Certified Revenue Cycle Representative (CRCR) Practice Exam

What technique is acceptable for completing the MSP screening in a facility setting?

1. Reviewing the patient's medical history

2. Asking if the patient's current services were accident related

3. Inquiring about previous hospitalizations

4. Checking insurance coverage alone

The correct answer is: Asking if the patient's current services were accident related

The technique of asking if the patient's current services were accident-related is essential for completing the Medicare Secondary Payer (MSP) screening in a facility setting because it directly addresses the criteria for identifying potential primary payers other than Medicare. This question helps determine if the patient has other insurance that may be liable for payment due to an accident or injury, which is critical for ensuring proper billing and compliance with MSP regulations. In contrast, while reviewing the patient's medical history can provide background information, it may not specifically pinpoint liability or coverage issues related to current services. Inquiring about previous hospitalizations may yield useful information but is less relevant to the current service scenario. Checking insurance coverage alone does not provide insights into whether an accident contributed to the patient’s condition or if there are other payers responsible for the bill, which is at the core of MSP screening.