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AAPC CPB Exam Syllabus Topics:

Section	Objectives
Topic 1: Compliance and Regulations	- Fraud and abuse prevention - HIPAA and patient privacy rules - Billing compliance standards
Topic 2: Revenue Cycle Management	- Accounts receivable follow-up - Claims denial and rejection management - Payment posting and reconciliation
Topic 3: Medical Billing Fundamentals	- Insurance types and payer structures - Healthcare reimbursement systems - Medical billing workflow and revenue cycle
Topic 4: Insurance Processing and Payer Rules	- Coordination of benefits (COB) - Private insurance policies and contracts - Medicare and Medicaid guidelines
Topic 5: Coding and Claim Submission Basics	- Claims submission processes - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance

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AAPC Certified Professional Biller (CPB) Sample Questions (Q192-Q197):

NEW QUESTION # 192
EQRO

A. External Quality Review Organization
B. First Look Analysis for Hospital Outlier Monitoring
C. Electronic Remittance Advice
D. Employee Retirements income security Act of 1974

Answer: A

NEW QUESTION # 193
What does it mean by dacry?

A. urine
B. stool
C. tear
D. sweat

Answer: C

NEW QUESTION # 194
Accounts Receivable Aging Report

A. Voluntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.
B. Judicial dispute resolution process in which an appeals board makes a final determination.
C. Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients.
D. Assists Providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services.

Answer: C

NEW QUESTION # 195
EPSDT

A. Early and Periodic screening, diagnostic, and treatment
B. Electronic Remittance Advice
C. External Quality Review Organization
D. Employee Retirements income security Act of 1974

Answer: A

NEW QUESTION # 196
EHNAC

A. Evaluation and Management
B. Electronic Healthcare Network Accreditation Commission
C. Electronic Health Record
D. Electronic Media Claim

Answer: B

NEW QUESTION # 197
......

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