AQA A LEVEL BIOLOGY PAPER 3
7402-3 PAPER QP ACTUAL EXAM
PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Important revenue cycle activities in the pre-service stage include;.
Answer: Obtaining or updating patient and guarantor information
◍ In what situation(s) should a provider NOT use a modifier?.
Answer: - CPT already indicates 2-4 lesions - CPT indicates multiple
extremities
◍ In the pre-service stage, the cost of the scheduled service is identified and
the patient's health plan and benefits are used to calculate;.
Answer: The amount the patient may be expected to pay after insurance.
◍ Demographic and health plan edit failures are identified and resolved within
the Patient Access area. Census activity is processed, Discharges are
completed and correctly coded. These activities are considered.
Answer: Point-of-service revenue cycle activities.
◍ HFMA best practices call for patient financial discussions to be reinforced;.
Answer: With a written statement of the conversation
◍ HFMA's patient financial communications best practices specify that
patients should be told about the types of services provided and;.
Answer: Who participates in providing the service, e.g. surgeons,
radiologists, etc.
◍ What are other names for Three-Day Payment Window?.
Answer: ALL OF THE ABOVE 72-hour rule, DRG window, Three-Day
Window, 1 day window or 24-hour rule
,◍ The process of evaluating compliance with financial assistance policies
involves;.
Answer: The annual observation, monitoring, and tracking of results for all
best practices.
◍ The account resolution clock begins when.
Answer: The first statement is sent to the patient
◍ The soft cost of a dissatisfied customer is.
Answer: The customer passing on information about their negative
experience to potential patients or through social media channels
◍ The hard cost of a dissatisfied customer is.
Answer: loss of future revenue
◍ What happens during the post-service stage?.
Answer: Final coding, preparation and submission of claims, payment
processing, balance billing and resolution.
◍ What are the below tasks part of? - Educate patients- Coordinate to avoid
duplicate patient contacts- Be consistent in key aspects of account
resolution- Follow best practices for communication.
Answer: Best practices created by the Medical Debt Task Force
◍ When there is a request for service, scheduling staff must first.
Answer: Confirm the patients key identification information
◍ Which option is NOT a main HFMA Healthcare Dollars & Sense® revenue
cycle initiative?.
Answer: Process Compliance
◍ Which option is NOT a continuum of care provider?
A. Physician
B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility.
Answer: B. Health Plan Contracting
,◍ What is "implied certification"?.
Answer: When it is implied that a provider met all compliance standards
before submitting a claim
◍ Which of the following are essential elements of an effective compliance
program?
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the Billing
Department.
C. Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from participation in a
federal healthcare program.
E. Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines..
Answer: A. Established compliance standards and procedures.C. Oversight
of personnel by high-level personnel.E. Reasonable methods to achieve
compliance with standards, including monitoring systems and hotlines.
◍ A standardized form informing patients about the conditions that must be
agreed to as part of the agreement for the hospital to provide care is called.
Answer: Conditions of admission
◍ When was Health Information Technology for Economic and Clinical
Health (HITECH) Act signed into law?.
Answer: FEB 17, 2009
◍ When did HITECH Act become effective?.
Answer: 2013
◍ Annually, the OIG publishes a work plan of compliance issues and
objectives that will be focused on throughout the following year. Identify
which option is NOT a work plan task mentioned in this course.
A. Payments to Physicians for Co-Surgery Procedures
B. Denials and Appeals in Medicare Part D
C. Medicare Hospital Payments for Claims Involving the Acute- and
, Post-Acute-Care Transfer Policies
D. Standard Unique Employer Identifier.
Answer: D. Standard Unique Employer Identifier
◍ Hospitals need which of the following information sets to assess a patients
financial status.
Answer: Demographic, Income, Assets, and Expenses
◍ For new patients with no MPI number.
Answer: A new medical record will be created by the provider
◍ Which option is a government sponsored program that is financed through
taxes and general revenue funds.
Answer: Medicare
◍ What Plan are the tasks below a part of?- Medicare Payments Made Outside
of the Hospice Benefit- Denials and Appeals in Medicare Part C and Part D-
Medicare Part B Payments for End-Stage Renal Disease Dialysis Services-
Review of Home Health Claims for Services With 5 to 10 Skilled Visits.
Answer: The 2020 OIG Work Plan
◍ An increase in the dollars aged greater than 90 days from date of service
indicates that accounts are.
Answer: Not resolved in a timely manner
◍ When was the Preservation of Access to Care for Medicare Beneficiaries
and Pension Relief Act signed into law?.
Answer: JUNE 25 2010
◍ In many states, people covered under the Medicaid program are required to
join managed care plans focusing on preventive healthcare.
Answer: Medicaid Advantage
◍ What is the Medicare DRG Three-Day Payment Window?.
Answer: All Diagnostic services provided to a Medicare patient by a
hospital on the Date of the patient's Inpatient admission or during the 3
calendar days (or in the case of a non-IPPS hospital: 1 calendar day)
7402-3 PAPER QP ACTUAL EXAM
PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Important revenue cycle activities in the pre-service stage include;.
Answer: Obtaining or updating patient and guarantor information
◍ In what situation(s) should a provider NOT use a modifier?.
Answer: - CPT already indicates 2-4 lesions - CPT indicates multiple
extremities
◍ In the pre-service stage, the cost of the scheduled service is identified and
the patient's health plan and benefits are used to calculate;.
Answer: The amount the patient may be expected to pay after insurance.
◍ Demographic and health plan edit failures are identified and resolved within
the Patient Access area. Census activity is processed, Discharges are
completed and correctly coded. These activities are considered.
Answer: Point-of-service revenue cycle activities.
◍ HFMA best practices call for patient financial discussions to be reinforced;.
Answer: With a written statement of the conversation
◍ HFMA's patient financial communications best practices specify that
patients should be told about the types of services provided and;.
Answer: Who participates in providing the service, e.g. surgeons,
radiologists, etc.
◍ What are other names for Three-Day Payment Window?.
Answer: ALL OF THE ABOVE 72-hour rule, DRG window, Three-Day
Window, 1 day window or 24-hour rule
,◍ The process of evaluating compliance with financial assistance policies
involves;.
Answer: The annual observation, monitoring, and tracking of results for all
best practices.
◍ The account resolution clock begins when.
Answer: The first statement is sent to the patient
◍ The soft cost of a dissatisfied customer is.
Answer: The customer passing on information about their negative
experience to potential patients or through social media channels
◍ The hard cost of a dissatisfied customer is.
Answer: loss of future revenue
◍ What happens during the post-service stage?.
Answer: Final coding, preparation and submission of claims, payment
processing, balance billing and resolution.
◍ What are the below tasks part of? - Educate patients- Coordinate to avoid
duplicate patient contacts- Be consistent in key aspects of account
resolution- Follow best practices for communication.
Answer: Best practices created by the Medical Debt Task Force
◍ When there is a request for service, scheduling staff must first.
Answer: Confirm the patients key identification information
◍ Which option is NOT a main HFMA Healthcare Dollars & Sense® revenue
cycle initiative?.
Answer: Process Compliance
◍ Which option is NOT a continuum of care provider?
A. Physician
B. Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility.
Answer: B. Health Plan Contracting
,◍ What is "implied certification"?.
Answer: When it is implied that a provider met all compliance standards
before submitting a claim
◍ Which of the following are essential elements of an effective compliance
program?
A. Established compliance standards and procedures.
B. Designation of a compliance officer employed within the Billing
Department.
C. Oversight of personnel by high-level personnel.
D. Automatic dismissal of any employee excluded from participation in a
federal healthcare program.
E. Reasonable methods to achieve compliance with standards, including
monitoring systems and hotlines..
Answer: A. Established compliance standards and procedures.C. Oversight
of personnel by high-level personnel.E. Reasonable methods to achieve
compliance with standards, including monitoring systems and hotlines.
◍ A standardized form informing patients about the conditions that must be
agreed to as part of the agreement for the hospital to provide care is called.
Answer: Conditions of admission
◍ When was Health Information Technology for Economic and Clinical
Health (HITECH) Act signed into law?.
Answer: FEB 17, 2009
◍ When did HITECH Act become effective?.
Answer: 2013
◍ Annually, the OIG publishes a work plan of compliance issues and
objectives that will be focused on throughout the following year. Identify
which option is NOT a work plan task mentioned in this course.
A. Payments to Physicians for Co-Surgery Procedures
B. Denials and Appeals in Medicare Part D
C. Medicare Hospital Payments for Claims Involving the Acute- and
, Post-Acute-Care Transfer Policies
D. Standard Unique Employer Identifier.
Answer: D. Standard Unique Employer Identifier
◍ Hospitals need which of the following information sets to assess a patients
financial status.
Answer: Demographic, Income, Assets, and Expenses
◍ For new patients with no MPI number.
Answer: A new medical record will be created by the provider
◍ Which option is a government sponsored program that is financed through
taxes and general revenue funds.
Answer: Medicare
◍ What Plan are the tasks below a part of?- Medicare Payments Made Outside
of the Hospice Benefit- Denials and Appeals in Medicare Part C and Part D-
Medicare Part B Payments for End-Stage Renal Disease Dialysis Services-
Review of Home Health Claims for Services With 5 to 10 Skilled Visits.
Answer: The 2020 OIG Work Plan
◍ An increase in the dollars aged greater than 90 days from date of service
indicates that accounts are.
Answer: Not resolved in a timely manner
◍ When was the Preservation of Access to Care for Medicare Beneficiaries
and Pension Relief Act signed into law?.
Answer: JUNE 25 2010
◍ In many states, people covered under the Medicaid program are required to
join managed care plans focusing on preventive healthcare.
Answer: Medicaid Advantage
◍ What is the Medicare DRG Three-Day Payment Window?.
Answer: All Diagnostic services provided to a Medicare patient by a
hospital on the Date of the patient's Inpatient admission or during the 3
calendar days (or in the case of a non-IPPS hospital: 1 calendar day)
