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AAPC CPB Exam Syllabus Topics:

AAPC Certified Professional Biller (CPB) Sample Questions:

1. FECA stands for Federal Employment Compensation Act.

A) FALSE
B) TRUE

2. 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) See limiting charge; maximum fee a physician may charge.
C) The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
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.

3. EHNAC

A) Electronic Healthcare Network Accreditation Commission
B) Electronic Health Record
C) Electronic Media Claim
D) Evaluation and Management

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

A) FALSE
B) TRUE

5. DSH

A) Disproportionate share hospital (adjustment)
B) Diagnostic and statistical manual
C) Electronic data interchange
D) (California) Employment Development Department

Solutions: