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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Compliance and Regulations | - Fraud and abuse prevention - HIPAA and patient privacy rules - Billing compliance standards |
| Topic 2: Revenue Cycle Management | - Claims denial and rejection management - Accounts receivable follow-up - Payment posting and reconciliation |
| Topic 3: Medical Billing Fundamentals | - Medical billing workflow and revenue cycle - Insurance types and payer structures - Healthcare reimbursement systems |
| Topic 4: Insurance Processing and Payer Rules | - Coordination of benefits (COB) - Private insurance policies and contracts - Medicare and Medicaid guidelines |
| Topic 5: Coding and Claim Submission Basics | - Use of modifiers and coding compliance - ICD-10-CM, CPT, and HCPCS overview - Claims submission processes |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. What does the acronym DSM stand for?
A) (California) Employment Development Department
B) Electronic funds transfer
C) Diagnostic and statistical manual
D) Electronic data interchange
2. ASC (Choose two.)
A) Blue Cross
B) Ambulatory Surgical Center
C) Accredited Standards Committee
D) Beneficiary Counseling and Assistance Coordinator
3. de
A) lack of, down
B) half
C) right
D) skin
4. HCRA stands for Healthcare Reimbursement Account.
A) TRUE
B) FALSE
5. What does ADA stand for?
A) Americans with Disabilities Act
B) Asians with Disabilities Act
C) Africans with Disabilities Act
D) Australians with Disabilities Act
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B,C | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: A |


