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AAPC Certified Professional Biller (CPB) Sample Questions:

1. Which document communicates to the payer that the provider is requesting reimbursement?

A) Hold Harmless Clause
B) Centers of Medicare and Medicaid Services150 (CMS1500)
C) Health Insurance Claim
D) Explanation of Benefits

2. What is All Patient Refined DiagnosisRelated Group (ARPDRG)?

A) 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.
B) 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.

3. iasis

A) two
B) condition
C) eyelid
D) short

4. CRI

A) Computed Tomography
B) CHAMPUS Reform Initiative
C) Debt Collection Assistance Officer
D) Customized SubCapitation Plan

5. What does it mean by galact and lact?

A) water
B) milk
C) alcohol

Solutions: