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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Insurance Processing and Payer Rules | - Coordination of benefits (COB) - Private insurance policies and contracts - Medicare and Medicaid guidelines |
| Topic 2: Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance - Claims submission processes |
| Topic 3: Medical Billing Fundamentals | - Insurance types and payer structures - Medical billing workflow and revenue cycle - Healthcare reimbursement systems |
| Topic 4: Revenue Cycle Management | - Claims denial and rejection management - Accounts receivable follow-up - Payment posting and reconciliation |
| Topic 5: Compliance and Regulations | - HIPAA and patient privacy rules - Fraud and abuse prevention - Billing compliance standards |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. HHRG stands for Home Health Resource Group.
A) TRUE
B) FALSE
2. Which part of the body does cardi refer to?
A) vagina
B) heart
C) neck
D) head
3. Which professional association was founded to elevate the standards of medical coding by providing certification, ongoing education, networking, and recognition for coders?
A) An association of independent Blue Cross Blue Shield plans
B) American Health Information Management Association (AHIMA)
C) American Academy of Professional Coders (AAPC)
D) Joint venture between Blue Cross and Blue shield where the corporations shared one building and computer services but maintained separate corporate identities
4. What does it mean by benign?
A) cancerous
B) not cancerous
5. The word root "hema" refers to:
A) liver
B) half
C) blood
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: C |
