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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Insurance Processing and Payer Rules | - Private insurance policies and contracts - Medicare and Medicaid guidelines - Coordination of benefits (COB) |
| Topic 2: Coding and Claim Submission Basics | - Use of modifiers and coding compliance - ICD-10-CM, CPT, and HCPCS overview - Claims submission processes |
| Topic 3: Medical Billing Fundamentals | - Insurance types and payer structures - Healthcare reimbursement systems - Medical billing workflow and revenue cycle |
| Topic 4: Revenue Cycle Management | - Accounts receivable follow-up - Claims denial and rejection management - Payment posting and reconciliation |
| Topic 5: Compliance and Regulations | - Billing compliance standards - Fraud and abuse prevention - HIPAA and patient privacy rules |
AAPC Certified Professional Biller (CPB) Sample Questions:
CMS1500
- A. Consolidated Omnibus Budget Reconciliation Act of 1985
- B. Coordination of Benefits
- C. Clinical nurse specialist
- D. Insurance claim used by noninstitutional providers and supplier to bill payers
Correct Answer: D 🗳️
The medical prefixes "a-" and "an-" mean:
- A. no, not
- B. extremities, top
- C. away from
- D. abdomen
Correct Answer: A 🗳️
Which part of the body does cardi refer to?
- A. vagina
- B. neck
- C. head
- D. heart
Correct Answer: D 🗳️
American Academy of Processional Coders (AAPC) is professional association established to provide a national certification and credentialing process, to support the national and local membership by providing educational products and opportunities to network, and to increase and promote national recognition and awareness of professional coding.
- A. TRUE
- B. FALSE
Correct Answer: A 🗳️
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