MSPQ EXAM QUESTIONS AND ANSWERS

MSPQ EXAM QUESTIONS AND
ANSWERS



What is MSPQ? - Correct Answers -A federally mandated series of questions that
Medicare patients are asked, to determine if Medicare would be the primary payer, or if
the patients have other insuances that would be primary... making medicare secondary

Primary Payer - Correct Answers -The insurance that would be billed first

After primary payer receives payment... - Correct Answers -the secondary payer would
be billed

MSP provisions - Correct Answers --Help determine the proper order of payers

-Make certain payers primary to Medicare

-Each hae criteria or conditions that must be met

If criteria is met - Correct Answers -that payer is primary and medicare is secondary

if criteria is not met - Correct Answers -medicare is primary

Some of the provisions are based on whether or not the beneficiary has a - Correct
Answers -GHP (group health plan) through an employer

GHP MSP provisions - Correct Answers --Relate to the beneficiary's reason for having
Medicare entitlement
-If all the criteria within one of these provisions has been met then the GHP is primary

3 GHP MSP provisions - Correct Answers --MSP working aged provision
-Disabled MSP provision
-ESRD MSP provision


First 3 Parts - Correct Answers -asks for the reason for current Medicare entitlement
which are
-age
-disability
-ESDR