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AAPC CPB Exam Syllabus Topics:

AAPC Certified Professional Biller (CPB) Sample Questions:

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

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

2. HEDIS stands for Health Plan Employer Data and Information Set.

A) FALSE
B) TRUE

3. Allowable Charge

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 of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.
B) The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
C) See limiting charge; maximum fee a physician may charge.
D) DRG system adapted for use by thirdparty payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross Blue Shield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.

4. HCRA stands for Healthcare Reimbursement Account.

A) FALSE
B) TRUE

5. CPC

A) CHAMPUS Reform Initiative
B) Current Procedural Terminology
C) Certified Professional Coder
D) Customized SubCapitation Plan

Solutions: