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Our Certified Professional Biller (CPB) Preparation Material provides you everything you will need to take a AAPC AAPC Certification CPB examination. Details are researched and produced by AAPC Certification Experts who are constantly using industry experience to produce precise, and logical.
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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Insurance Processing and Payer Rules | - Private insurance policies and contracts - Coordination of benefits (COB) - Medicare and Medicaid guidelines |
| Topic 2: Medical Billing Fundamentals | - Insurance types and payer structures - Healthcare reimbursement systems - Medical billing workflow and revenue cycle |
| Topic 3: Revenue Cycle Management | - Accounts receivable follow-up - Claims denial and rejection management - Payment posting and reconciliation |
| Topic 4: Compliance and Regulations | - Billing compliance standards - Fraud and abuse prevention - HIPAA and patient privacy rules |
| Topic 5: Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Claims submission processes - Use of modifiers and coding compliance |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. HEDIS stands for Health Plan Employer Data and Information Set.
A) FALSE
B) TRUE
2. FCA
A) Federal Employee Health Benefit Program
B) Federal Employment Compensation Act
C) Fair Debt Collection Practices Act
D) False Claims Act
3. Adverse Selection includes covering members who are sicker then the general population.
A) FALSE
B) TRUE
4. BCBSA stands for Blue Cross Blue Shield Association.
A) FALSE
B) TRUE
5. CAC (Choose two.)
A) Certified Coding Specialist
B) Computer Assisted Coding
C) Common Access Card
D) Computerized Axial Tomography
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: B,C |
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