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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q155-Q160):

NEW QUESTION # 155
CNS

A. Consolidated Omnibus Budget Reconciliation Act of 1985
B. Clinical nurse specialist
C. Coordination of Benefits
D. Certified Professional Coder

Answer: B

NEW QUESTION # 156
What does AMA stand for?

A. American Medical Association
B. American Management Association
C. American Military Association

Answer: A

NEW QUESTION # 157
Catchment area is the region defined by code boundaries within a 40mile radius of a military treatment facility.

A. TRUE
B. FALSE

Answer: A

NEW QUESTION # 158
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.

A. TRUE
B. FALSE

Answer: A

NEW QUESTION # 159
EQRO

A. Employee Retirements income security Act of 1974
B. External Quality Review Organization
C. First Look Analysis for Hospital Outlier Monitoring
D. Electronic Remittance Advice

Answer: B

NEW QUESTION # 160
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