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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q97-Q102):

NEW QUESTION # 97
DME

Answer: D


NEW QUESTION # 98
Which payer typically requires prior authorization for certain services?

Answer: C

Explanation:
Commercial and managed care plans frequently require prior authorization.


NEW QUESTION # 99
American Association of Medical Assistants (AAMA) enables medical assisting professionals to enhance and demonstrate the knowledge, skills, and professionalism required by employers and patients; as well as protect medical assistants' right to practice.

Answer: A


NEW QUESTION # 100
CLIA

Answer: B


NEW QUESTION # 101
FEP stands for Federal Employee Program.

Answer: A


NEW QUESTION # 102
......

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