• Exam Code: CPB
  • Exam Name: Certified Professional Biller (CPB)
  • Certification Provider: AAPC
  • Corresponding Certification:AAPC Certification
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AAPC CPB Exam Syllabus Topics:

SectionObjectives
Insurance Processing and Payer Rules- Coordination of benefits (COB)
- Private insurance policies and contracts
- Medicare and Medicaid guidelines
Compliance and Regulations- HIPAA and patient privacy rules
- Billing compliance standards
- Fraud and abuse prevention
Medical Billing Fundamentals- Healthcare reimbursement systems
- Medical billing workflow and revenue cycle
- Insurance types and payer structures
Revenue Cycle Management- Accounts receivable follow-up
- Payment posting and reconciliation
- Claims denial and rejection management
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. HEDIS stands for Health Plan Employer Data and Information Set.

A) FALSE
B) TRUE


2. EFT

A) Electronic Healthcare Network Accreditation Commission
B) Electronic Health Record
C) Employer group health plan
D) Electronic funds transfer


3. The medical word root "hemat" or "hemat/o" refers to:

A) liver
B) blood
C) below, under
D) half


4. The medical prefixes "a-" and "an-" mean:

A) abdomen
B) extremities, top
C) no, not
D) away from


5. What does it mean by gyn, gyne and gynec?

A) men, male
B) women, female


Solutions:

Question # 1
Answer: B
Question # 2
Answer: D
Question # 3
Answer: B
Question # 4
Answer: C
Question # 5
Answer: B

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