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| Section | Objectives |
|---|
| Revenue Cycle Management | - Claims denial and rejection management - Payment posting and reconciliation - Accounts receivable follow-up
|
| Coding and Claim Submission Basics | - Use of modifiers and coding compliance - Claims submission processes - ICD-10-CM, CPT, and HCPCS overview
|
| Medical Billing Fundamentals | - Medical billing workflow and revenue cycle - Healthcare reimbursement systems - Insurance types and payer structures
|
| Compliance and Regulations | - Billing compliance standards - HIPAA and patient privacy rules - Fraud and abuse prevention
|
| Insurance Processing and Payer Rules | - Medicare and Medicaid guidelines - Coordination of benefits (COB) - Private insurance policies and contracts
|
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AAPC Certified Professional Biller (CPB) Sample Questions (Q40-Q45):
NEW QUESTION # 40
The medical word root "eti" (or "eti/o") refers to:
- A. fiber
- B. cause
- C. outside
- D. out, away from
Answer: B
NEW QUESTION # 41
What are black box edits?
- A. Nonpublished code edits, which were discontinued in 2001.
- B. Published code edits, which were discontinued in 2000.
- C. Published code edits, which were discontinued in 2001.
- D. Nonpublished code edits, which were discontinued in 2000.
Answer: D
NEW QUESTION # 42
The medical prefix "infra-" means:
- A. within, into
- B. between
- C. within, into
- D. same
Answer: A
NEW QUESTION # 43
FECA stands for Federal Employment Compensation Act.
Answer: B
NEW QUESTION # 44
HRA stands for Health Reimbursement Arrangement.
Answer: B
NEW QUESTION # 45
......
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