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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q173-Q178):

NEW QUESTION # 173
The word root "acr" (or "acro-") refers to:

Answer: B


NEW QUESTION # 174
ASC (Choose two.)

Answer: B,D


NEW QUESTION # 175
What does "timely filing" refer to?

Answer: B

Explanation:
Timely filing means submitting claims within the time limits set by the payer.


NEW QUESTION # 176
What is the provider's responsibility when a patient has a copayment?

Answer: C

Explanation:
Copayments are patient responsibility and should be collected at the time of service.


NEW QUESTION # 177
What does AHA stand for?

Answer: B


NEW QUESTION # 178
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