CPB PDF Practice Q&A's

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AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
HIPAA and Compliance9%- Privacy, security, transaction standards
- Fraud, abuse, False Claims Act
- Medical record retention
- Compliance programs
Types of Insurance21%- TRICARE/CHAMPUS, Workers' compensation
- Third-party liability
- Managed care plans
- Medicare, Medigap, Medicaid
- Commercial payers
Coding Concepts for Billers12%- ICD-10-CM, CPT®, HCPCS Level II
- Medical necessity
- Code validation, modifiers
Case Analysis17%- Eligibility verification
- End-to-end billing scenarios
- Adjudication and resolution
Reimbursement and Collections14%- Payment posting, adjustments
- Accounts receivable management
- Refunds, payment plans, write-offs
- Patient statements, collections
Claims and Billing14%- Electronic claims, clearinghouses
- Claim submission, tracking, follow-up
- Denials, appeals, corrections
- Timely filing rules
Billing Regulations13%- ACOs, NCCI, LCDs, NCDs
- Payer payment policies
- CMS-1500, UB-04 completion
- Incident-to billing, global packages

AAPC Certified Professional Biller (CPB) Sample Questions:

1. What does the acronym E/M stand for in medical coding?

A) Electronic Medical Record
B) Explanation of Benefits
C) Evaluation and Management
D) Electronic Media Claim


2. What does it mean by galact and lact?

A) milk
B) alcohol
C) water


3. Catchment area is the region defined by code boundaries within a 40mile radius of a military treatment facility.

A) FALSE
B) TRUE


4. What does HIPAA stand for?

A) Health Insurance portability and accountability Act of 1995
B) Health Insurance portability and accountability Act of 1997
C) Health Insurance portability and accountability Act of 1994
D) Health Insurance portability and accountability Act of 1996


5. Birthday rule determines coverage by primary and secondary policies when each parent subscribes to a different health insurance plan.

A) FALSE
B) TRUE


Solutions:

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

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