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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q165-Q170):

NEW QUESTION # 165
What does it mean by gluc and glyc?

A. fat
B. protein
C. vitamins
D. sugar, glucose

Answer: D

NEW QUESTION # 166
The medical prefixes "end-" and "endo-" mean:

A. red
B. above, upon
C. in, within
D. nervous sensation

Answer: C

NEW QUESTION # 167
Accept Assignment

A. Assists providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services.
B. Provider accepts as payment in full whatever is paid on the claim by the payer (except for any copayment and or coinsurance amounts.)
C. The amount owed to a business for services or goods provided.
D. Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients.

Answer: B

NEW QUESTION # 168
Which part of the body does genit refer to?

A. stomach
B. intestine
C. genitals
D. tongue

Answer: C

NEW QUESTION # 169
Blue Shield (BS) __________

A. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1940; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.
B. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1938; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.
C. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1941; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.
D. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1939; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.

Answer: B

NEW QUESTION # 170
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