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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| 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 |
| Coding and Claim Submission Basics | - Claims submission processes - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance |
| Revenue Cycle Management | - Claims denial and rejection management - Accounts receivable follow-up - Payment posting and reconciliation |
| Medical Billing Fundamentals | - Medical billing workflow and revenue cycle - Healthcare reimbursement systems - Insurance types and payer structures |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. What does ADA stand for?
A) Asians with Disabilities Act
B) Africans with Disabilities Act
C) Americans with Disabilities Act
D) Australians with Disabilities Act
2. What are actions inconsistent with accepted, sound medical business or fiscal practice?
A) Addiction
B) Abuse
C) Violence
D) Neglect
3. APDRG refers to All Patient DiagnosisRelated Group.
A) TRUE
B) FALSE
4. What are black box edits?
A) Nonpublished code edits, which were discontinued in 2001.
B) Nonpublished code edits, which were discontinued in 2000.
C) Published code edits, which were discontinued in 2001.
D) Published code edits, which were discontinued in 2000.
5. What does the acronym CT stand for?
A) Durable Medical Equipment
B) Defense Enrollment Eligibility Reporting System
C) Debt Collection Assistance Officer
D) Computed Tomography
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: D |
