Medicare Secondary Payer Questionnaire Test

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| By Crystallynn084
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Medicare Secondary Payer Questionnaire Test - Quiz

Medicare Secondary Payer Test for all Admitting Staff


Questions and Answers
  • 1. 

    What is the primary purpose of the MSP questionnaire?

    • A.

      To provide the patient's retirement dates for the Centers for Medicare and Medicaid

    • B.

      To determine the primary payer of the account

    • C.

      To determine if the patient has Medicare because of Age, Disability, or End Stage Renal Disease.

    • D.

      To record accident information for a Medicare patient so that it can be sent to the Centers for Medicare and Medicaid

    Correct Answer
    B. To determine the primary payer of the account
    Explanation
    The primary purpose of the MSP questionnaire is to determine the primary payer of the account. This means that the questionnaire is used to identify who will be responsible for paying the patient's healthcare expenses. By determining the primary payer, healthcare providers can ensure that the correct insurance company or program is billed for the services provided to the patient.

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  • 2. 

    If the patient cannot recall the exact date of their retirement, but they know the year that they retired, what do you list as the retirement date?

    • A.

      The year only, and acctdoc that the patient didn't know the month and day.

    • B.

      December first of the given year

    • C.

      January first of the given year

    • D.

      Acctdoc with MQ that the patient did not know their date and do not fill out the questionnaire.

    Correct Answer
    B. December first of the given year
    Explanation
    If the patient cannot recall the exact date of their retirement but knows the year, it is appropriate to list the retirement date as December first of the given year. This is because the patient has provided the year of retirement, indicating that it occurred at some point during that year. However, since the patient does not know the month and day, December first is used as a default date.

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  • 3. 

    If the patient is under 65 and has never worked, what date do you use for the disability date field?

    • A.

      The date the patient became disabled

    • B.

      Two years before the date on their Medicare card

    • C.

      Five years ago from the date of registration

    • D.

      You leave it blank

    Correct Answer
    B. Two years before the date on their Medicare card
    Explanation
    The correct answer is "Two years before the date on their Medicare card." This is because the question states that the patient has never worked and is under 65. In this case, the disability date field should be filled with the date that is two years prior to the date on their Medicare card.

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  • 4. 

    If the patient is under 65 and cannot recall their retirement date, what do you use for the retirement date field?

    • A.

      Acctdoc with MQ that the patient did not know their date and do not fill out the questionnaire.

    • B.

      Five years ago from the date of registration.

    • C.

      The date on the Medicare card.

    • D.

      Two years before the date on their Medicare card.

    Correct Answer
    D. Two years before the date on their Medicare card.
    Explanation
    If the patient is under 65 and cannot recall their retirement date, the appropriate option to use for the retirement date field is "Two years before the date on their Medicare card." This is because the Medicare card typically indicates the date when the patient became eligible for Medicare, which is usually at the age of 65. By selecting this option, it allows for a reasonable estimation of the patient's retirement date based on their eligibility for Medicare.

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  • 5. 

    If the patient's spouse is deceased, when do you need to get the spouse's retirement date?

    • A.

      When Medicare is through the spouse.

    • B.

      Never

    • C.

      When the patient is under 65

    • D.

      When the patient is over 65.

    Correct Answer
    B. Never
    Explanation
    When the patient's spouse is deceased, there is no need to obtain the spouse's retirement date. This is because the question implies that the patient is no longer eligible for Medicare through their deceased spouse. Therefore, the spouse's retirement date is irrelevant in this scenario.

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  • 6. 

    A patient is over 65.  The patient cannot recall when he retired, but they know that they retired before they started receiving Medicare.  What do you use for the retirement date?

    • A.

      The date on the Medicare card.

    • B.

      Acctdoc with MQ that the patient did not know their date and do not fill out the questionnaire.

    • C.

      Two years before the date on the Medicare card.

    • D.

      Five years ago from the date of registration.

    Correct Answer
    A. The date on the Medicare card.
    Explanation
    The correct answer is the date on the Medicare card. Since the patient retired before they started receiving Medicare, the retirement date would be indicated on their Medicare card. This is the most reliable and accurate source for determining the retirement date in this scenario.

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  • 7. 

    A patient is over 65.  The patient cannot recall his retirement date but does know that he received Medicare before he quit working.  He has been retired for more than five years.  What do you use for the retirement date?

    • A.

      Five years ago from the date of registration.

    • B.

      Two years before the date on the Medicare card.

    • C.

      Acctdoc with MQ that the patient did not know their date and do not fill out the questionnaire.

    • D.

      The date on the Medicare card.

    Correct Answer
    A. Five years ago from the date of registration.
    Explanation
    The correct answer is "Five years ago from the date of registration." This is because the patient cannot recall their retirement date but knows that they received Medicare before quitting working. Since they have been retired for more than five years, the retirement date can be estimated as five years ago from the date of registration.

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  • 8. 

    True or FalseSince you do not have to do Medicare Questionnaires on patients with Medicare Advantange plans, you must acctdoc with an MQ that the questionnaire is not complete because the patient has a Medicare Advantage.

    Correct Answer
    FALSE
    NO
    Explanation
    The statement is false because even though Medicare Advantage plans may have their own questionnaires, it does not mean that Medicare Questionnaires are not required for patients with Medicare Advantage plans. The correct answer is "FALSE, NO" because Medicare Questionnaires are still necessary for patients with Medicare Advantage plans.

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  • 9. 

    What insurance plans require a Medicare Questionnaire?

    • A.

      All Medicare Plans including Medicare Advantage plans

    • B.

      Medicare I, Medicare O and Medicare CORF Plans

    • C.

      Medicare Advantage Plans only

    • D.

      Only Medicare Inpatient plans

    Correct Answer
    B. Medicare I, Medicare O and Medicare CORF Plans
    Explanation
    Medicare I, Medicare O, and Medicare CORF Plans require a Medicare Questionnaire. This means that individuals who are enrolled in these specific Medicare plans are required to complete a questionnaire as part of the insurance process. The other options, including all Medicare plans, Medicare Advantage plans only, and only Medicare Inpatient plans, do not specifically mention a requirement for a Medicare Questionnaire. Therefore, the correct answer is Medicare I, Medicare O, and Medicare CORF Plans.

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  • 10. 

    True or FalseIf the patient is unable to give the answers to the Medicare Questionnaire, it is ok to get that information from a spouse or next of kin as long as they know the correct information.

    Correct Answer
    TRUE
    YES
    Explanation
    It is acceptable to obtain information from a patient's spouse or next of kin if the patient is unable to provide answers to the Medicare Questionnaire, as long as the spouse or next of kin has accurate knowledge of the information being asked for.

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  • 11. 

    Explain the MQ in the acctdoc and what it is used for.  Give examples of when it is appropriate to use it.

  • 12. 

    If the patient states that they have Black Lung benefits, but this visit is related to toe pain, what do you put for the question "Are you receiving Black Lung benefits?" (yes or no)

    Correct Answer
    NO
    Explanation
    Since the visit is related to toe pain and not the Black Lung condition, the patient is not currently receiving Black Lung benefits. Therefore, the answer to the question "Are you receiving Black Lung benefits?" would be "NO".

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  • 13. 

    If the patient states that they have VA insurance as well as Medicare, but they have not been preapproved by the VA for this visit, how will you list the insurance on this account?

    • A.

      Medicare Primary VA Secondary

    • B.

      Medicare only

    • C.

      VA only and acctdoc that you took Medicare out.

    • D.

      VA Primary and Medicare Secondary

    Correct Answer
    B. Medicare only
    Explanation
    If the patient states that they have VA insurance as well as Medicare, but they have not been preapproved by the VA for this visit, the correct way to list the insurance on this account would be "Medicare only." This means that the patient's Medicare insurance will be the primary insurance for this visit, and the VA insurance will not be considered in the billing process since it has not been preapproved.

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  • 14. 

    True or FalseIf the patient was in an accident at home and no one else is liable for the accident, it is ok to leave the accident information off of the MSP questionnaire.

    Correct Answer
    FALSE
    no
    Explanation
    It is not okay to leave the accident information off of the MSP questionnaire if the patient was in an accident at home and no one else is liable for the accident. This information is important for proper documentation and assessment of the patient's condition and any potential liability or insurance claims that may arise from the accident.

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  • 15. 

    What question do you ask the patient to determine if they have Medicare Eligibility based on ESRD?

    • A.

      "Have you ever had a kidney transplant or been on dialysis?"

    • B.

      "Do you have trouble with your kidneys?"

    • C.

      "Do you have ESRD (End Stage Renal Disease?)"

    • D.

      "Do you have Medicare based on Age (or Disability) only, or do you have it for another reason?"

    Correct Answer
    C. "Do you have ESRD (End Stage Renal Disease?)"
    Explanation
    The correct answer is "Do you have ESRD (End Stage Renal Disease?)" because having ESRD is one of the criteria for Medicare eligibility. Medicare provides coverage for individuals with ESRD, regardless of their age or disability status. Asking this question directly helps determine if the patient meets the eligibility criteria for Medicare based on their kidney condition.

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  • 16. 

    What is primary if the patient is currently employed with insurance through Wal*Mart?

    • A.

      Medicare

    • B.

      The insurance through Wal*Mart

    • C.

      It depends if the patient is over or under 65.

    • D.

      It depends if the patient's spouse is currently employed or retired.

    Correct Answer
    B. The insurance through Wal*Mart
    Explanation
    If the patient is currently employed with insurance through Wal*Mart, then the primary insurance would be the insurance through Wal*Mart. This means that the patient's primary coverage and benefits would be provided by the insurance plan offered by Wal*Mart.

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  • 17. 

    What is primary if the patient has insurance through GE retirement and Medicare only and is currently only working as a Wal*mart associate?

    • A.

      The insurance through GE

    • B.

      Medicare

    • C.

      Insurance through Wal*Mart

    • D.

      It depends if the patient is over or under 65.

    Correct Answer
    B. Medicare
    Explanation
    Medicare is the primary insurance in this scenario because the patient has insurance through GE retirement and Medicare only. Since the patient is currently only working as a Wal*mart associate, their insurance through Wal*Mart would not be the primary coverage. Additionally, the question does not provide any information about the patient's age, so it cannot be determined if the patient is over or under 65, which would affect the primary insurance.

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  • 18. 

    What is primary?Patient has Medicare and Blue Cross Medicare Supplement?

    • A.

      Medicare

    • B.

      Blue Cross

    • C.

      It depends if the patient is currently employed

    • D.

      It depends on how many employees the patient's employer has.

    Correct Answer
    A. Medicare
    Explanation
    Medicare is the primary insurance for the patient in this scenario. The fact that the patient also has a Blue Cross Medicare Supplement indicates that Medicare is the primary insurance and Blue Cross is secondary. The other options about employment and the number of employees are not relevant in determining the primary insurance in this case.

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  • 19. 

    (True or False) If a patient is in an MVA but they are unable to provide car insurance information at the time of registration, you still need to provide accident information on the questionnaire.

    Correct Answer
    True
    yes
    Explanation
    In the given scenario, if a patient is involved in a motor vehicle accident (MVA) but is unable to provide their car insurance information at the time of registration, it is still necessary to provide accident information on the questionnaire. This is important for proper documentation and to ensure that the necessary steps are taken for the patient's medical care and insurance claims.

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  • 20. 

    What do you put in the retirement date field if the patient has never worked?

    • A.

      The date on the Medicare card

    • B.

      Nothing, you leave it blank

    • C.

      Five years ago from today's date

    • D.

      The date of registration

    Correct Answer
    B. Nothing, you leave it blank
    Explanation
    If the patient has never worked, there would be no retirement date to input. Therefore, the correct answer is to leave the retirement date field blank.

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  • 21. 

    What question do you ask the patient for the disability date field?

    • A.

      When did you become disabled?

    • B.

      When did you last work?

    • C.

      When did you get injured on the job?

    • D.

      You don't ask a question, you just put two years before the date on their Medicare Card

    Correct Answer
    B. When did you last work?
    Explanation
    The question "When did you last work?" is the correct question to ask for the disability date field because it helps determine the timeframe when the patient became disabled. The date of the patient's last work can provide important information about their employment status and help establish the onset of their disability.

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  • 22. 

    What date do you use for the retirement date field if the patient is still working or has never worked?

    • A.

      Nothing

    • B.

      The date on the Medicare card

    • C.

      Five years ago from the date of registration

    • D.

      Two years before the date on the Medicare card

    Correct Answer
    A. Nothing
    Explanation
    If the patient is still working or has never worked, there may not be a specific retirement date to input in the retirement date field. Therefore, the correct answer is "nothing." This indicates that the field should be left blank or not filled in with any specific date.

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  • 23. 

    At what age do you choose age as the entitlement reason?

    Correct Answer
    65
    sixty five
    sixtyfive
    sixty-five
    Explanation
    The age of 65 is chosen as the entitlement reason because it is the standard retirement age in many countries. At this age, individuals are eligible to receive certain benefits and entitlements, such as social security or pension payments. The variations in the way the number 65 is written (sixty five, sixtyfive, sixty-five) are simply different representations of the same age.

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  • 24. 

    True or FalseIf a patient has traditional Medicare, their MSP questionnaire must be recorded on every visit.

    Correct Answer
    TRUE
    Yes
    Explanation
    If a patient has traditional Medicare, their MSP (Medicare Secondary Payer) questionnaire must be recorded on every visit. This is because Medicare requires healthcare providers to collect information about other insurance coverage the patient may have, in order to determine if Medicare is the primary or secondary payer for the services provided. By recording the MSP questionnaire on every visit, healthcare providers can ensure that they are following Medicare guidelines and properly coordinating benefits with other insurers.

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  • 25. 

    If the patient is injured at their work, do you list that information on the MSP questionnaire and what do you file primary?

    • A.

      Yes you list the accident information on the MSP and you file worker's comp primary to their Medicare

    • B.

      You file worker's comp instead of Medicare so you do not need to fill out the MSP

    • C.

      You file workers comp before Medicare but you do not have to list the accident information on the MSP questionnaire.

    • D.

      Yes you list the accident information on the MSP but you file worker's comp primary and acctdoc that you took their Medicare out

    Correct Answer
    A. Yes you list the accident information on the MSP and you file worker's comp primary to their Medicare
    Explanation
    The correct answer explains that if a patient is injured at their work, the accident information should be listed on the MSP questionnaire. Additionally, worker's compensation should be filed as the primary insurance to cover the expenses, while Medicare is also involved in the process.

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  • 26. 

    When is it ok to go back and look at past Medicare Questionnaires in the system?

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Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Jun 20, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Jan 14, 2009
    Quiz Created by
    Crystallynn084
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