CPB Question Explanations, Test CPB Valid

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AAPC CPB Exam Syllabus Topics:

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

>> CPB Question Explanations <<

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AAPC Certified Professional Biller (CPB) Sample Questions (Q112-Q117):

NEW QUESTION # 112
What does APC stand for?

Answer: B


NEW QUESTION # 113
Which amount is written off when a provider is contracted with an insurance company?

Answer: C

Explanation:
Contractual adjustments are the differences between billed charges and allowed amounts.


NEW QUESTION # 114
Which part of the body do colp and kolp refer to?

Answer: D


NEW QUESTION # 115
What does it mean by graphy?

Answer: A


NEW QUESTION # 116
Blue Cross Blue Shield Association (BCBSA) is an association of independent Blue Cross Blue Shield plans.

Answer: A


NEW QUESTION # 117
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