AAPC Certified Professional Biller (CPB) : CPB

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AAPC CPB Exam Syllabus Topics:

AAPC Certified Professional Biller (CPB) Sample Questions:

1. What should be done if an insurance company incorrectly denies a covered service?

A) Resubmit the same claim without changes
B) Bill the patient immediately
C) File an appeal with supporting documentation
D) Write off the charge

2. What are Category II 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) Procedures/ services identified by a five digit CPT code and descriptor nomenclature; these codes are traditionally associated with CPT and organized within six sections.
C) 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.

3. Capitation

A) Provider accepts preestablished payments for providing healthcare services to enrollees over a period of time (usually one year)
B) Provider accepts preestablished payments for providing healthcare services to enrollees over a period of time (usually 6 months)
C) Provider accepts preestablished payments for providing healthcare services to enrollees over a period of time (usually one quarter)
D) Provider accepts preestablished payments for providing healthcare services to enrollees over a period of time (usually one month)

4. APDRG refers to All Patient DiagnosisRelated Group.

A) FALSE
B) TRUE

5. What does the acronym ERISA stand for?

A) First Look Analysis for Hospital Outlier Monitoring
B) Fair Debt Collection Practices Act
C) Employee Retirements Income Security Act of 1974
D) False Claims Act

Solutions: