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AAPC CPB Exam Syllabus Topics:

SectionObjectives
Topic 1: Compliance and Regulations- Billing compliance standards
- HIPAA and patient privacy rules
- Fraud and abuse prevention
Topic 2: Revenue Cycle Management- Accounts receivable follow-up
- Claims denial and rejection management
- Payment posting and reconciliation
Topic 3: Coding and Claim Submission Basics- ICD-10-CM, CPT, and HCPCS overview
- Claims submission processes
- Use of modifiers and coding compliance
Topic 4: Medical Billing Fundamentals- Healthcare reimbursement systems
- Insurance types and payer structures
- Medical billing workflow and revenue cycle
Topic 5: Insurance Processing and Payer Rules- Medicare and Medicaid guidelines
- Private insurance policies and contracts
- Coordination of benefits (COB)

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AAPC Certified Professional Biller (CPB) Sample Questions (Q131-Q136):

NEW QUESTION # 131
The medical prefixes "hypo-" or "hyp-" mean:

Answer: A


NEW QUESTION # 132
BCAC stands for Beneficiary Counseling and Assistance Coordinator.

Answer: B


NEW QUESTION # 133
Blue Cross Blue Shield (BCBS) is joint venture between Blue Cross and Blue Shield where the corporation shared one building and computer.

Answer: B


NEW QUESTION # 134
FEP stands for Federal Employee Program.

Answer: B


NEW QUESTION # 135
Adverse Effect is also called adverse reaction; the appearance of a pathologic condition due to ingestion r exposure to a chemical substance properly administered or taken.

Answer: B


NEW QUESTION # 136
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