AAPC CPB Hot Questions: Certified Professional Biller (CPB) - VCEPrep Products Prepare for your Exam in Short Time
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| Section | Weight | Objectives |
|---|
| ICD-10-CM Diagnosis Coding | 15-20% | - Secondary diagnosis coding - Chapter-specific guidelines - Principal diagnosis selection - Code accuracy and specificity - ICD-10-CM structure and conventions
|
| Practice Management | 10-15% | - Accounts receivable management - Collections and payment posting - Patient registration and demographics - Insurance verification processes - Patient responsibility calculations
|
| CPT Coding | 20-25% | - Evaluation and Management (E/M) codes - Category II and III codes - Surgical procedure codes - CPT code categories and structure - Modifiers and their appropriate use
|
| Healthcare Billing Fundamentals | 15-20% | - Healthcare documentation principles - Anatomy and physiology for billers - Revenue cycle overview - Medical terminology basics
|
| Insurance and Reimbursement | 20-25% | - Coordination of benefits - Government payers (Medicare, Medicaid, TRICARE) - Fee schedules and reimbursement methodologies - Claims submission and processing - Workers' compensation and no-fault billing - Commercial insurance policies
|
| Billing Compliance and Regulations | 10-15% | - HIPAA privacy and security requirements - Fraud, waste, and abuse prevention - Stark Law and Anti-Kickback Statute basics - Appeal and denial management - Documentation compliance
|
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Latest AAPC CPB Exam Questions in Three Different Formats
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AAPC Certified Professional Biller (CPB) Sample Questions (Q39-Q44):
NEW QUESTION # 39
Benefit period (Medicare) __________
- A. begins with the first day of hospitalization and ends when the patient has been out of the hospital for 60 consecutive days.
- B. begins with the first day of hospitalization and ends when the patient has been out of the hospital for 30 consecutive days.
- C. begins with the first day of hospitalization and ends when the patient has been out of the hospital for 120 consecutive days.
- D. begins with the first day of hospitalization and ends when the patient has been out of the hospital for 90 consecutive days.
Answer: A
NEW QUESTION # 40
HCPCS stands for Healthcare Common Procedure Coding System.
Answer: A
NEW QUESTION # 41
Care plan oversight services cover the physician's time supervising a complex and multidisciplinary care treatment program for specific patient who is under the care of a home health agency, hospice, or nursing facility.
Answer: A
NEW QUESTION # 42
What does APC stand for?
- A. Advanced Payment Classification
- B. Advanced Patient Classification
- C. Ambulatory Payment Classification
- D. Ambulatory Patient Classification
Answer: C
NEW QUESTION # 43
Adjudication
- A. Payment correction resulting in additional payment(s) to the provider.
- B. Judicial dispute resolution process in which an appeals board makes a final determination.
- C. Also called adverse reaction; the appearance of a pathologic condition due to ingestion r exposure to a chemical substance properly administered or taken.
- D. Document that acknowledges patient responsibility for payment if Medicare denies the claim
Answer: B
NEW QUESTION # 44
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