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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q38-Q43):

NEW QUESTION # 38
Which part of the body does crani refer to?

A. skull
B. bones
C. skeleton

Answer: A

NEW QUESTION # 39
CHAMPUS stands for Civilian Health and Medical Program of Veterans Affairs.

A. TRUE
B. FALSE

Answer: A

NEW QUESTION # 40
GPWW stands for Group Practice Without Walls.

A. TRUE
B. FALSE

Answer: A

NEW QUESTION # 41
DCAO

A. Durable Medical Equipment, Prosthetic and Orthotic Supplies
B. Defense Enrollment Eligibility Reporting System
C. Debt Collection Assistance Officer
D. Durable Medical Equipment

Answer: C

NEW QUESTION # 42
Which term refers to a digital version of a patient's paper chart, encompassing a comprehensive record of patient health information?

A. Early and Periodic screening, diagnostic, and treatment
B. Electronic Medical Record
C. Exclusive provider organization
D. Explanation of Benefits

Answer: B

NEW QUESTION # 43
......

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