Article Detail - JD DME
Providing Accessories or Supplies for Beneficiary-Owned Equipment
A top denial on remittance advices continues to be Reason Code 16/Remark Code M124. As a reminder:
- Beneficiary-owned information must be on file with Medicare Fee-for-Service (FFS) to avoid denials.
Claims for supplies and accessories used with beneficiary-owned equipment must include three pieces of information with claim submission in the narrative section.
- HCPCS code of base equipment; and,
- A notation equipment is beneficiary-owned; and,
- Date beneficiary obtained equipment (approximate)
Example: Bene-owned E0601 pur Jan 2021
Once the beneficiary-owned item is placed on file, subsequent supply claims do not require a narrative.
If you continue to receive denials because the information still is not on file, please utilize the following options to ensure the information has been added to the beneficiary’s record.
- Call telephone reopening through the Supplier Contact Center
- Submit a written reopening using the Noridian Medicare Portal appeals process
- Fax
Last Updated Tue, 12 Jul 2022 19:25:56 +0000