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Exam (elaborations)

MSPQ Exam Questions & Answers 100% Correct!!

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What is MSPQ? - ANSWER-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 - ANSWER-The insurance that would be billed first After primary payer receives payment... - ANSWER-the secondary payer would be billed MSP provisions - ANSWER--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 - ANSWER-that payer is primary and medicare is secondary if criteria is not met - ANSWER-medicare is primary Some of the provisions are based on whether or not the beneficiary has a - ANSWER-GHP (group health plan) through an employer GHP MSP provisions - ANSWER--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

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Institution
MSPQ
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Uploaded on
June 2, 2024
Number of pages
3
Written in
2023/2024
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Exam (elaborations)
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MSPQ Exam Questions & Answers 100%
Correct!!
What is MSPQ? - ANSWER-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 - ANSWER-The insurance that would be billed first
After primary payer receives payment... - ANSWER-the secondary payer would be billed
MSP provisions - ANSWER--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 - ANSWER-that payer is primary and medicare is secondary
if criteria is not met - ANSWER-medicare is primary
Some of the provisions are based on whether or not the beneficiary has a - ANSWER-
GHP (group health plan) through an employer
GHP MSP provisions - ANSWER--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 - ANSWER--MSP working aged provision
-Disabled MSP provision

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