Medical Billing Forum

Billing => Billing => Topic started by: o.salas on February 20, 2021, 12:07:45 AM

Title: Denial of claims based on ASP NDC-HCPCS Crosswalk
Post by: o.salas on February 20, 2021, 12:07:45 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
Title: Re: Denial of claims based on ASP NDC-HCPCS Crosswalk
Post by: Michele on February 22, 2021, 07:12:41 AM
I am so sorry, but I cannot understand what you are asking.
Title: Re: Denial of claims based on ASP NDC-HCPCS Crosswalk
Post by: alicecarlosmbc on February 24, 2021, 06:47:02 AM
Exactly, me too.
Title: Re: Denial of claims based on ASP NDC-HCPCS Crosswalk
Post by: o.salas on February 24, 2021, 07:42:16 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?