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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Coding Concepts for Billers | 12% | - Medical necessity - ICD-10-CM, CPTยฎ, HCPCS Level II - Code validation, modifiers |
| Topic 2: HIPAA and Compliance | 9% | - Medical record retention - Privacy, security, transaction standards - Fraud, abuse, False Claims Act - Compliance programs |
| Topic 3: Case Analysis | 17% | - Adjudication and resolution - End-to-end billing scenarios - Eligibility verification |
| Topic 4: Claims and Billing | 14% | - Claim submission, tracking, follow-up - Timely filing rules - Electronic claims, clearinghouses - Denials, appeals, corrections |
| Topic 5: Types of Insurance | 21% | - Commercial payers - Third-party liability - Managed care plans - TRICARE/CHAMPUS, Workers' compensation - Medicare, Medigap, Medicaid |
| Topic 6: Reimbursement and Collections | 14% | - Accounts receivable management - Payment posting, adjustments - Refunds, payment plans, write-offs - Patient statements, collections |
| Topic 7: Billing Regulations | 13% | - Incident-to billing, global packages - Payer payment policies - CMS-1500, UB-04 completion - ACOs, NCCI, LCDs, NCDs |
After cracking the Certified Professional Biller (CPB) (CPB) exam you will receive the credential badge. It will pave your way toward well-paying jobs or promotions in any reputed tech company. At PassExamDumps have customizable AAPC CPB practice exams for the students to review and improve their preparation. The AAPC CPB Practice Test material product of PassExamDumps are created by experts with the dedication to help customers crack the AAPC CPB exam on the first attempt.
NEW QUESTION # 195
Which is a professional member of the healthcare team who provides services or supplies to the insured?
Answer: C
NEW QUESTION # 196
CPT
Answer: C
NEW QUESTION # 197
BCAC stands for Beneficiary Counseling and Assistance Coordinator.
Answer: A
NEW QUESTION # 198
Which part of the body does crani refer to?
Answer: B
NEW QUESTION # 199
CMS1450
Answer: D
NEW QUESTION # 200
......
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