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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Compliance and Regulations | - HIPAA and patient privacy rules - Billing compliance standards - Fraud and abuse prevention |
| Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Claims submission processes - Use of modifiers and coding compliance |
| Medical Billing Fundamentals | - Healthcare reimbursement systems - Insurance types and payer structures - Medical billing workflow and revenue cycle |
| Insurance Processing and Payer Rules | - Medicare and Medicaid guidelines - Private insurance policies and contracts - Coordination of benefits (COB) |
| Revenue Cycle Management | - Accounts receivable follow-up - Claims denial and rejection management - Payment posting and reconciliation |
AAPC Certified Professional Biller (CPB) Sample Questions:
Question #1
What does it mean by benign?
A. cancerous
B. not cancerous
Question #2
extra
A. fiber
B. before
C. outside
D. milk
Question #3
American Academy of Processional Coders (AAPC) is professional association established to provide a national certification and credentialing process, to support the national and local membership by providing educational products and opportunities to network, and to increase and promote national recognition and awareness of professional coding.
A. FALSE
B. TRUE
Question #4
Which part of the body do gaster and gastr refer to?
A. genitals
B. stomach
C. intestine
D. tongue
Question #5
Birthday rule determines coverage by primary and secondary policies when each parent subscribes to a different health insurance plan.
A. FALSE
B. TRUE
Solutions:
| Question #1 Correct Answer: B | Question #2 Correct Answer: C | Question #3 Correct Answer: B | Question #4 Correct Answer: B | Question #5 Correct Answer: B |
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