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AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Healthcare Billing Fundamentals15-20%- Anatomy and physiology for billers
- Healthcare documentation principles
- Revenue cycle overview
- Medical terminology basics
Topic 2: ICD-10-CM Diagnosis Coding15-20%- Secondary diagnosis coding
- Chapter-specific guidelines
- Principal diagnosis selection
- Code accuracy and specificity
- ICD-10-CM structure and conventions
Topic 3: Practice Management10-15%- Insurance verification processes
- Accounts receivable management
- Patient responsibility calculations
- Patient registration and demographics
- Collections and payment posting
Topic 4: CPT Coding20-25%- Surgical procedure codes
- Category II and III codes
- CPT code categories and structure
- Evaluation and Management (E/M) codes
- Modifiers and their appropriate use
Topic 5: Billing Compliance and Regulations10-15%- Stark Law and Anti-Kickback Statute basics
- Appeal and denial management
- Fraud, waste, and abuse prevention
- Documentation compliance
- HIPAA privacy and security requirements
Topic 6: Insurance and Reimbursement20-25%- Government payers (Medicare, Medicaid, TRICARE)
- Commercial insurance policies
- Fee schedules and reimbursement methodologies
- Coordination of benefits
- Claims submission and processing
- Workers' compensation and no-fault billing

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New AAPC CPB Braindumps Pdf - CPB New Dumps Sheet

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AAPC Certified Professional Biller (CPB) Sample Questions (Q75-Q80):

NEW QUESTION # 75
APDRG refers to All Patient DiagnosisRelated Group.

Answer: B


NEW QUESTION # 76
What does HA stand for?

Answer: D


NEW QUESTION # 77
ilio

Answer: A


NEW QUESTION # 78
CMS1500

Answer: C


NEW QUESTION # 79
What is the amount owed to a business for services or goods provided?

Answer: A


NEW QUESTION # 80
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