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Medicare as a Second Payer (MSP) Exam Questions & Answers 100% Correct £8.12   Add to cart

Exam (elaborations)

Medicare as a Second Payer (MSP) Exam Questions & Answers 100% Correct

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  • Module
  • Medicare as a Second Payer
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  • Medicare As A Second Payer

What are the 3 ways someone is entitled to Medicare? - ANSWER-Age (65), disability, or End Stage Renal Disease Department of Veterans Affairs - ANSWER-If they have authorized and agreed to pay for services, then they will be primary and Medicare will be secondary. Workers Compensation - ANSWE...

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  • June 9, 2024
  • 2
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • Medicare as a Second Payer
  • Medicare as a Second Payer
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Medicare as a Second Payer (MSP) Exam Questions & Answers 100% Correct
What are the 3 ways someone is entitled to Medicare? - ANSWER-Age (65), disability, or End Stage Renal Disease
Department of Veterans Affairs - ANSWER-If they have authorized and agreed to pay for services, then they will be primary and Medicare will be secondary.
Workers Compensation - ANSWER-If the procedure is due to an illness/injury that is related to a work-related accident, then they will be the primary and Medicare will be the
secondary. If the patient returns for something unrelated to the work-related illness/injury, then Medicare will be primary.
Failure to comply with MSP provisions could result in - ANSWER-Civil and criminal penalties, except imprisonment.
How is Medicare Primary based on disability? - ANSWER-If they are disabled and covered by a GHP through his or her own current employment, or through a family member's current employment. The employer must have less than 100 employees for Medicare to be primary.
If the patient is age 65 or older and is covered by a Group Health Plan through current employment or spouse's current employment (employer has less than 20 employees), who is primary and secondary? - ANSWER-Primary: Medicare. Secondary: Group Health Plan.
If the patient is age 65 or older and covered by a Group Health Plan through current employment or spouse's current employment (employment has >20 employees), who is primary and secondary? - ANSWER-Primary Group Health Plan. Secondary: Medicare.

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