CPB熱門考古題 & CPB考試

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AAPC CPB Exam Syllabus Topics:

Section	Weight	Objectives
Billing Regulations	13%	- ACOs, NCCI, LCDs, NCDs - CMS-1500, UB-04 completion - Payer payment policies - Incident-to billing, global packages
Claims and Billing	14%	- Denials, appeals, corrections - Electronic claims, clearinghouses - Timely filing rules - Claim submission, tracking, follow-up
Types of Insurance	21%	- Managed care plans - Medicare, Medigap, Medicaid - Third-party liability - Commercial payers - TRICARE/CHAMPUS, Workers' compensation
Reimbursement and Collections	14%	- Payment posting, adjustments - Refunds, payment plans, write-offs - Patient statements, collections - Accounts receivable management
Coding Concepts for Billers	12%	- Code validation, modifiers - Medical necessity - ICD-10-CM, CPT®, HCPCS Level II
Case Analysis	17%	- End-to-end billing scenarios - Adjudication and resolution - Eligibility verification
HIPAA and Compliance	9%	- Privacy, security, transaction standards - Medical record retention - Fraud, abuse, False Claims Act - Compliance programs

>> CPB熱門考古題 <<

高效的AAPC CPB熱門考古題是行業領先材料＆最佳的CPB：Certified Professional Biller (CPB)

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最新的 AAPC Certification CPB 免費考試真題 (Q144-Q149):

問題 #144
What is the provider's responsibility when a patient has a copayment?

A. Bill it to insurance
B. Waive it routinely
C. Collect it at the time of service
D. Write it off automatically

答案：C

解題說明：
Copayments are patient responsibility and should be collected at the time of service.

問題 #145
What does AAMA stand for?

A. American Association of Medical Assistants
B. Asian Association of Medical Assistants
C. Australian Association of Medical Assistants
D. African Association of Medical Assistants

答案：A

問題 #146
Allowable Charge

A. The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
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 of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.
C. See limiting charge; maximum fee a physician may charge.
D. DRG system adapted for use by thirdparty payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross Blue Shield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.

答案：C

問題 #147
What does it mean by brachy?

A. tall
B. short

答案：B

問題 #148
Which part of the body does crani refer to?

A. skull
B. bones
C. skeleton

答案：A

問題 #149
......

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