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AAPC CPB Exam Syllabus Topics:

SectionObjectives
Topic 1: Compliance and Regulations- Fraud and abuse prevention
- HIPAA and patient privacy rules
- Billing compliance standards
Topic 2: Revenue Cycle Management- Payment posting and reconciliation
- Claims denial and rejection management
- Accounts receivable follow-up
Topic 3: Medical Billing Fundamentals- Insurance types and payer structures
- Healthcare reimbursement systems
- Medical billing workflow and revenue cycle
Topic 4: Coding and Claim Submission Basics- ICD-10-CM, CPT, and HCPCS overview
- Claims submission processes
- Use of modifiers and coding compliance
Topic 5: Insurance Processing and Payer Rules- Private insurance policies and contracts
- Coordination of benefits (COB)
- Medicare and Medicaid guidelines

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

NEW QUESTION # 45
Billing entity is the legal business name of the provider's practice.

Answer: B


NEW QUESTION # 46
CDAC stands for Clinical Data Abstracting Center.

Answer: B


NEW QUESTION # 47
What does it mean by intra and intro?

Answer: A


NEW QUESTION # 48
The medical prefix "dys-" means:

Answer: C


NEW QUESTION # 49
What does the acronym EHR stand for?

Answer: D


NEW QUESTION # 50
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