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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Compliance and Regulations | - HIPAA and patient privacy rules - Billing compliance standards - Fraud and abuse prevention |
| Topic 2: Medical Billing Fundamentals | - Healthcare reimbursement systems - Insurance types and payer structures - Medical billing workflow and revenue cycle |
| Topic 3: Revenue Cycle Management | - Payment posting and reconciliation - Accounts receivable follow-up - Claims denial and rejection management |
| 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 | - Claims submission processes - Use of modifiers and coding compliance - ICD-10-CM, CPT, and HCPCS overview |
AAPC Certified Professional Biller (CPB) Sample Questions:
Question 1
What does it mean by graph?
A. instrument for hearing
B. process of recording
C. instrument for speaking
D. instrument for reading
Question 2
Which term means the patient is not responsible for paying for what the insurance plan denies?
A. Hold Harmless Clause
B. Centers of Medicare and Medicaid Services150 (CMS1500)
C. Explanation of Benefits
D. Health Insurance Claim
Question 3
What does the acronym EHR stand for?
A. Electronic Media Claim
B. Electronic Medical Record
C. Evaluation and Management
D. Electronic Health Record
Question 4
CDHP stands for Consumer Directed Health Plan.
A. FALSE
B. TRUE
Question 5
Catchment area is the region defined by code boundaries within a 40mile radius of a military treatment facility.
A. FALSE
B. TRUE
Solutions:
| Question 1 Answer: D | Question 2 Answer: A | Question 3 Answer: D | Question 4 Answer: B | Question 5 Answer: B |
Alston 
Dana 
Kerwin 
Hiram 
Don 
Basil 
Dominic 
Stanford 
Tabitha 
Louis 
Victoria 
