Question 1 of 15
You discover Medicare paid as primary on accident-related care even though a liability insurer is responsible. Walk me through the billing correction and coordination steps.
Strong Interview Answer
I would first verify the liability claim and the service’s relationship to the accident, then follow Medicare Secondary Payer coordination/recovery procedures. I would not shift the liability share to the beneficiary simply because Medicare already paid; I would document the responsible coverage, correct coordination information, and resolve any conditional-payment or recovery issue through the proper payer workflow.
What to Listen For
- MSP fact verification
- liability/no-fault primary for related services when applicable
- coordination/recovery workflow
- do not improperly bill beneficiary
Caution
Look for a workflow answer grounded in the controlling billing rule. Do not reward memorized terminology without application to the account facts.