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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Compliance and Regulations | - HIPAA and patient privacy rules - Fraud and abuse prevention - Billing compliance standards |
| Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Claims submission processes - Use of modifiers and coding compliance |
| Revenue Cycle Management | - Accounts receivable follow-up - Payment posting and reconciliation - Claims denial and rejection management |
| Medical Billing Fundamentals | - Healthcare reimbursement systems - Medical billing workflow and revenue cycle - Insurance types and payer structures |
| Insurance Processing and Payer Rules | - Coordination of benefits (COB) - Medicare and Medicaid guidelines - Private insurance policies and contracts |
AAPC Certified Professional Biller (CPB) Sample Questions:
Question 1
EQRO
A. Employee Retirements income security Act of 1974
B. First Look Analysis for Hospital Outlier Monitoring
C. Electronic Remittance Advice
D. External Quality Review Organization
Question 2
in
A. between
B. within, into
C. in, into, not
Question 3
What does CERT stand for?
A. Conversion Error Rate Testing
B. Comprehensive Error Rate Testing
C. Civilian Error Rate Testing
D. Clinical Error Rate Testing
Question 4
GCPI stands for Geographic Cost Practice Index.
A. FALSE
B. TRUE
Question 5
The medical prefixes "end-" and "endo-" mean:
A. nervous sensation
B. red
C. in, within
D. above, upon
Solutions:
| Question 1 Answer: D | Question 2 Answer: C | Question 3 Answer: B | Question 4 Answer: B | Question 5 Answer: C |

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