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| Section | Weight | Objectives |
|---|---|---|
| Practice Management | 10-15% | - Accounts receivable management - Insurance verification processes - Collections and payment posting - Patient responsibility calculations - Patient registration and demographics |
| ICD-10-CM Diagnosis Coding | 15-20% | - Principal diagnosis selection - ICD-10-CM structure and conventions - Secondary diagnosis coding - Code accuracy and specificity - Chapter-specific guidelines |
| Insurance and Reimbursement | 20-25% | - Coordination of benefits - Commercial insurance policies - Fee schedules and reimbursement methodologies - Workers' compensation and no-fault billing - Claims submission and processing - Government payers (Medicare, Medicaid, TRICARE) |
| CPT Coding | 20-25% | - Evaluation and Management (E/M) codes - Category II and III codes - Modifiers and their appropriate use - CPT code categories and structure - Surgical procedure codes |
| Billing Compliance and Regulations | 10-15% | - Appeal and denial management - Stark Law and Anti-Kickback Statute basics - HIPAA privacy and security requirements - Documentation compliance - Fraud, waste, and abuse prevention |
| Healthcare Billing Fundamentals | 15-20% | - Anatomy and physiology for billers - Revenue cycle overview - Healthcare documentation principles - Medical terminology basics |
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問題 #90
GPWW stands for Group Practice Without Walls.
答案:A
問題 #91
What does AHA stand for?
答案:A
問題 #92
HCRA stands for Healthcare Reimbursement Account.
答案:A
問題 #93
fore
答案:C
問題 #94
DMEPOS
答案:B
問題 #95
......
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2026 KaoGuTi最新的CPB PDF版考試題庫和CPB考試問題和答案免費分享:https://drive.google.com/open?id=1RrLnFg_iB-fx2zeMIV9AtHl6utbO2Ie7