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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q171-Q176):

NEW QUESTION # 171
Which document communicates to the payer that the provider is requesting reimbursement?

Answer: D


NEW QUESTION # 172
Which part of the body does genit refer to?

Answer: C


NEW QUESTION # 173
What does it mean by juxta?

Answer: A


NEW QUESTION # 174
What does CERT stand for?

Answer: B


NEW QUESTION # 175
HICN stands for Health Insurance claim number.

Answer: A


NEW QUESTION # 176
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