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WKMS COMP
DIB ADJ
DWB
EXR
CDB
100
WHAT DIARY CODE WILL BE POSTED ON THE DECI IF A WKMS COMP CLAIM IS PENDING?
042
100
WHAT FORM IS USED TO DOCUMENT FIELD OFFICE SGA DENIAL?
SSA-831
100
A disabled widow/er must be married to the NH at the time of his death? True or false
False she could have been married to him for a period of 10 and be a divorced disabled widow/er
100
EXR MUST BE REQUESTED WITHIN _____________ OF BENEFIT TERMINATION.
60 MONTHS
100
WHAT IS ANOTHER WORD FOR ADOPTION?
COLLATERAL ESTOPPEL
200
Unless there is an exception, to be considered in Full Time Attendance a student must be attending an Educational Institution __ hours per week and the coursework must be __ weeks or longer. A) 18, 19 B) 20, 13 C) 19, 20 D) 13, 20
B) 20, 13
200
WHAT IS A BETTER NAME FOR THE SCREENS IN MCS ACCESSED BY #2 AND #6?
CMEN CLAIMS CLEARNCE MENU OR CLEARANCE SCREENS
200
What are some of the Primary BIC code for Disabled Widows?
Bic W
200
ICF only gives you the non-exclusion amounts for computations you must run Icers to get both exclusion and non exclusion amounts. True or False
False ICF gives you both amounts and you choose the higher of the two.
200
TRUE OR FALSE YOU MUST HAVE THE CHILDS SSN IN ORDER TO LOAD A DELAYED CLAIMANT APPLICATION IN MCS.
FALSE Situation #1 - Payee with SSN- beneficiary without BOAN (Check the alphadent as most children are enumerated at birth) MSC MENU Main - If Claimant SSN Unknown, use "?" for Clmt SSN field APPL - CLAIM TYPE - 3 (for SURVIVOR) or 4 (for AUXILIARY) as appropriate. BIRTH DATE - if unknown, use a DOB one year prior to the filing date for the current application. Fill out the screens as best you can. There are mandatory screens that must be filled out or you will get the incomplete application edit. DW01 - receipt the claim with the protected filing date. X out the Attest date.
300
WHAT NUMBER OFF THE MFQM CAN I FIND THE WC/PBD OFFSET DATASHEET?
#25
300
WHAT INFORMATION IS GATHERED ON THE N0T1?
REPRESENTATIVE PAYEE
300
The NH of the disabled widow/er must be __________ ________. Two words
Fully Insured
300
True or False Tom’s benefits were terminated due to work. He is still receiving Medicare benefits. He comes into the office as he is no longer able to work and he wants to file for reinstatement of his disability through the EXR process. His request went to DDS and was denied. He will continue to receive his Medicare.
FALSE. A denial based on MIRS medical improvement of a reinstatement request terminates an individual's Medicare coverage (other than ESRD) even though he/she had Medicare coverage before requesting reinstatement. DI 13050.020
300
WHAT IS THE LAF CODE FOR DELAYED CLAIMANTS? A) D8 B) DL C) PB D) BP
C) LAF PB
400
WHAT ICF PROGRAM # DO YOU USE TO ADJUDICATE POST-ENTITLEMENT WORKMEN'S COMPENSATION SETTLEMENTS?
ICF 31-32 IF CAN'T PROCESS THERE THEN USE #33
400
WHAT SCREEN IS USED TO POST THE MEDICAL DECISION?
BECF
400
What benefit can a disabled widow/er have if she files for benefits at age 61 1/2?
Deemed medicare
400
True or False Insured status must be met at the time an EXR request is made.
FALSE. A new initial claim requires that the NH meet insured status for that claim. EXR does not have this need as it is based on the prior entitlement. DI 13050.020
400
YOU HAVE A 17 YEAR OLD STUDENT THAT ALLEGES BEING DISABLED. DO YOU TAKE A DAC CLAIM OR DO YOU TELL THEM THAT THEY HAVE TO WAIT FOR STUDENT BENEFITS TO TERMINATE BEFORE WE CAN DO A DAC CLAIM?
YOU TAKE A DAC CLAIM AND SENT IT FOR DDS DEC. AND REVIEW BIC E REENTITLMENT BECAUSE NOW WILL HAVE CDB IN CARE. POLICY APPLIES FROM AGE 16-17 1/2
500
WHAT ARE THE 3 METHODS IN DETERMINING THE ACE?
AMW, HIGH 5 ACE AND HIGH 1 ACE
500
What input is needed after a Macade or A101?
1418
500
Tell me the three beginning points of the prescribed period for a DWB?
1)The month of the NH death 2) The last month of previous DWB entitlement 3)The last month of entitlment to mths/fths (E) benefits
500
Joe’s EXR request was approved by DDS. He has received 12 checks based on his approved EXR request when he reports he has gone to work earning $1200 a month (non-blind). His checks will continue as he is entitled to a new TWP and EPE.
FALSE. An individual reinstated under EXR is given a 24-month initial reinstatement period (IRP). After completing the IRP, a Title II beneficiary is provided a new trial work period (TWP) and an extended period of eligibility (EPE). Joe has not received checks for 24 months therefore we need to suspend benefits. DI 13050.001
500
Marriage will terminate CDB benefits except when the marriage is to ______________. FILL IN THE BLANK OR BLANKS
Another Social Security beneficiary other than: * a child bene under age 18; or * a child bene 18-19, entitled because a full-time student. *The marriage cannot be to someone who receives SSI only. * Benefits to a CDB no longer terminate because the benefits of his/her spouse who is a CDB or DIB terminate. *A female CDB whose benefits were terminated in or after July 1969 because her husband's CDB benefits terminated for a reason other than death may have her benefits reinstated.