P.S. Testpdf在Google Drive上分享了免費的2026 AAPC CPB考試題庫：https://drive.google.com/open?id=1wbZCmFyu-bLGvpMJIXqXVWbtHxrzydoX
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Coding Concepts for Billers | 12% | - Code validation, modifiers - Medical necessity - ICD-10-CM, CPT®, HCPCS Level II |
| Topic 2: Claims and Billing | 14% | - Electronic claims, clearinghouses - Timely filing rules - Claim submission, tracking, follow-up - Denials, appeals, corrections |
| Topic 3: HIPAA and Compliance | 9% | - Fraud, abuse, False Claims Act - Privacy, security, transaction standards - Compliance programs - Medical record retention |
| Topic 4: Case Analysis | 17% | - Adjudication and resolution - End-to-end billing scenarios - Eligibility verification |
| Topic 5: Billing Regulations | 13% | - ACOs, NCCI, LCDs, NCDs - Incident-to billing, global packages - CMS-1500, UB-04 completion - Payer payment policies |
| Topic 6: Types of Insurance | 21% | - TRICARE/CHAMPUS, Workers' compensation - Commercial payers - Third-party liability - Managed care plans - Medicare, Medigap, Medicaid |
| Topic 7: Reimbursement and Collections | 14% | - Patient statements, collections - Accounts receivable management - Refunds, payment plans, write-offs - Payment posting, adjustments |
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問題 #17
CDHP stands for Consumer Directed Health Plan.
答案：A
問題 #18
Ambulance Fee Schedule is payment system for ambulance services provided to Medicare Beneficiaries.
答案：A
問題 #19
Beneficiary counseling and assistance coordinator (BCAC) is individual available at military treatment facility (MTF) to answer questions, help solve healthcare related problems, and assist beneficiaries in obtaining medical care through TRICARE; was previously called health benefits advisor (HBA).
答案：A
問題 #20
contra
答案：C
問題 #21
FMAP stands for Federal Medical Assistance Percentage.
答案：A
問題 #22
......
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