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AAPC CPB Exam Syllabus Topics:

Section	Objectives
Revenue Cycle Management	- Accounts receivable follow-up - Payment posting and reconciliation - Claims denial and rejection management
Medical Billing Fundamentals	- Healthcare reimbursement systems - Medical billing workflow and revenue cycle - Insurance types and payer structures
Coding and Claim Submission Basics	- Claims submission processes - Use of modifiers and coding compliance - ICD-10-CM, CPT, and HCPCS overview
Compliance and Regulations	- Billing compliance standards - Fraud and abuse prevention - HIPAA and patient privacy rules
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 (Q208-Q213):

NEW QUESTION # 208
DMERC

A. Disproportionate share hospital (adjustment)
B. Diagnosis related groups
C. Department of Defense
D. Durable Medical Equipment regional carriers

Answer: D

NEW QUESTION # 209
What document is used to transfer patient financial responsibility after insurance adjudication?

A. Patient Statement
B. UB-04
C. Prior Authorization
D. CMS-1500

Answer: A

Explanation:
A patient statement reflects remaining balances after insurance processing.

NEW QUESTION # 210
blephar

A. short
B. eyelid
C. condition
D. slow

Answer: B

NEW QUESTION # 211
Billing entity is the legal business name of the provider's practice.

A. TRUE
B. FALSE

Answer: A

NEW QUESTION # 212
HCPCS stands for Healthcare Common Procedure Coding System.

A. TRUE
B. FALSE

Answer: A

NEW QUESTION # 213
......

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