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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Medical Billing Fundamentals | - Healthcare reimbursement systems - Insurance types and payer structures - Medical billing workflow and revenue cycle |
| Topic 2: Compliance and Regulations | - HIPAA and patient privacy rules - Fraud and abuse prevention - Billing compliance standards |
| Topic 3: Revenue Cycle Management | - Claims denial and rejection management - Payment posting and reconciliation - Accounts receivable follow-up |
| Topic 4: Coding and Claim Submission Basics | - Claims submission processes - Use of modifiers and coding compliance - ICD-10-CM, CPT, and HCPCS overview |
| Topic 5: Insurance Processing and Payer Rules | - Coordination of benefits (COB) - Medicare and Medicaid guidelines - Private insurance policies and contracts |
AAPC Certified Professional Biller (CPB) Sample Questions:
What does it mean by dacry?
- A. tear
- B. stool
- C. sweat
- D. urine
Correct Answer: A 🗳️
HPSA stands for Health Personnel Shortage Area.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
What does HPMP stand for?
- A. Health Personnel Monitoring Program
- B. Hospital Payment Monitoring Program
- C. Healthcare Payment Monitoring Program
- D. Hospital Personnel Monitoring Program
Correct Answer: B 🗳️
CHAMPUS stands for Civilian Health and Medical Program of Veterans Affairs.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
Case management is development of patient care plans to coordinate and provide care for complicated cases in a cost effective manner.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
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