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AAPC CPB Exam Syllabus Topics:

Section	Weight	Objectives
ICD-10-CM Diagnosis Coding	15-20%	- ICD-10-CM structure and conventions - Chapter-specific guidelines - Secondary diagnosis coding - Principal diagnosis selection - Code accuracy and specificity
Billing Compliance and Regulations	10-15%	- Appeal and denial management - HIPAA privacy and security requirements - Fraud, waste, and abuse prevention - Documentation compliance - Stark Law and Anti-Kickback Statute basics
Practice Management	10-15%	- Accounts receivable management - Insurance verification processes - Collections and payment posting - Patient responsibility calculations - Patient registration and demographics
Healthcare Billing Fundamentals	15-20%	- Medical terminology basics - Anatomy and physiology for billers - Healthcare documentation principles - Revenue cycle overview
CPT Coding	20-25%	- Surgical procedure codes - Modifiers and their appropriate use - CPT code categories and structure - Category II and III codes - Evaluation and Management (E/M) codes
Insurance and Reimbursement	20-25%	- Claims submission and processing - Coordination of benefits - Government payers (Medicare, Medicaid, TRICARE) - Commercial insurance policies - Fee schedules and reimbursement methodologies - Workers' compensation and no-fault billing

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AAPC Certified Professional Biller (CPB) Sample Questions (Q115-Q120):

NEW QUESTION # 115
What does AAMA stand for?

A. American Association of Medical Assistants
B. African Association of Medical Assistants
C. Asian Association of Medical Assistants
D. Australian Association of Medical Assistants

Answer: A

NEW QUESTION # 116
Blue Shield (BS) __________

A. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1938; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.
B. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1941; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.
C. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1940; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.
D. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1939; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.

Answer: A

NEW QUESTION # 117
extra

A. milk
B. fiber
C. outside
D. before

Answer: C

NEW QUESTION # 118
What does it mean by graphy?

A. process of recording
B. process of publishing

Answer: A

NEW QUESTION # 119
What does the acronym EHR stand for?

A. Evaluation and Management
B. Electronic Health Record
C. Electronic Medical Record
D. Electronic Media Claim

Answer: B

NEW QUESTION # 120
......

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