CPB PDF Practice Q&A's
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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:
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
Correct Answer: C 🗳️
What does it mean by galact and lact?
- A. milk
- B. alcohol
- C. water
Correct Answer: A 🗳️
Catchment area is the region defined by code boundaries within a 40mile radius of a military treatment facility.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
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
Correct Answer: D 🗳️
Birthday rule determines coverage by primary and secondary policies when each parent subscribes to a different health insurance plan.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
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