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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q166-Q171):

NEW QUESTION # 166
Which part of the body does cervic refer to?

A. head
B. neck
C. skull
D. vagina

Answer: B

NEW QUESTION # 167
FELA stands for Federal Employment Liability Act.

A. FALSE
B. TRUE

Answer: B

NEW QUESTION # 168
Accept Assignment

A. Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients.
B. Assists providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services.
C. Provider accepts as payment in full whatever is paid on the claim by the payer (except for any copayment and or coinsurance amounts.)
D. The amount owed to a business for services or goods provided.

Answer: C

NEW QUESTION # 169
HAVEN stands for Home Assessment Validation and Entry.

A. FALSE
B. TRUE

Answer: B

NEW QUESTION # 170
What does the acronym FR stand for?

A. General Enrollment Period
B. Flexible Spending Account
C. Federal Register
D. General Equivalency Mapping

Answer: C

NEW QUESTION # 171
......

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