CPB Exam Questions - Certified Professional Biller (CPB) Test Questions & CPB Test Guide

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AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
Types of Insurance21%- Managed care plans
- TRICARE/CHAMPUS, Workers' compensation
- Third-party liability
- Medicare, Medigap, Medicaid
- Commercial payers
Claims and Billing14%- Electronic claims, clearinghouses
- Timely filing rules
- Claim submission, tracking, follow-up
- Denials, appeals, corrections
Reimbursement and Collections14%- Payment posting, adjustments
- Accounts receivable management
- Refunds, payment plans, write-offs
- Patient statements, collections
Coding Concepts for Billers12%- Code validation, modifiers
- ICD-10-CM, CPT®, HCPCS Level II
- Medical necessity
HIPAA and Compliance9%- Medical record retention
- Privacy, security, transaction standards
- Fraud, abuse, False Claims Act
- Compliance programs
Billing Regulations13%- ACOs, NCCI, LCDs, NCDs
- Payer payment policies
- Incident-to billing, global packages
- CMS-1500, UB-04 completion
Case Analysis17%- Adjudication and resolution
- End-to-end billing scenarios
- Eligibility verification

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AAPC Certified Professional Biller (CPB) Sample Questions (Q130-Q135):

NEW QUESTION # 130
de

Answer: D


NEW QUESTION # 131
Bonding insurance is an insurance agreement that guarantees repayment for financial losses resulting from the act or failure to act of an employee. It protects the financial operations of the employer.

Answer: A


NEW QUESTION # 132
Which term refers to a digital version of a patient's paper chart, encompassing a comprehensive record of patient health information?

Answer: B


NEW QUESTION # 133
What is the provider's responsibility when a patient has a copayment?

Answer: C

Explanation:
Copayments are patient responsibility and should be collected at the time of service.


NEW QUESTION # 134
ASC (Choose two.)

Answer: A,D


NEW QUESTION # 135
......

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