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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Case Analysis | 17% | - Adjudication and resolution - End-to-end billing scenarios - Eligibility verification |
| Topic 2: Coding Concepts for Billers | 12% | - Medical necessity - Code validation, modifiers - ICD-10-CM, CPT®, HCPCS Level II |
| Topic 3: Billing Regulations | 13% | - ACOs, NCCI, LCDs, NCDs - Payer payment policies - CMS-1500, UB-04 completion - Incident-to billing, global packages |
| Topic 4: Reimbursement and Collections | 14% | - Refunds, payment plans, write-offs - Payment posting, adjustments - Patient statements, collections - Accounts receivable management |
| Topic 5: Types of Insurance | 21% | - Third-party liability - Managed care plans - Commercial payers - TRICARE/CHAMPUS, Workers' compensation - Medicare, Medigap, Medicaid |
| Topic 6: Claims and Billing | 14% | - Electronic claims, clearinghouses - Timely filing rules - Claim submission, tracking, follow-up - Denials, appeals, corrections |
| Topic 7: HIPAA and Compliance | 9% | - Compliance programs - Fraud, abuse, False Claims Act - Medical record retention - Privacy, security, transaction standards |
CPB certification can demonstrate your mastery of certain areas of knowledge, which is internationally recognized and accepted by the general public as a certification. CPB certification is so high that it is not easy to obtain it. It requires you to invest time and energy. If you are not sure whether you can strictly request yourself, our CPB Exam Training can help you. Help is to arrange time for you and provide you with perfect service. What are the advantages of our CPB test guide? I hope you can take a moment to find out.
NEW QUESTION # 67
What does CF stand for?
Answer: C
NEW QUESTION # 68
Which of the following suffixes means two?
Answer: A
NEW QUESTION # 69
Which part of the body do gaster and gastr refer to?
Answer: B
NEW QUESTION # 70
Birthday rule determines coverage by primary and secondary policies when each parent subscribes to a different health insurance plan.
Answer: A
NEW QUESTION # 71
What does it mean by ipsi?
Answer: A
NEW QUESTION # 72
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