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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Revenue Cycle Management | - Payment posting and reconciliation - Accounts receivable follow-up - Claims denial and rejection management |
| Insurance Processing and Payer Rules | - Medicare and Medicaid guidelines - Coordination of benefits (COB) - Private insurance policies and contracts |
| Coding and Claim Submission Basics | - Use of modifiers and coding compliance - Claims submission processes - ICD-10-CM, CPT, and HCPCS overview |
| Medical Billing Fundamentals | - Medical billing workflow and revenue cycle - Insurance types and payer structures - Healthcare reimbursement systems |
| Compliance and Regulations | - Fraud and abuse prevention - Billing compliance standards - HIPAA and patient privacy rules |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. What does it mean by brachy?
A) short
B) tall
2. CPC
A) CHAMPUS Reform Initiative
B) Certified Professional Coder
C) Customized SubCapitation Plan
D) Current Procedural Terminology
3. Which professional association was founded to elevate the standards of medical coding by providing certification, ongoing education, networking, and recognition for coders?
A) An association of independent Blue Cross Blue Shield plans
B) American Health Information Management Association (AHIMA)
C) American Academy of Professional Coders (AAPC)
D) Joint venture between Blue Cross and Blue shield where the corporations shared one building and computer services but maintained separate corporate identities
4. When is an Advance Beneficiary Notice (ABN) required?
A) Only for inpatient services
B) When a service is expected to be denied as not medically necessary
C) For all Medicare services
D) After the service is denied
5. Blue Worldwide Expat __________
A) provides global medical coverage for active employees and their dependents who spend more than six months outside the United States for three months or more is eligible for Blue World Expat.
B) provides global medical coverage for active employees and their dependents who spend more than three months outside the United States for three months or more is eligible for Blue World Expat.
C) provides global medical coverage for active employees and their dependents who spend more than three months outside the United States for six months or more is eligible for Blue World Expat.
D) provides global medical coverage for active employees and their dependents who spend more than six months outside the United States for six months or more is eligible for Blue World Expat.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: D |
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