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If an NCCI edit occurs, payment is denied, and then MAC may take one of these six actions:

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1. If an NCCI edit occurs, payment is denied, and then MAC may take one of these six actions:

Type of anemia, neoplasm being treated with chemo/immunotherapy, adverse effect of drug (T45.1X5)
claim rejection, provider may correct and resubmit | claim denial, provider cannot resubmit but may appeal | claim returned to provider or RTP, provider may correct, resubmit | claim suspension, payment is delayed and MAC may need more info before decision is made | line item rejection, claim is paid but one line is rejected although provider may correct and resubmit however they cannot appeal | line item denial, claim is paid but some lines are rejected and provider cannot correct/resubmit not can they appeal
O08.9 = complication following abortion and ectopic and molar pregnancies since miscarriage was dealt with in a prior episode of care
B20, HIV | J15.211, Pneumonia due to methicillin susceptible Staphylococcus aureus

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If an NCCI edit occurs, payment is denied, and then MAC may take one of these six actions:

❤ If you liked Fatskills, consider supporting us by checking out The Life Manuals You Never Got.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know? Privacy | Terms |

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All trademarks, logos and brand names are the property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know?
Privacy | Terms |

Without work one finishes nothing. - Ralph Waldo Emerson
© 2026 Fatskills.com