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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q45-Q50):

NEW QUESTION # 45
What does the acronym FSA stand for?

A. General Equivalency Mapping
B. Flexible Spending Account
C. General Enrollment Period
D. Geographic Cost Practice Index

Answer: B

NEW QUESTION # 46
What does it mean by erythr?

A. yellow
B. blue
C. green
D. red

Answer: D

NEW QUESTION # 47
Which document communicates to the payer that the provider is requesting reimbursement?

A. Explanation of Benefits
B. Hold Harmless Clause
C. Health Insurance Claim
D. Centers of Medicare and Medicaid Services150 (CMS1500)

Answer: C

NEW QUESTION # 48
What is Blue Cross (BC)?

A. Insurance plan created in 1930 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 21 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
B. Insurance plan created in 1929 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 20 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
C. Insurance plan created in 1930 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 20 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
D. Insurance plan created in 1929 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 21 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.

Answer: D

NEW QUESTION # 49
BCAC stands for Beneficiary Counseling and Assistance Coordinator.

A. TRUE
B. FALSE

Answer: A

NEW QUESTION # 50
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