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AAPC CPB Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Billing Regulations	13%	- Incident-to billing, global packages - ACOs, NCCI, LCDs, NCDs - CMS-1500, UB-04 completion - Payer payment policies
Topic 2: Claims and Billing	14%	- Electronic claims, clearinghouses - Denials, appeals, corrections - Claim submission, tracking, follow-up - Timely filing rules
Topic 3: Coding Concepts for Billers	12%	- Code validation, modifiers - ICD-10-CM, CPT®, HCPCS Level II - Medical necessity
Topic 4: Case Analysis	17%	- Adjudication and resolution - Eligibility verification - End-to-end billing scenarios
Topic 5: Reimbursement and Collections	14%	- Patient statements, collections - Payment posting, adjustments - Refunds, payment plans, write-offs - Accounts receivable management
Topic 6: HIPAA and Compliance	9%	- Medical record retention - Fraud, abuse, False Claims Act - Privacy, security, transaction standards - Compliance programs
Topic 7: Types of Insurance	21%	- Medicare, Medigap, Medicaid - Third-party liability - Commercial payers - TRICARE/CHAMPUS, Workers' compensation - Managed care plans

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AAPC Certified Professional Biller (CPB) Sample Questions (Q121-Q126):

NEW QUESTION # 121
HSA stands for Health Savings account.

A. TRUE
B. FALSE

Answer: A

NEW QUESTION # 122
What does it mean by derm and dermat?

A. blood
B. nail
C. skin
D. bones

Answer: C

NEW QUESTION # 123
COB

A. Certified Professional Coder
B. Coordination of Benefits
C. Consolidated Omnibus Budget Reconciliation Act of 1985
D. Current Procedural Terminology

Answer: B

NEW QUESTION # 124
Blue Worldwide Expat __________

A. provides global medical coverage for active employees and their dependents who spend more than six months outside the United States for six months or more is eligible for Blue World Expat.
B. provides global medical coverage for active employees and their dependents who spend more than three months outside the United States for three months or more is eligible for Blue World Expat.
C. provides global medical coverage for active employees and their dependents who spend more than six months outside the United States for three months or more is eligible for Blue World Expat.
D. provides global medical coverage for active employees and their dependents who spend more than three months outside the United States for six months or more is eligible for Blue World Expat.

Answer: A

NEW QUESTION # 125
What does it mean by gyn, gyne and gynec?

A. women, female
B. men, male

Answer: A

NEW QUESTION # 126
......

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