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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Compliance and Regulations | - Fraud and abuse prevention - Billing compliance standards - HIPAA and patient privacy rules |
| Medical Billing Fundamentals | - Healthcare reimbursement systems - Medical billing workflow and revenue cycle - Insurance types and payer structures |
| Revenue Cycle Management | - Accounts receivable follow-up - Claims denial and rejection management - Payment posting and reconciliation |
| Insurance Processing and Payer Rules | - Medicare and Medicaid guidelines - Coordination of benefits (COB) - Private insurance policies and contracts |
| Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance - Claims submission processes |
AAPC Certified Professional Biller (CPB) Sample Questions:
Question 1
BCAC stands for Beneficiary Counseling and Assistance Coordinator.
A. TRUE
B. FALSE
Question 2
FATHOM
A. False Claims Act
B. Fair Debt Collection Practices Act
C. Federal Employment Compensation Act
D. First Look Analysis for Hospital Outlier Monitoring
Question 3
Ambulance Fee Schedule is payment system for ambulance services provided to Medicare Beneficiaries.
A. TRUE
B. FALSE
Question 4
The word root "acr" (or "acro-") refers to:
A. fat
B. toward
C. extremities, top
Question 5
ad
A. fat
B. toward
C. pertaining to
Solutions:
| Question 1 Answer: A | Question 2 Answer: D | Question 3 Answer: A | Question 4 Answer: C | Question 5 Answer: B |
