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AAPC CPB Exam Syllabus Topics:

Section	Objectives
Compliance and Regulations	- Billing compliance standards - Fraud and abuse prevention - HIPAA and patient privacy rules
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	- Coordination of benefits (COB) - Medicare and Medicaid guidelines - Private insurance policies and contracts
Medical Billing Fundamentals	- Insurance types and payer structures - Healthcare reimbursement systems - Medical billing workflow and revenue cycle
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 (Q91-Q96):

NEW QUESTION # 91
Beneficiary counseling and assistance coordinator (BCAC) is individual available at military treatment facility (MTF) to answer questions, help solve healthcare related problems, and assist beneficiaries in obtaining medical care through TRICARE; was previously called health benefits advisor (HBA).

A. FALSE
B. TRUE

Answer: B

NEW QUESTION # 92
iasis

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

Answer: D

NEW QUESTION # 93
CPT

A. Computed Tomography
B. Current Procedural Terminology
C. Customized SubCapitation Plan
D. CHAMPUS Reform Initiative

Answer: B

NEW QUESTION # 94
What does CF stand for?

A. Civilian FactorAffairs
B. Clinical Factor
C. Competitive Factor
D. Conversion Factor

Answer: D

NEW QUESTION # 95
The medical word root "ileo" refers to the:

A. within, into
B. ilium (hip bone)
C. in, into, not
D. ileum (small intestine)

Answer: D

NEW QUESTION # 96
......

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