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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q105-Q110):

NEW QUESTION # 105
blephar

Answer: D


NEW QUESTION # 106
FATHOM

Answer: B


NEW QUESTION # 107
What does it mean by cyan?

Answer: D


NEW QUESTION # 108
The medical word root "ileo" refers to the:

Answer: A


NEW QUESTION # 109
Which part of the body does crani refer to?

Answer: C


NEW QUESTION # 110
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