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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Reimbursement and Collections | 14% | - Refunds, payment plans, write-offs - Accounts receivable management - Patient statements, collections - Payment posting, adjustments |
| Topic 2: Billing Regulations | 13% | - Incident-to billing, global packages - Payer payment policies - CMS-1500, UB-04 completion - ACOs, NCCI, LCDs, NCDs |
| Topic 3: Claims and Billing | 14% | - Electronic claims, clearinghouses - Timely filing rules - Denials, appeals, corrections - Claim submission, tracking, follow-up |
| Topic 4: Types of Insurance | 21% | - Medicare, Medigap, Medicaid - Third-party liability - TRICARE/CHAMPUS, Workers' compensation - Managed care plans - Commercial payers |
| Topic 5: Case Analysis | 17% | - End-to-end billing scenarios - Eligibility verification - Adjudication and resolution |
| Topic 6: HIPAA and Compliance | 9% | - Medical record retention - Privacy, security, transaction standards - Compliance programs - Fraud, abuse, False Claims Act |
| Topic 7: Coding Concepts for Billers | 12% | - Code validation, modifiers - ICD-10-CM, CPTยฎ, HCPCS Level II - Medical necessity |
>> AAPC CPB Certification Dumps <<
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NEW QUESTION # 134
ERA
Answer: B
NEW QUESTION # 135
EMC
Answer: B
NEW QUESTION # 136
What does HA stand for?
Answer: C
NEW QUESTION # 137
The medical word root "fibr" or "fibr/o" refers to:
Answer: A
NEW QUESTION # 138
GPWW stands for Group Practice Without Walls.
Answer: A
NEW QUESTION # 139
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