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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Medical Billing Fundamentals | - Insurance types and payer structures - Healthcare reimbursement systems - Medical billing workflow and revenue cycle |
| Compliance and Regulations | - HIPAA and patient privacy rules - Fraud and abuse prevention - Billing compliance standards |
| Revenue Cycle Management | - Payment posting and reconciliation - Claims denial and rejection management - Accounts receivable follow-up |
| Insurance Processing and Payer Rules | - Coordination of benefits (COB) - Private insurance policies and contracts - Medicare and Medicaid guidelines |
| Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance - Claims submission processes |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. What does HPMP stand for?
A) Hospital Payment Monitoring Program
B) Health Personnel Monitoring Program
C) Healthcare Payment Monitoring Program
D) Hospital Personnel Monitoring Program
2. What does HA stand for?
A) Healthcare Assessment
B) Home Assessment
C) Healthcare Affairs
D) Health Affairs
3. FEHBP stands for Federal Employee Health Benefit Program.
A) TRUE
B) FALSE
4. What is Allowed Charge?
A) The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
B) The Minimum amount the payer will reimburse for each procedure or service, according to the patients policy.
C) The amount the payer will reimburse for each procedure or service, according to the patients policy.
5. The medical word root "fibr" or "fibr/o" refers to:
A) milk
B) stomach
C) before
D) fiber
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: D |
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