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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Compliance and Regulations | - Billing compliance standards - Fraud and abuse prevention - HIPAA and patient privacy rules |
| Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Claims submission processes - Use of modifiers and coding compliance |
| Medical Billing Fundamentals | - Insurance types and payer structures - Medical billing workflow and revenue cycle - Healthcare reimbursement systems |
| Revenue Cycle Management | - Payment posting and reconciliation - Claims denial and rejection management - Accounts receivable follow-up |
| Insurance Processing and Payer Rules | - Coordination of benefits (COB) - Medicare and Medicaid guidelines - Private insurance policies and contracts |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. The medical prefixes "a-" and "an-" mean:
A) away from
B) extremities, top
C) no, not
D) abdomen
2. What does it mean by erythr?
A) blue
B) green
C) red
D) yellow
3. EMC
A) Explanation of Benefits
B) Electronic Medical Record
C) Exclusive provider organization
D) Electronic Media Claim
4. Which part of the body does crani refer to?
A) bones
B) skull
C) skeleton
5. abdomin
A) extremities, top
B) abdomen
C) toward
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: B |
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