Apply Your Knowledge

Select the correct answer for each of the 10 questions below. (Scroll down as needed.) Then select the Submit button at the bottom of the screen to receive feedback.

Question #1

Medicare uses the term MSP to refer to a situation in which Medicare pays:

A. First on a health care claim

B. Second on a health care claim

C. Nothing on a health care claim

Question #2

When a beneficiary qualifies for Medicare based on age, his GHP is the secondary payer if he works for a company with:

A. Fewer than 20 employees

B. 20 to 500 employees

C. More than 500 employees

Question #3

When a beneficiary is still working and qualifies for Medicare based on a disability, his LGHP is the primary payer if he works for a company with:

A. Fewer than 20 employees

B. 20 to 99 employees

C.100 or more employees

Question #4

Coordination of benefits ensures that a claim is paid correctly the first time and every time.

True

False

Question #5

A Medicare beneficiary may have more than one type of insurance or coverage in addition to Medicare coverage.

True

False

Question #6

Medicare can be the secondary payer on a claim.

True

False

Question #7

Medicare is the primary payer when Workers' Compensation denies a claim in court.

True

False

Question #8

A beneficiary's GHP is the secondary payer during the first 30 months that a Medicare beneficiary qualifies for Medicare based on ESRD.

True

False

Question #9

A beneficiary's Employee Retiree Plan is the primary payer when a beneficiary qualifies for Medicare based on disability.

True

False

Question #10

Medicare may make a conditional payment if an insurance company does not pay within 120 days.

True

False

Last Updated 11/02/2004