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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q187-Q192):

NEW QUESTION # 187
What is the amount owed to a business for services or goods provided?

Answer: D


NEW QUESTION # 188
What does it mean by cry?

Answer: D


NEW QUESTION # 189
EPSDT

Answer: B


NEW QUESTION # 190
FPL

Answer: D


NEW QUESTION # 191
A patient has Medicare as primary and a commercial plan as secondary. Which insurance should be billed first?

Answer: A

Explanation:
Medicare is billed first when it is the primary payer under coordination of benefits rules.


NEW QUESTION # 192
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