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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q136-Q141):

NEW QUESTION # 136
The word root "acr" (or "acro-") refers to:

Answer: C


NEW QUESTION # 137
Cafeteria plan is also called triple option plan; provides different health benefits plans and extra coverage options through an insure or third-party administrator.

Answer: B


NEW QUESTION # 138
EDD

Answer: A


NEW QUESTION # 139
The medical prefixes "end-" and "endo-" mean:

Answer: B


NEW QUESTION # 140
GCPI stands for Geographic Cost Practice Index.

Answer: B


NEW QUESTION # 141
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