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AAPC CPB Exam Syllabus Topics:

AAPC Certified Professional Biller (CPB) Sample Questions:

1. Accounts Receivable Management

A) Judicial dispute resolution process in which an appeals board makes a final determination.
B) Voluntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.
C) Payment correction resulting in additional payment(s) to the provider.
D) Assists providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services

2. What is All Patient DiagnosisRelated Group (APDRG)?

A) Adopted by Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare beneficiaries; expanded original DRG system (based on intensity of resources) to add two subclasses to each DRG that adjusts Medicare inpatient hospital reimbursement rates for severity of illness (SOI) (extent of physiological decompensation or organ system loss of function) and risk of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.
B) DRG system adapted for use by third-party payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross BlueShield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.

3. EPSDT

A) Early and Periodic screening, diagnostic, and treatment
B) Electronic Remittance Advice
C) Employee Retirements income security Act of 1974
D) External Quality Review Organization

4. HHRG stands for Home Health Resource Group.

A) TRUE
B) FALSE

5. Which part of the body do colp and kolp refer to?

A) neck
B) vagina
C) head
D) skull

Solutions: