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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q217-Q222):

NEW QUESTION # 217
What is Allowed Charge?

A. The Minimum amount the payer will reimburse for each procedure or service, according to the patients policy.
B. The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
C. The amount the payer will reimburse for each procedure or service, according to the patients policy.

Answer: B

NEW QUESTION # 218
Which of the following suffixes means half?

A. demi
B. di
C. bi

Answer: A

NEW QUESTION # 219
Which of the following suffixes refers to out?

A. end, endo
B. ex
C. en
D. infra

Answer: B

NEW QUESTION # 220
What does it mean by dacry?

A. tear
B. sweat
C. stool
D. urine

Answer: A

NEW QUESTION # 221
Who is a person who performs services for another under an expressed or implied agreement?

A. Independent Contractor
B. Health Insurance Specialist
C. Healthcare Provider

Answer: A

NEW QUESTION # 222
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