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AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: ICD-10-CM Diagnosis Coding | 15-20% | - Code accuracy and specificity - Principal diagnosis selection - ICD-10-CM structure and conventions - Secondary diagnosis coding - Chapter-specific guidelines |
| Topic 2: Insurance and Reimbursement | 20-25% | - Claims submission and processing - Fee schedules and reimbursement methodologies - Government payers (Medicare, Medicaid, TRICARE) - Workers' compensation and no-fault billing - Coordination of benefits - Commercial insurance policies |
| Topic 3: Billing Compliance and Regulations | 10-15% | - HIPAA privacy and security requirements - Stark Law and Anti-Kickback Statute basics - Appeal and denial management - Fraud, waste, and abuse prevention - Documentation compliance |
| Topic 4: Practice Management | 10-15% | - Patient registration and demographics - Collections and payment posting - Insurance verification processes - Patient responsibility calculations - Accounts receivable management |
| Topic 5: Healthcare Billing Fundamentals | 15-20% | - Medical terminology basics - Anatomy and physiology for billers - Healthcare documentation principles - Revenue cycle overview |
| Topic 6: CPT Coding | 20-25% | - Category II and III codes - CPT code categories and structure - Evaluation and Management (E/M) codes - Modifiers and their appropriate use - Surgical procedure codes |
AAPC Certified Professional Biller (CPB) Sample Questions:
What does it mean by gluc and glyc?
- A. fat
- B. sugar, glucose
- C. protein
- D. vitamins
Correct Answer: B 🗳️
What does the acronym CT stand for?
- A. Durable Medical Equipment
- B. Computed Tomography
- C. Debt Collection Assistance Officer
- D. Defense Enrollment Eligibility Reporting System
Correct Answer: B 🗳️
What are Category I Codes?
- A. Temporary codes for data collection purposes that are assigned an alphanumeric identifier with a letter in the last field (e.g., 0001T) these codes are located after the Medicine section, and will be archived after five years unless accepted for placement within Category I sections of CPT.
- B. Optional performance measurement tracking codes that are assigned an alphanumeric identifier with a letter in the last field (e,g.,1234A); these codes will be located after the medicine section; their use is optional.
- C. Procedures/ services identified by a five digit CPT code and descriptor nomenclature; these codes are traditionally associated with CPT and organized within six sections.
Correct Answer: C 🗳️
hemi
- A. half
- B. liver
- C. below, under
- D. above, excessive
Correct Answer: A 🗳️
HPSA stands for Health Personnel Shortage Area.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
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This means that if due to any reason you are not able to pass the CPB actual exam even after using our product, we will reimburse the full amount you spent on our products. you just need to mail us your score report along with your account information to address listed below within 7 days after your unqualified certificate came out.
