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AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Insurance and Reimbursement20-25%- Commercial insurance policies
- Workers' compensation and no-fault billing
- Claims submission and processing
- Government payers (Medicare, Medicaid, TRICARE)
- Coordination of benefits
- Fee schedules and reimbursement methodologies
Topic 2: Practice Management10-15%- Accounts receivable management
- Patient registration and demographics
- Collections and payment posting
- Patient responsibility calculations
- Insurance verification processes
Topic 3: Healthcare Billing Fundamentals15-20%- Revenue cycle overview
- Medical terminology basics
- Healthcare documentation principles
- Anatomy and physiology for billers
Topic 4: Billing Compliance and Regulations10-15%- HIPAA privacy and security requirements
- Stark Law and Anti-Kickback Statute basics
- Appeal and denial management
- Documentation compliance
- Fraud, waste, and abuse prevention
Topic 5: ICD-10-CM Diagnosis Coding15-20%- Secondary diagnosis coding
- Chapter-specific guidelines
- Principal diagnosis selection
- ICD-10-CM structure and conventions
- Code accuracy and specificity
Topic 6: CPT Coding20-25%- Category II and III codes
- Evaluation and Management (E/M) codes
- Modifiers and their appropriate use
- CPT code categories and structure
- Surgical procedure codes

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AAPC Certified Professional Biller (CPB) Sample Questions (Q165-Q170):

NEW QUESTION # 165
What are Category III codes?

Answer: B


NEW QUESTION # 166
Blue Worldwide Expat __________

Answer: D


NEW QUESTION # 167
in

Answer: B


NEW QUESTION # 168
What does AAMA stand for?

Answer: D


NEW QUESTION # 169
What does it mean by derm and dermat?

Answer: D


NEW QUESTION # 170
......

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