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  • 20.2.1 - Admission Questions To Ask Medicare Beneficiaries - Cms.gov - Cms

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20.2.1 Admission Questions to Ask Medicare Beneficiaries (Rev.) The following questionnaire contains questions that can be used to ask Medicare beneficiaries upon each inpatient and outpatient admission.

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Providers are required to complete a Medicare Secondary Payer Questionnaire (MSPQ) upon admission of each Medicare patient.

Medicare Secondary Payer Questionnaire (MSPQ)

This tool is designed to help you determine if Medicare is the primary or secondary payer by walking you through a few simple questions. In certain situations Medicare will pay claims for eligible beneficiaries as a secondary payer to the beneficiary's primary plan.

The MSPQ is required for Part A. Providers can check the MSP screen in CWF to ensure the information is accurate before you submit your claim to Medicare.

You can answer these questions in your MyChart account on the website (mychart.mdanderson.org) or by using the mobile app. Please complete the form before your visit as it will make your check-in faster. Here is a guide to help you understand the questions on the Medicare Secondary Payer Questionnaire (MSPQ).

MSP claims must be submitted to Medicare within the established timely filing guideline for all Medicare claims, which is one calendar year from the date of service. There are some exceptions to the timely filing limit, but none of those exceptions apply to determining a patient's MSP status.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232