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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q135-Q140):

NEW QUESTION # 135
What does GEM stand for?

A. Geographic Equivalency Mapping
B. General Enrollment Management
C. General Equivalency Mapping
D. Group Enrollment Management

Answer: C

NEW QUESTION # 136
ABN stands for Advance Beneficiary Notice.

A. FALSE
B. TRUE

Answer: B

NEW QUESTION # 137
Accounts Receivable Management

A. Payment correction resulting in additional payment(s) to the provider.
B. Judicial dispute resolution process in which an appeals board makes a final determination.
C. Assists providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services
D. Voluntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.

Answer: C

NEW QUESTION # 138
What does it mean by dis?

A. separation
B. combination

Answer: A

NEW QUESTION # 139
What document is used to transfer patient financial responsibility after insurance adjudication?

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

Answer: C

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

NEW QUESTION # 140
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