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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Case Analysis | 17% | - End-to-end billing scenarios - Adjudication and resolution - Eligibility verification |
| Topic 2: Billing Regulations | 13% | - ACOs, NCCI, LCDs, NCDs - CMS-1500, UB-04 completion - Incident-to billing, global packages - Payer payment policies |
| Topic 3: Reimbursement and Collections | 14% | - Refunds, payment plans, write-offs - Patient statements, collections - Payment posting, adjustments - Accounts receivable management |
| Topic 4: Types of Insurance | 21% | - Medicare, Medigap, Medicaid - Third-party liability - TRICARE/CHAMPUS, Workers' compensation - Commercial payers - Managed care plans |
| Topic 5: Coding Concepts for Billers | 12% | - Code validation, modifiers - ICD-10-CM, CPT®, HCPCS Level II - Medical necessity |
| Topic 6: HIPAA and Compliance | 9% | - Fraud, abuse, False Claims Act - Medical record retention - Privacy, security, transaction standards - Compliance programs |
| Topic 7: Claims and Billing | 14% | - Denials, appeals, corrections - Electronic claims, clearinghouses - Claim submission, tracking, follow-up - Timely filing rules |
Students are given a fixed amount of time to complete each test, thus AAPC Exam Questions candidate's ability to control their time and finish the AAPC CPB exam in the allocated time is a crucial qualification. Obviously, this calls for lots of practice. Taking SureTorrent CPB Practice Exam helps you get familiar with the Certified Professional Biller (CPB) (CPB) exam questions and work on your time management skills in preparation for the real Certified Professional Biller (CPB) (CPB) exam.
NEW QUESTION # 196
Accounts Receivable Aging Report
Answer: A
NEW QUESTION # 197
GEP stands for General Enrollment Period.
Answer: A
NEW QUESTION # 198
What should be done if an insurance company incorrectly denies a covered service?
Answer: C
Explanation:
Appeals require corrected information and documentation to support payment.
NEW QUESTION # 199
CNS
Answer: C
NEW QUESTION # 200
Which part of the body does crani refer to?
Answer: B
NEW QUESTION # 201
......
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