Medicare Secondary Payer Questionnaire Test

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.

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.

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.

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.

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.

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.

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.

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".

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.