Certified Professional Biller (CPB): CPB Exam
"Certified Professional Biller (CPB)", also known as CPB exam, is a AAPC Certification. With the complete collection of questions and answers, PrepAwayPDF has assembled to take you through 245 Q&As to your CPB Exam preparation. In the CPB exam resources, you will cover every field and category in AAPC Certification Certification helping to ready you for your successful AAPC Certification.
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AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Reimbursement and Collections | 14% | - Patient statements, collections - Payment posting, adjustments - Refunds, payment plans, write-offs - Accounts receivable management |
| Claims and Billing | 14% | - Claim submission, tracking, follow-up - Denials, appeals, corrections - Electronic claims, clearinghouses - Timely filing rules |
| Coding Concepts for Billers | 12% | - ICD-10-CM, CPT®, HCPCS Level II - Medical necessity - Code validation, modifiers |
| Types of Insurance | 21% | - Commercial payers - TRICARE/CHAMPUS, Workers' compensation - Managed care plans - Medicare, Medigap, Medicaid - Third-party liability |
| Billing Regulations | 13% | - ACOs, NCCI, LCDs, NCDs - Incident-to billing, global packages - Payer payment policies - CMS-1500, UB-04 completion |
| HIPAA and Compliance | 9% | - Medical record retention - Privacy, security, transaction standards - Fraud, abuse, False Claims Act - Compliance programs |
| Case Analysis | 17% | - End-to-end billing scenarios - Adjudication and resolution - Eligibility verification |
AAPC Certified Professional Biller (CPB) Sample Questions:
Which document communicates to the payer that the provider is requesting reimbursement?
- A. Centers of Medicare and Medicaid Services150 (CMS1500)
- B. Hold Harmless Clause
- C. Explanation of Benefits
- D. Health Insurance Claim
Correct Answer: D 🗳️
The medical word root "fibr" or "fibr/o" refers to:
- A. before
- B. fiber
- C. stomach
- D. milk
Correct Answer: B 🗳️
Care plan oversight services cover the physician's time supervising a complex and multidisciplinary care treatment program for specific patient who is under the care of a home health agency, hospice, or nursing facility.
- A. TRUE
- B. FALSE
Correct Answer: A 🗳️
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