7402-3 PAPER QP CERTIFICATION
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ The advantages to using a third-party collection agency include all of the
following EXCEPT.
Answer: A. Providers pay pennies on each dollar collected**B. Collection
agencies can establish a complete documentation record that may be critical
in litigation activitiesC. ollection agencies may collect appropriately
assigned accounts faster than the providerD. Collection agencies have tools
and technologies that are effective in pursuing aged self-pay accounts
◍ In order to provide a patient with information that is meaningful to them, all
of the following must be included EXCEPT:
A. The type of hospital service based on CPT/HCPCS or MS-DRG code
B. The patient's health plan
C. The patient's benefit plan
D. The attending/admitting physician.
Answer: D. The attending/admitting physician
◍ The impact of denials on the revenue cycle includes all of the following
EXCEPT:
A. Loss of revenue
B. Increased collection fees
C. Staff productivity
D. Quality reputation.
Answer: D. Quality reputation
◍ HFMA best practice specify that, In an Emergency Department setting:
, A. Financial conversations are inappropriate
B. Financial conversations be brief and focused on obtaining third-party
payer information
C. Financial conversations be focused on obtaining basic demographic data
needed to create the patient account
D. No patient financial discussions should occur before a patient is screened
and stabilized.
Answer: D. No patient financial discussions should occur before a patient is
screened and stabilized
◍ Appropriate training for patient financial counseling staff must cover all of
the following EXCEPT.
Answer: A. Available patient financing options**B. Documenting the
conversation in the medical recordC. Financial assistance policiesD. Patient
financial communications best practices specific to staff role
◍ 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. Medicare
C. The Medicare Administrative Contractor (MAC) at the end of the hospice
cap period
D. Each state's Medicaid plan.
Answer: C. The Medicare Administrative Contractor (MAC) at the end of
the hospice cap period
◍ Most major health insurance payers, including Medicare and Medicaid,
offer:
A. Hard-copy documentation of insurance coverage
B. Insurance verification through agents who are available during normal
business hours
C. Electronic verification of insurance coverage
D. Provider "self-service" web portal accessible through the policy holder's
plan ID number.
, Answer: C. Electronic verification of insurance coverage
◍ Outside the emergency department setting, patient financial discussions may
take place during the registration or discharge process in a location that:
A. Doesn't disrupt patient flow
B. Meets patient's needs
C. Is clearly identifiable as a patient financial services location
D. Contains technology dedicated to patient accounts.
Answer: A. Doesn't disrupt patient flow
◍ ICD-10-CM and ICD-10-PCS code sets are modifications of.
Answer: A. DRGsB. CPT codesC. ICD 9 codes**D. The international
ICD-10 codes as developed by the WHO (World Health Organization)
◍ A recurring/series registration is characterized by.
Answer: A. The creation of one registration record per diagnosis per visitB.
The creation of multiple registrations for multiple services**C. The creation
of one registration record for multiple days of serviceD. The creation of
multiple patient types for one date of service
◍ Scheduled procedures routinely include.
Answer: A. Physician's office contact informationB. Physician notification
that scheduling is completeC. The scheduler's name and contact
information**D. Patient preparation instructions
◍ The soft cost of a dissatisfied customer is.
Answer: A. Potentially negative treatment outcomes leading to expanding
length-of-stay**B. The customer passing on information about their
negative experience to potential patients or through social media channelsC.
Lowered quality outcomes for the dissatisfied patientD. The "cost" of staff
providing extra attention in trying to perform service recovery
◍ The importance of medical records being maintained by HIM is that the
patient records.
Answer: A. Are the evidence cited in quality review**B. Are the primary
source for clinical data required for reimbursement by health plans and
, liability payerC. Are evidence used in assessing the quality of careD. Are
the strongest evidence and defense in the event of a Medicare audit
◍ A benefit period begins:
A. With admission as an inpatient
B. Upon the day the coverage premium is paid
C. The first day in which a patient is furnished extended care services in the
period the patient is entitled to hospital insurance
D. Immediately once authorization for treatment is provided by the health
plan.
Answer: C. The first day in which a patient is furnished extended care
services in the period the patient is entitled to hospital insurance
◍ A successful pre-registration program:
A. Helps the patient feel welcome
B. Identifies clearly what information must be gathered including
demographic data, insurance data, and financial information
C. Thoroughly discusses the patient's financial obligation
D. Collects patient deductibles and co-pays.
Answer: B. Identifies clearly what information must be gathered including
demographic data, insurance data, and financial information
◍ Revenue cycle activities occurring at the point-of-service include all of the
following EXCEPT:
A. The provision of case management and discharge planning services
B. Providing charges to the third-party payer as they are incurred
C. The generation of charges
D. The monitoring of charges.
Answer: A. The provision of case management and discharge planning
services
◍ Incorrect data gathering can cause all of the following EXCEPT:
A. Risks in patient safety and compliance
B. Denied claims
C. The inability to engage physicians in quality outcomes