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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Revenue Cycle Management | - Payment posting and reconciliation - Accounts receivable follow-up - Claims denial and rejection management |
| Medical Billing Fundamentals | - Medical billing workflow and revenue cycle - Healthcare reimbursement systems - Insurance types and payer structures |
| Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance - Claims submission processes |
| Compliance and Regulations | - Billing compliance standards - Fraud and abuse prevention - HIPAA and patient privacy rules |
| Insurance Processing and Payer Rules | - Private insurance policies and contracts - Coordination of benefits (COB) - Medicare and Medicaid guidelines |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. ASC (Choose two.)
A) Beneficiary Counseling and Assistance Coordinator
B) Accredited Standards Committee
C) Ambulatory Surgical Center
D) Blue Cross
2. de
A) right
B) lack of, down
C) skin
D) half
3. CDHP stands for Consumer Directed Health Plan.
A) FALSE
B) TRUE
4. HEDIS stands for Health Plan Employer Data and Information Set.
A) FALSE
B) TRUE
5. Which term refers to a digital version of a patient's paper chart, encompassing a comprehensive record of patient health information?
A) Electronic Medical Record
B) Early and Periodic screening, diagnostic, and treatment
C) Exclusive provider organization
D) Explanation of Benefits
Solutions:
| Question # 1 Answer: B,C | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: A |
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