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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q97-Q102):

NEW QUESTION # 97
What does the acronym E/M stand for in medical coding?

A. Evaluation and Management
B. Electronic Media Claim
C. Electronic Medical Record
D. Explanation of Benefits

Answer: A

NEW QUESTION # 98
DMERC

A. Diagnosis related groups
B. Durable Medical Equipment regional carriers
C. Department of Defense
D. Disproportionate share hospital (adjustment)

Answer: B

NEW QUESTION # 99
What is All Patient DiagnosisRelated Group (APDRG)?

A. DRG system adapted for use by third-party payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross BlueShield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.
B. Adopted by Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare beneficiaries; expanded original DRG system (based on intensity of resources) to add two subclasses to each DRG that adjusts Medicare inpatient hospital reimbursement rates for severity of illness (SOI) (extent of physiological decompensation or organ system loss of function) and risk of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.

Answer: A

NEW QUESTION # 100
The medical prefixes "end-" and "endo-" mean:

A. above, upon
B. in, within
C. red
D. nervous sensation

Answer: B

NEW QUESTION # 101
What does it mean by gluc and glyc?

A. fat
B. sugar, glucose
C. protein
D. vitamins

Answer: B

NEW QUESTION # 102
......

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