CPB Certification Practice, Exam CPB Fee

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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q235-Q240):

NEW QUESTION # 235
HCF stands for Healthcare Finder.

Answer: B


NEW QUESTION # 236
GCPI stands for Geographic Cost Practice Index.

Answer: B


NEW QUESTION # 237
BCBS stands for Blue Cross Blue Shield.

Answer: B


NEW QUESTION # 238
Case mix includes the types and categories of patients treated by a healthcare provider.

Answer: B


NEW QUESTION # 239
BlueCard Program is program that allows BCBS subscribers to receive local Blue Plan healthcare benefits while traveling or living outside of their plan's area.

Answer: B


NEW QUESTION # 240
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