AAPC CPB certification exam has become a very influential exam which can test computer skills.The certification of AAPC certified engineers can help you to find a better job, so that you can easily become the IT white-collar worker,and get fat salary.
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AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Coding Concepts for Billers | 12% | - Code validation, modifiers - Medical necessity - ICD-10-CM, CPT®, HCPCS Level II |
| HIPAA and Compliance | 9% | - Fraud, abuse, False Claims Act - Privacy, security, transaction standards - Medical record retention - Compliance programs |
| Billing Regulations | 13% | - CMS-1500, UB-04 completion - Payer payment policies - ACOs, NCCI, LCDs, NCDs - Incident-to billing, global packages |
| Case Analysis | 17% | - Adjudication and resolution - End-to-end billing scenarios - Eligibility verification |
| Claims and Billing | 14% | - Claim submission, tracking, follow-up - Electronic claims, clearinghouses - Timely filing rules - Denials, appeals, corrections |
| Reimbursement and Collections | 14% | - Patient statements, collections - Payment posting, adjustments - Accounts receivable management - Refunds, payment plans, write-offs |
| Types of Insurance | 21% | - Third-party liability - Commercial payers - Managed care plans - Medicare, Medigap, Medicaid - TRICARE/CHAMPUS, Workers' compensation |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. hemi
A) liver
B) above, excessive
C) below, under
D) half
2. FEP stands for Federal Employee Program.
A) FALSE
B) TRUE
3. The medical word root "hyster" or "hyster/o" refers to the:
A) uterus, womb
B) condition
C) pertaining to
4. Which part of the body does cephal refer to?
A) head
B) heart
C) vagina
D) neck
5. What should be done if an insurance company incorrectly denies a covered service?
A) Resubmit the same claim without changes
B) Write off the charge
C) Bill the patient immediately
D) File an appeal with supporting documentation
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: D |







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