Author Topic: Denial of claims based on ASP NDC-HCPCS Crosswalk  (Read 171 times)

o.salas

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Denial of claims based on ASP NDC-HCPCS Crosswalk
« on: February 20, 2021, 03:07:45 AM »
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

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Re: Denial of claims based on ASP NDC-HCPCS Crosswalk
« Reply #1 on: February 22, 2021, 10:12:41 AM »
I am so sorry, but I cannot understand what you are asking.
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alicecarlosmbc

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Re: Denial of claims based on ASP NDC-HCPCS Crosswalk
« Reply #2 on: February 24, 2021, 09:47:02 AM »
Exactly, me too.

o.salas

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Re: Denial of claims based on ASP NDC-HCPCS Crosswalk
« Reply #3 on: February 24, 2021, 10:42:16 PM »
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?