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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| 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 |
| Compliance and Regulations | - Fraud and abuse prevention - HIPAA and patient privacy rules - Billing compliance standards |
| Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance - Claims submission processes |
| Insurance Processing and Payer Rules | - Medicare and Medicaid guidelines - Private insurance policies and contracts - Coordination of benefits (COB) |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. HHRG stands for Home Health Resource Group.
A) TRUE
B) FALSE
2. What does it mean by dacry?
A) sweat
B) urine
C) stool
D) tear
3. The medical prefixes "hypo-" or "hyp-" mean:
A) above, excessive
B) below, under
C) uterus, womb
D) condition
4. Which professional association was founded to improve the quality of medical records and current advances toward an electronic and global environment including the implementation of ICD10CM
A) An association of independent Blue Cross Blue Shield plans
B) Joint venture between Blue Cross and Blue shield where the corporations shared one building and computer services but maintained separate corporate identities
C) American Academy of Professional Coders (AAPC)
D) American Health Information Management Association (AHIMA)
5. Which entity is responsible for enforcing HIPAA privacy regulations?
A) Office for Civil Rights (OCR)
B) CMS
C) Office of Inspector General (OIG)
D) American Medical Association (AMA)
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: D | Question # 5 Answer: A |
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