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AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Practice Management | 10-15% | - Collections and payment posting - Patient registration and demographics - Accounts receivable management - Insurance verification processes - Patient responsibility calculations |
| Topic 2: Healthcare Billing Fundamentals | 15-20% | - Healthcare documentation principles - Medical terminology basics - Revenue cycle overview - Anatomy and physiology for billers |
| Topic 3: CPT Coding | 20-25% | - Surgical procedure codes - CPT code categories and structure - Evaluation and Management (E/M) codes - Modifiers and their appropriate use - Category II and III codes |
| Topic 4: Insurance and Reimbursement | 20-25% | - Coordination of benefits - Fee schedules and reimbursement methodologies - Claims submission and processing - Commercial insurance policies - Workers' compensation and no-fault billing - Government payers (Medicare, Medicaid, TRICARE) |
| Topic 5: Billing Compliance and Regulations | 10-15% | - Documentation compliance - Fraud, waste, and abuse prevention - Appeal and denial management - HIPAA privacy and security requirements - Stark Law and Anti-Kickback Statute basics |
| Topic 6: ICD-10-CM Diagnosis Coding | 15-20% | - Secondary diagnosis coding - Principal diagnosis selection - ICD-10-CM structure and conventions - Chapter-specific guidelines - Code accuracy and specificity |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. What does the acronym CT stand for?
A) Debt Collection Assistance Officer
B) Defense Enrollment Eligibility Reporting System
C) Durable Medical Equipment
D) Computed Tomography
2. Adjusted Claim is payment correction resulting in additional payment(s) to the provider.
A) TRUE
B) FALSE
3. di
A) two
B) separation
C) bad, painful
D) pain
4. What does it mean by galact and lact?
A) milk
B) water
C) alcohol
5. EFT
A) Electronic Health Record
B) Electronic Healthcare Network Accreditation Commission
C) Electronic funds transfer
D) Employer group health plan
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: C |




