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AAPC CPB Exam Syllabus Topics:

SectionObjectives
Medical Billing Fundamentals- Healthcare reimbursement systems
- Insurance types and payer structures
- Medical billing workflow and revenue cycle
Insurance Processing and Payer Rules- Coordination of benefits (COB)
- Medicare and Medicaid guidelines
- Private insurance policies and contracts
Compliance and Regulations- Billing compliance standards
- HIPAA and patient privacy rules
- Fraud and abuse prevention
Coding and Claim Submission Basics- Claims submission processes
- ICD-10-CM, CPT, and HCPCS overview
- Use of modifiers and coding compliance
Revenue Cycle Management- Payment posting and reconciliation
- Claims denial and rejection management
- Accounts receivable follow-up

AAPC Certified Professional Biller (CPB) Sample Questions:

1. What does the acronym COB stand for in medical billing?

A) Coordination of Benefits
B) Certified Professional Coder
C) Consolidated Omnibus Budget Reconciliation Act of 1985
D) Current Procedural Terminology


2. CAC (Choose two.)

A) Computerized Axial Tomography
B) Common Access Card
C) Certified Coding Specialist
D) Computer Assisted Coding


3. Which factor determines the correct payer sequence in coordination of benefits (COB)?

A) Length of employment
B) Provider type
C) Patient preference
D) Birthday rule


4. ABN stands for Advance Beneficiary Notice.

A) TRUE
B) FALSE


5. Catastrophic cap benefit protects TRICARE beneficiaries form devastating financial loss due to serious illness or long-term treatment by establishing limits over which payments is not required.

A) TRUE
B) FALSE


Solutions:

Question # 1
Answer: A
Question # 2
Answer: B,D
Question # 3
Answer: D
Question # 4
Answer: A
Question # 5
Answer: A

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