Certification AAPC CPB Dumps | New CPB Test Sample

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| Section | Weight | Objectives |
|---|
| Practice Management | 10-15% | - Accounts receivable management - Collections and payment posting - Insurance verification processes - Patient registration and demographics - Patient responsibility calculations
|
| Healthcare Billing Fundamentals | 15-20% | - Medical terminology basics - Anatomy and physiology for billers - Revenue cycle overview - Healthcare documentation principles
|
| ICD-10-CM Diagnosis Coding | 15-20% | - Code accuracy and specificity - Principal diagnosis selection - Secondary diagnosis coding - ICD-10-CM structure and conventions - Chapter-specific guidelines
|
| Billing Compliance and Regulations | 10-15% | - Stark Law and Anti-Kickback Statute basics - HIPAA privacy and security requirements - Appeal and denial management - Documentation compliance - Fraud, waste, and abuse prevention
|
| Insurance and Reimbursement | 20-25% | - Coordination of benefits - Claims submission and processing - Commercial insurance policies - Workers' compensation and no-fault billing - Fee schedules and reimbursement methodologies - Government payers (Medicare, Medicaid, TRICARE)
|
| CPT Coding | 20-25% | - Evaluation and Management (E/M) codes - Surgical procedure codes - CPT code categories and structure - Modifiers and their appropriate use - Category II and III codes
|
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AAPC Certified Professional Biller (CPB) Sample Questions (Q49-Q54):
NEW QUESTION # 49
ASC (Choose two.)
- A. Accredited Standards Committee
- B. Ambulatory Surgical Center
- C. Blue Cross
- D. Beneficiary Counseling and Assistance Coordinator
Answer: A,B
NEW QUESTION # 50
The word root "acr" (or "acro-") refers to:
- A. extremities, top
- B. fat
- C. toward
Answer: A
NEW QUESTION # 51
What document is used to transfer patient financial responsibility after insurance adjudication?
- A. UB-04
- B. Prior Authorization
- C. Patient Statement
- D. CMS-1500
Answer: C
Explanation:
A patient statement reflects remaining balances after insurance processing.
NEW QUESTION # 52
HEDIS stands for Health Plan Employer Data and Information Set.
Answer: A
NEW QUESTION # 53
Case manager submits written confirmation, authorizing treatment, to provider.
Answer: A
NEW QUESTION # 54
......
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