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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q80-Q85):

NEW QUESTION # 80
What does BC stand for?

A. Blue Cross
B. Black Cross
C. Beneficiary Counseling
D. Beneficiary Association

Answer: A

NEW QUESTION # 81
CPT

A. Computed Tomography
B. Current Procedural Terminology
C. Customized SubCapitation Plan
D. CHAMPUS Reform Initiative

Answer: B

NEW QUESTION # 82
What is the main purpose of an audit in medical billing?

A. Speed up reimbursements
B. Punish billers
C. Ensure billing accuracy and compliance
D. Increase workload

Answer: C

Explanation:
Audits are used to verify accurate billing practices and ensure compliance with regulations.

NEW QUESTION # 83
FCA

A. Federal Employment Compensation Act
B. Federal Employee Health Benefit Program
C. False Claims Act
D. Fair Debt Collection Practices Act

Answer: C

NEW QUESTION # 84
DEERS

A. Defense Enrollment Eligibility Reporting System
B. Durable Medical Equipment regional carriers
C. Durable Medical Equipment
D. Durable Medical Equipment, Prosthetic and Orthotic Supplies

Answer: A

NEW QUESTION # 85
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