own CROSSWALK
Michele:
I am so sorry, but I cannot understand what you are asking.
alicecarlosmbc:
Exactly, me too.
o.salas:
Let clarify.
CMS publish every quarter, the ASP-NDC crosswalk. let say NDC aaaaa-bbbb-cc was under JXXXX in january, but in april when the new file is published by CMS this NDC doesn't appear in the file. Should i deny a claim signed with this NDC on loop2410. Can an insurer override this file and allow this code?
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