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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Coding and Claim Submission Basics | - Use of modifiers and coding compliance - Claims submission processes - ICD-10-CM, CPT, and HCPCS overview |
| Topic 2: Revenue Cycle Management | - Payment posting and reconciliation - Claims denial and rejection management - Accounts receivable follow-up |
| Topic 3: Insurance Processing and Payer Rules | - Private insurance policies and contracts - Medicare and Medicaid guidelines - Coordination of benefits (COB) |
| Topic 4: Medical Billing Fundamentals | - Medical billing workflow and revenue cycle - Healthcare reimbursement systems - Insurance types and payer structures |
| Topic 5: Compliance and Regulations | - Fraud and abuse prevention - Billing compliance standards - HIPAA and patient privacy rules |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. What does CDHS stand for?
A) California Department of Health Services
B) Colorado Department of Health Services
C) Connecticut Department of Health Services
2. What does it mean by derm and dermat?
A) bones
B) skin
C) nail
D) blood
3. Which factor determines the correct payer sequence in coordination of benefits (COB)?
A) Birthday rule
B) Length of employment
C) Provider type
D) Patient preference
4. What does it mean by cry?
A) hot
B) cool
C) warm
D) cold
5. What are Category III codes?
A) Procedures/ services identified by a five digit CPT code and descriptor nomenclature; these codes are traditionally associated with CPT and organized within six sections.
B) Optional performance measurement tracking codes that are field (e,g.,1234A); these codes will be located after the medicine section; their use is optional.
C) 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.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: C |

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Robin -
Passed today 98% There were almost every questions on the exam that were not on this dump, I was able to get through them easily.