1.   A provider should collect Medicare Secondary Payer (MSP) information from the beneficiary or his/her representative, as well as, viewing the online MSP information by going directly into the Common Working File (CWF) or the Beneficiary/CWF menu 10 in Fiscal Intermediary Standard System Direct Data Entry (FISS DDE) before submitting claims to Medicare.

True
False

2.   In what situations are providers required to submit MSP no-payment claims (also known as MSP full-payment claims) to Medicare?

For all inpatient (IP) services to track IP benefit periods
For all outpatient (OP) services when the annual Medicare Part B deductible has not been met
Both of the above

3.   Who is responsible for determining if Medicare is the primary or secondary payer?

Beneficiary
Provider
Medicare Contractor

4.   For the MSP Working Aged provision (individual age 65 or over) to apply, who must be actively working?

Medicare beneficiary
Either the Medicare beneficiary or his/her spouse
Medicare beneficiary’s spouse

5.   Which of the following entities is responsible for ensuring the accuracy and integrity of the MSP information contained in CMS’ database (that which may be found in the MSP information on the CWF)?

Medicare Contractor
Medicare Secondary Payer Recovery Contractor (MSPRC)
Coordination of Benefits Contractor (COBC)

6.   Where can you go in the FISS system to check MSP beneficiary eligibility?

Claims correction menu
Report menu
CWF

7.   If a Working Aged beneficiary retired prior to his/her entitlement to Medicare and cannot recall his/her precise date of retirement, what can the provider report, for the beneficiary’s date of retirement, when conducting the MSP screening process.

Nothing, leave the fields blank
Use the from date on the claim being submitted
Use the beneficiary’s Medicare A entitlement date

8.   What code must be reported on MSP claims when the provider has a contractual arrangement with the primary insurer to accept a certain amount as payment in full for Medicare covered services, however, the provider received less than that expected amount from the primary insurer?

Occurrence code 24
Condition code 77
Value Code 44 and expected amount

9.   Medicare is secondary payer to GHPs for individuals eligible for, or entitled to, Medicare benefits based on End Stage Renal Disease (ESRD) during a coordination period. Up to how long is the ESRD coordination period?

36 months
18 months
30 months

10.   If the black lung program, liability, no-fault or workers’ compensation insurer does not make payment to the provider "promptly", the provider may choose to submit a conditional claim to Medicare. What is the wait time for prompt payment?

45 days
60 days
120 days