CPB PDF Practice Q&A's
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- Total Questions: 245
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AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| HIPAA and Compliance | 9% | - Privacy, security, transaction standards - Fraud, abuse, False Claims Act - Medical record retention - Compliance programs |
| Types of Insurance | 21% | - TRICARE/CHAMPUS, Workers' compensation - Third-party liability - Managed care plans - Medicare, Medigap, Medicaid - Commercial payers |
| Coding Concepts for Billers | 12% | - ICD-10-CM, CPT®, HCPCS Level II - Medical necessity - Code validation, modifiers |
| Case Analysis | 17% | - Eligibility verification - End-to-end billing scenarios - Adjudication and resolution |
| Reimbursement and Collections | 14% | - Payment posting, adjustments - Accounts receivable management - Refunds, payment plans, write-offs - Patient statements, collections |
| Claims and Billing | 14% | - Electronic claims, clearinghouses - Claim submission, tracking, follow-up - Denials, appeals, corrections - Timely filing rules |
| Billing Regulations | 13% | - 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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