Exam CPB Quiz, CPB Questions Answers

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AAPC CPB Exam Syllabus Topics:

Section	Weight	Objectives
Practice Management	10-15%	- Patient responsibility calculations - Collections and payment posting - Insurance verification processes - Patient registration and demographics - Accounts receivable management
Billing Compliance and Regulations	10-15%	- Fraud, waste, and abuse prevention - HIPAA privacy and security requirements - Stark Law and Anti-Kickback Statute basics - Appeal and denial management - Documentation compliance
Healthcare Billing Fundamentals	15-20%	- Revenue cycle overview - Anatomy and physiology for billers - Healthcare documentation principles - Medical terminology basics
ICD-10-CM Diagnosis Coding	15-20%	- Secondary diagnosis coding - Chapter-specific guidelines - Code accuracy and specificity - ICD-10-CM structure and conventions - Principal diagnosis selection
CPT Coding	20-25%	- Evaluation and Management (E/M) codes - Category II and III codes - CPT code categories and structure - Modifiers and their appropriate use - Surgical procedure codes
Insurance and Reimbursement	20-25%	- Claims submission and processing - Coordination of benefits - Government payers (Medicare, Medicaid, TRICARE) - Fee schedules and reimbursement methodologies - Commercial insurance policies - Workers' compensation and no-fault billing

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AAPC Certified Professional Biller (CPB) Sample Questions (Q66-Q71):

NEW QUESTION # 66
Advance Beneficiary Notice (ABN) is document that acknowledges patient responsibility for payment if Medicare denies the claim.

A. FALSE
B. TRUE

Answer: B

NEW QUESTION # 67
What is Allowed Charge?

A. The Minimum amount the payer will reimburse for each procedure or service, according to the patients policy.
B. The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
C. The amount the payer will reimburse for each procedure or service, according to the patients policy.

Answer: B

NEW QUESTION # 68
di

A. two
B. separation
C. bad, painful
D. pain

Answer: A

NEW QUESTION # 69
DME

A. Department of Defense
B. Durable Medical Equipment, Prosthetic and Orthotic Supplies
C. Durable Medical Equipment regional carriers
D. Durable Medical Equipment

Answer: D

NEW QUESTION # 70
Beneficiary counseling and assistance coordinator (BCAC) is individual available at military treatment facility (MTF) to answer questions, help solve healthcare related problems, and assist beneficiaries in obtaining medical care through TRICARE; was previously called health benefits advisor (HBA).

A. FALSE
B. TRUE

Answer: B

NEW QUESTION # 71
......

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