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AAPC CPB Exam Syllabus Topics:

AAPC Certified Professional Biller (CPB) Sample Questions:

Question 1

What is All Patient Refined DiagnosisRelated Group (ARPDRG)?

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.

Question 2

CPT

A. Current Procedural Terminology
B. CHAMPUS Reform Initiative
C. Computed Tomography
D. Customized SubCapitation Plan

Question 3

The medical word root "eti" (or "eti/o") refers to:

A. cause
B. fiber
C. out, away from
D. outside

Question 4

ad

A. fat
B. toward
C. pertaining to

Question 5

Adjudication

A. Also called adverse reaction; the appearance of a pathologic condition due to ingestion r exposure to a chemical substance properly administered or taken.
B. Payment correction resulting in additional payment(s) to the provider.
C. Document that acknowledges patient responsibility for payment if Medicare denies the claim
D. Judicial dispute resolution process in which an appeals board makes a final determination.

Solutions: