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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q147-Q152):

NEW QUESTION # 147
DEERS

Answer: B


NEW QUESTION # 148
hemi

Answer: A


NEW QUESTION # 149
What does it mean by dacry?

Answer: B


NEW QUESTION # 150
HCF stands for Healthcare Finder.

Answer: A


NEW QUESTION # 151
When is an Advance Beneficiary Notice (ABN) required?

Answer: B

Explanation:
An ABN informs Medicare patients that they may be financially responsible if coverage is denied.


NEW QUESTION # 152
......

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