Reason Code 16 | Remark Code M77 - JA DME
Reason Code 16 | Remark Code M77
|Reason Code: 16||Claim/service lacks information or has submission/billing error(s)|
|Remark Code: M77||Missing/incomplete/invalid place of service.|
Common Reasons for Denial
- Place of service is missing, incomplete or invalid
- Complete a self service reopening in the Noridian Medicare Portal (NMP) when the change is NOT for POS 31 or 32 which must be done as telephone reopening.
How to Avoid Future Denials
- Verify prior to billing that the correct place of service is on the claim. The place of service for DMEPOS claims is considered the location where a beneficiary will primarily use the DMEPOS item.
Last Updated Wed, 17 Aug 2022 14:53:57 +0000