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| Section | Weight | Objectives |
|---|---|---|
| HIPAA and Compliance | 9% | - Medical record retention - Fraud, abuse, False Claims Act - Compliance programs - Privacy, security, transaction standards |
| Billing Regulations | 13% | - CMS-1500, UB-04 completion - Incident-to billing, global packages - Payer payment policies - ACOs, NCCI, LCDs, NCDs |
| Case Analysis | 17% | - End-to-end billing scenarios - Adjudication and resolution - Eligibility verification |
| Claims and Billing | 14% | - Electronic claims, clearinghouses - Denials, appeals, corrections - Claim submission, tracking, follow-up - Timely filing rules |
| Types of Insurance | 21% | - Medicare, Medigap, Medicaid - Third-party liability - TRICARE/CHAMPUS, Workers' compensation - Commercial payers - Managed care plans |
| Coding Concepts for Billers | 12% | - Medical necessity - Code validation, modifiers - ICD-10-CM, CPT®, HCPCS Level II |
| Reimbursement and Collections | 14% | - Payment posting, adjustments - Refunds, payment plans, write-offs - Patient statements, collections - Accounts receivable management |
As the tech industry continues to evolve and adapt to new technologies, professionals who hold the Certified Professional Biller (CPB) (CPB) certification are better equipped to navigate these changes and stay ahead of the curve, increasing their value to employers and clients. In today's fast-paced and ever-changing AAPC sector, having the AAPC CPB Certification has become a necessary requirement for individuals looking to advance their careers and stay competitive in the job market.
NEW QUESTION # 194
CLIA
Answer: A
NEW QUESTION # 195
What does it mean by itis?
Answer: A
NEW QUESTION # 196
HIPPS stands for Health Insurance Prospective Payment System (code set).
Answer: A
NEW QUESTION # 197
Accept Assignment
Answer: C
NEW QUESTION # 198
Which of the following suffixes refers to in?
Answer: B
NEW QUESTION # 199
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