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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q151-Q156):

NEW QUESTION # 151
Which part of the body do colp and kolp refer to?

Answer: D


NEW QUESTION # 152
What does the acronym FR stand for?

Answer: B


NEW QUESTION # 153
What is Blue Cross (BC)?

Answer: A


NEW QUESTION # 154
Amendment to the HMO Act of 1973 is legislation that allowed federally qualified HMOs to permit members to occasionally use non HMO physicians and be partially reimbursed.

Answer: A


NEW QUESTION # 155
What does it mean by intra and intro?

Answer: B


NEW QUESTION # 156
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