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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Compliance and Regulations | - Billing compliance standards - HIPAA and patient privacy rules - Fraud and abuse prevention |
| Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance - Claims submission processes |
| Medical Billing Fundamentals | - Insurance types and payer structures - Medical billing workflow and revenue cycle - Healthcare reimbursement systems |
| Revenue Cycle Management | - Claims denial and rejection management - Accounts receivable follow-up - Payment posting and reconciliation |
| Insurance Processing and Payer Rules | - Coordination of benefits (COB) - Private insurance policies and contracts - Medicare and Medicaid guidelines |
AAPC Certified Professional Biller (CPB) Sample Questions:
What does the acronym FR stand for?
- A. General Enrollment Period
- B. General Equivalency Mapping
- C. Flexible Spending Account
- D. Federal Register
Correct Answer: D 🗳️
CAT stands for Computerized Axial Tomography.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
HSSA stands for Health Savings Security Account.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
Case law is also common law; based on a court decision that establishes a precedent.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
ABN stands for Advance Beneficiary Notice.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
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