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The AAPC CPB Certification is a valuable certificate that is designed to advance the professional career. With the Certified Professional Biller (CPB) (CPB) certification exam seasonal professionals and beginners get an opportunity to demonstrate their expertise. The Certified Professional Biller (CPB) certification exam recognizes successful candidates in the market and provides solid proof of their expertise.

AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
HIPAA and Compliance9%- Medical record retention
- Fraud, abuse, False Claims Act
- Privacy, security, transaction standards
- Compliance programs
Reimbursement and Collections14%- Accounts receivable management
- Payment posting, adjustments
- Refunds, payment plans, write-offs
- Patient statements, collections
Claims and Billing14%- Electronic claims, clearinghouses
- Timely filing rules
- Denials, appeals, corrections
- Claim submission, tracking, follow-up
Billing Regulations13%- Payer payment policies
- CMS-1500, UB-04 completion
- ACOs, NCCI, LCDs, NCDs
- Incident-to billing, global packages
Types of Insurance21%- Third-party liability
- Managed care plans
- Commercial payers
- TRICARE/CHAMPUS, Workers' compensation
- Medicare, Medigap, Medicaid
Coding Concepts for Billers12%- Code validation, modifiers
- Medical necessity
- ICD-10-CM, CPT®, HCPCS Level II
Case Analysis17%- Adjudication and resolution
- Eligibility verification
- End-to-end billing scenarios

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AAPC Certified Professional Biller (CPB) Sample Questions (Q77-Q82):

NEW QUESTION # 77
What does CDT stand for?

Answer: C


NEW QUESTION # 78
What does it mean by juxta?

Answer: B


NEW QUESTION # 79
FELA stands for Federal Employment Liability Act.

Answer: B


NEW QUESTION # 80
What is Blue Cross (BC)?

Answer: B


NEW QUESTION # 81
Ambulance Fee Schedule is payment system for ambulance services provided to Medicare Beneficiaries.

Answer: B


NEW QUESTION # 82
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