AQA A LEVEL BIOLOGY PAPER 3
7402-3 PAPER QP COMPREHENSIVE
STUDY GUIDE 2026 FULL QUESTIONS
AND SOLUTIONS GRADED A+
◍ Once the price is estimated in the pre-service stage, a provider's financial
best practiceis toa) Explain to the patient their financial responsibility and
todetermine the plan for paymentb) Allow the patient time to compare prices
with other providersc) Lock-in the pricesd) Have another employee double
check the price estimate.
Answer: A
◍ What type of account adjustment results from the patient's unwillingness to
pay a self-pay balance?a) Charity adjustmentb) Bad debt adjustmentc)
Contractual adjustmentd) Administrative adjustment.
Answer: B
◍ All of the following are conditions that disqualify a procedure or service
from being paidfor by Medicare EXCEPTa) Medically unnecessaryb) Not
delivered in a Medicare licensed care settingc) Offered in an outpatient
settingd) Services and procedures that are custodial in nature.
Answer: D
◍ All of the following are forms of hospital payment contracting EXCEPTa)
Contracted Rebatingb) Per Diem Paymentc) Fixed Contractingd) Bundled
Payment.
Answer: A
◍ Overall aggregate payments made to a hospice are subject to a computed
"cap amount"calculated by:a) The Center for Medicare and Medicaid
, Services (CMS)b) Each state's Medicaid planc) Medicared) The Medicare
Administrative Contractor (MAC) at the end of thehospice cap period.
Answer: D
◍ With the advent of the Affordable Care Act Health Insurance Marketplaces
and theexpansion of Medicaid in some states, it is more important than ever
for hospitals toa) Reschedule the visit for non-payment of a prior balanceb)
Strictly limit charity care and bad-debtc) Collect patient's self-pay and
deductibles in the first encounterd) Assist patients in understanding their
insurance coverage andtheir financial obligation.
Answer: D
◍ A nightly room charge will be incorrect if the patient'sa) Discharge for the
next day has not been chartedb) Condition has not been discussed during the
shift change reportmeetingc) Pharmacy orders to the ICU have not been
entered in thepharmacy systemd) Transfer from ICU (intensive care unit) to
the Medical/Surgicalfloor is not reflected in the registration system.
Answer: D
◍ Which of the following is required for participation in Medicaid?a) Meet
income and assets requirementsb) Meet a minimum yearly premiumc) Be
free of chronic conditionsd) Obtain a health insurance policy.
Answer: A
◍ HFMA best practices call for patient financial discussions to be reinforceda)
By issuing a new invoice to the patientb) By copying the provider's attorney
on a written statement ofconversationc) By obtaining some type of
collaterald) By changing policies to programs.
Answer: B
◍ A Medicare Part A benefit period begins:a) With admission as an inpatientb)
The first day in which an individual has not been a hospitalinpatient not in a
skilled nursing facility for the previous 60 daysc) Upon the day the coverage
premium is paidd) Immediately once authorization for treatment is provided
by thehealth plan.
Answer: A
,◍ If further treatment can only be provided in a hospital setting, the patient's
conditioncannot be evaluated and/or treated within 24 hours, or if there is
not an anticipation ofimprovement in the patient's condition with 24 hours,
the patienta) Will remain in observation for up to 72 hours after which
thepatient is admitted as an inpatientb) Will be admitted as an inpatientc)
Will be discharged and if needed, designated to a priority oneoutpatient
statusd) Will have his/her case reviewed by the attending physician,
aconsulting physician and the primary care physician and a futurecourse of
care will then be determined.
Answer: B
◍ It is important to have high registration quality standards becausea)
Incomplete registrations will trigger exclusion from Medicareparticipationb)
Incomplete registrations will raise satisfaction scores for thehospitalc)
Inaccurate registration may cause discharge before full treatmentis
obtainedd) Inaccurate or incomplete patient data will delay payment orcause
denials.
Answer: D
◍ Medicare will only pay for tests and services thata) Constitute appropriate
treatment and are fairly pricedb) Have solid documentationc) Can be
demonstrated as necessaryd) Medicare determines are "reasonable and
necessary".
Answer: D
◍ Room and bed charges are typically posteda) From case management
reports generated for contracted payersb) Through the case management
daily resource reportc) At the end of each business dayd) From the midnight
census.
Answer: D
◍ The process of creating the pre=registration record ensuresa) Ability to
pursue extraordinary collection activitiesb) Early and productive
communication with a third-party payerc) Accurate billingd) That access
staff will have the compete and valid informationneeded to finalize any
, remaining pre-access activities.
Answer: C
◍ Once the EMTALA requirements are satisfieda) Third-party payer
information should be collected from thepatient and the payer should be
notified of the ED visitb) The patient then assumes full liability for services
unless a third-party is notified or the patient applies for financial assistance
withthe first 48 hoursc) The remaining registration processing is initiated at
the bedside orin a registration aread) An initial registration records is
completed so that the propercoding can be initiated.
Answer: C
◍ This directive was developed to promote and ensure healthcare quality and
value andalso to protect consumers and workers in the healthcare system.
This directive is calleda) Payer quality monitoringb) Medicare patient and
staff safety standardsc) Joint Commission for Accreditation of Healthcare
Organizations(JCAHO) safetyd) Patient bill of rights.
Answer: D
◍ A scheduled inpatient represents an opportunity for the provider to do which
of thefollowing?a) Refer the patient to another location with the health
systemb) Comply with EMTALA (Emergency Medical Treatment and
Labor Act)requirements before servicec) Complete registration and
insurance approval before serviced) Register the patient after he or she is
placed in a bed on that serviceunit..
Answer: C
◍ The first and most critical step in registering a patient, whether scheduled
orunscheduled, isa) Having the patient initial the HIPAA privacy
statementb) Verifying insurance to activate the patient medical recordc)
Verifying the patient's identificationd) Check the schedule for treatment
availability.
Answer: C
◍ The legal authority to request and analyze provider clam documentation to
ensure thatIPPS services were reasonable and necessary is given toa)
7402-3 PAPER QP COMPREHENSIVE
STUDY GUIDE 2026 FULL QUESTIONS
AND SOLUTIONS GRADED A+
◍ Once the price is estimated in the pre-service stage, a provider's financial
best practiceis toa) Explain to the patient their financial responsibility and
todetermine the plan for paymentb) Allow the patient time to compare prices
with other providersc) Lock-in the pricesd) Have another employee double
check the price estimate.
Answer: A
◍ What type of account adjustment results from the patient's unwillingness to
pay a self-pay balance?a) Charity adjustmentb) Bad debt adjustmentc)
Contractual adjustmentd) Administrative adjustment.
Answer: B
◍ All of the following are conditions that disqualify a procedure or service
from being paidfor by Medicare EXCEPTa) Medically unnecessaryb) Not
delivered in a Medicare licensed care settingc) Offered in an outpatient
settingd) Services and procedures that are custodial in nature.
Answer: D
◍ All of the following are forms of hospital payment contracting EXCEPTa)
Contracted Rebatingb) Per Diem Paymentc) Fixed Contractingd) Bundled
Payment.
Answer: A
◍ Overall aggregate payments made to a hospice are subject to a computed
"cap amount"calculated by:a) The Center for Medicare and Medicaid
, Services (CMS)b) Each state's Medicaid planc) Medicared) The Medicare
Administrative Contractor (MAC) at the end of thehospice cap period.
Answer: D
◍ With the advent of the Affordable Care Act Health Insurance Marketplaces
and theexpansion of Medicaid in some states, it is more important than ever
for hospitals toa) Reschedule the visit for non-payment of a prior balanceb)
Strictly limit charity care and bad-debtc) Collect patient's self-pay and
deductibles in the first encounterd) Assist patients in understanding their
insurance coverage andtheir financial obligation.
Answer: D
◍ A nightly room charge will be incorrect if the patient'sa) Discharge for the
next day has not been chartedb) Condition has not been discussed during the
shift change reportmeetingc) Pharmacy orders to the ICU have not been
entered in thepharmacy systemd) Transfer from ICU (intensive care unit) to
the Medical/Surgicalfloor is not reflected in the registration system.
Answer: D
◍ Which of the following is required for participation in Medicaid?a) Meet
income and assets requirementsb) Meet a minimum yearly premiumc) Be
free of chronic conditionsd) Obtain a health insurance policy.
Answer: A
◍ HFMA best practices call for patient financial discussions to be reinforceda)
By issuing a new invoice to the patientb) By copying the provider's attorney
on a written statement ofconversationc) By obtaining some type of
collaterald) By changing policies to programs.
Answer: B
◍ A Medicare Part A benefit period begins:a) With admission as an inpatientb)
The first day in which an individual has not been a hospitalinpatient not in a
skilled nursing facility for the previous 60 daysc) Upon the day the coverage
premium is paidd) Immediately once authorization for treatment is provided
by thehealth plan.
Answer: A
,◍ If further treatment can only be provided in a hospital setting, the patient's
conditioncannot be evaluated and/or treated within 24 hours, or if there is
not an anticipation ofimprovement in the patient's condition with 24 hours,
the patienta) Will remain in observation for up to 72 hours after which
thepatient is admitted as an inpatientb) Will be admitted as an inpatientc)
Will be discharged and if needed, designated to a priority oneoutpatient
statusd) Will have his/her case reviewed by the attending physician,
aconsulting physician and the primary care physician and a futurecourse of
care will then be determined.
Answer: B
◍ It is important to have high registration quality standards becausea)
Incomplete registrations will trigger exclusion from Medicareparticipationb)
Incomplete registrations will raise satisfaction scores for thehospitalc)
Inaccurate registration may cause discharge before full treatmentis
obtainedd) Inaccurate or incomplete patient data will delay payment orcause
denials.
Answer: D
◍ Medicare will only pay for tests and services thata) Constitute appropriate
treatment and are fairly pricedb) Have solid documentationc) Can be
demonstrated as necessaryd) Medicare determines are "reasonable and
necessary".
Answer: D
◍ Room and bed charges are typically posteda) From case management
reports generated for contracted payersb) Through the case management
daily resource reportc) At the end of each business dayd) From the midnight
census.
Answer: D
◍ The process of creating the pre=registration record ensuresa) Ability to
pursue extraordinary collection activitiesb) Early and productive
communication with a third-party payerc) Accurate billingd) That access
staff will have the compete and valid informationneeded to finalize any
, remaining pre-access activities.
Answer: C
◍ Once the EMTALA requirements are satisfieda) Third-party payer
information should be collected from thepatient and the payer should be
notified of the ED visitb) The patient then assumes full liability for services
unless a third-party is notified or the patient applies for financial assistance
withthe first 48 hoursc) The remaining registration processing is initiated at
the bedside orin a registration aread) An initial registration records is
completed so that the propercoding can be initiated.
Answer: C
◍ This directive was developed to promote and ensure healthcare quality and
value andalso to protect consumers and workers in the healthcare system.
This directive is calleda) Payer quality monitoringb) Medicare patient and
staff safety standardsc) Joint Commission for Accreditation of Healthcare
Organizations(JCAHO) safetyd) Patient bill of rights.
Answer: D
◍ A scheduled inpatient represents an opportunity for the provider to do which
of thefollowing?a) Refer the patient to another location with the health
systemb) Comply with EMTALA (Emergency Medical Treatment and
Labor Act)requirements before servicec) Complete registration and
insurance approval before serviced) Register the patient after he or she is
placed in a bed on that serviceunit..
Answer: C
◍ The first and most critical step in registering a patient, whether scheduled
orunscheduled, isa) Having the patient initial the HIPAA privacy
statementb) Verifying insurance to activate the patient medical recordc)
Verifying the patient's identificationd) Check the schedule for treatment
availability.
Answer: C
◍ The legal authority to request and analyze provider clam documentation to
ensure thatIPPS services were reasonable and necessary is given toa)
