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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: ICD-10-CM Diagnosis Coding | 15-20% | - Chapter-specific guidelines - Principal diagnosis selection - ICD-10-CM structure and conventions - Code accuracy and specificity - Secondary diagnosis coding |
| Topic 2: Healthcare Billing Fundamentals | 15-20% | - Healthcare documentation principles - Anatomy and physiology for billers - Revenue cycle overview - Medical terminology basics |
| Topic 3: CPT Coding | 20-25% | - CPT code categories and structure - Modifiers and their appropriate use - Surgical procedure codes - Category II and III codes - Evaluation and Management (E/M) codes |
| Topic 4: Insurance and Reimbursement | 20-25% | - Commercial insurance policies - Fee schedules and reimbursement methodologies - Claims submission and processing - Coordination of benefits - Government payers (Medicare, Medicaid, TRICARE) - Workers' compensation and no-fault billing |
| Topic 5: Billing Compliance and Regulations | 10-15% | - Documentation compliance - Stark Law and Anti-Kickback Statute basics - Fraud, waste, and abuse prevention - HIPAA privacy and security requirements - Appeal and denial management |
| Topic 6: Practice Management | 10-15% | - Patient registration and demographics - Collections and payment posting - Accounts receivable management - Insurance verification processes - Patient responsibility calculations |
>> Reliable CPB Exam Topics <<
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NEW QUESTION # 47
CDAC stands for Clinical Data Abstracting Center.
Answer: A
NEW QUESTION # 48
Bonding insurance is an insurance agreement that guarantees repayment for financial losses resulting from the act or failure to act of an employee. It protects the financial operations of the employer.
Answer: A
NEW QUESTION # 49
Breach of confidentiality is unauthorized release of patient information to third party.
Answer: A
NEW QUESTION # 50
What does HIPAA stand for?
Answer: A
NEW QUESTION # 51
anti
Answer: B
NEW QUESTION # 52
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