AAPC Certification CPB

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AAPC Certified Professional Biller (CPB) Sample Questions:

1. What is All Patient DiagnosisRelated Group (APDRG)?

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.

2. What is accreditation?

A) Involuntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.
B) Voluntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.

3. What does CDT stand for?

A) Comprehensive Dental Terminology
B) Current Dental Terminology
C) Civilian Dental Terminology
D) Conversion Dental Terminology

4. What does CERT stand for?

A) Conversion Error Rate Testing
B) Civilian Error Rate Testing
C) Clinical Error Rate Testing
D) Comprehensive Error Rate Testing

5. What is Ambulatory Surgical Center Payment Rate?

A) Determined amount for which ASC services are reimbursed, at 80 percent after adjustment for regional wage variations.
B) Determined amount for which ASC services are reimbursed, at 80 percent before adjustment for regional wage variations.
C) Predetermined amount for which ASC services are reimbursed, at 80 percent before adjustment for regional wage variations.
D) Predetermined amount for which ASC services are reimbursed, at 80 percent after adjustment for regional wage variations.

Solutions: