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| Section | Objectives |
|---|
| Topic 1: Revenue Cycle Management | - Accounts receivable follow-up - Payment posting and reconciliation - Claims denial and rejection management
|
| Topic 2: Compliance and Regulations | - HIPAA and patient privacy rules - Fraud and abuse prevention - Billing compliance standards
|
| Topic 3: Insurance Processing and Payer Rules | - Private insurance policies and contracts - Medicare and Medicaid guidelines - Coordination of benefits (COB)
|
| Topic 4: Coding and Claim Submission Basics | - Claims submission processes - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance
|
| Topic 5: Medical Billing Fundamentals | - Medical billing workflow and revenue cycle - Healthcare reimbursement systems - Insurance types and payer structures
|
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AAPC Certified Professional Biller (CPB) Sample Questions (Q171-Q176):
NEW QUESTION # 171
What does it mean by dacry?
- A. sweat
- B. urine
- C. tear
- D. stool
Answer: C
NEW QUESTION # 172
FMAP stands for Federal Medical Assistance Percentage.
Answer: B
NEW QUESTION # 173
American Association of Medical Assistants (AAMA) enables medical assisting professionals to enhance and demonstrate the knowledge, skills, and professionalism required by employers and patients; as well as protect medical assistants' right to practice.
Answer: B
NEW QUESTION # 174
What are actions inconsistent with accepted, sound medical business or fiscal practice?
- A. Violence
- B. Neglect
- C. Abuse
- D. Addiction
Answer: C
NEW QUESTION # 175
Which part of the body do gaster and gastr refer to?
- A. intestine
- B. genitals
- C. stomach
- D. tongue
Answer: C
NEW QUESTION # 176
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