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AAPC CPB Certified Professional Biller Certification 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers) $12.99
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AAPC CPB Certified Professional Biller Certification 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers)
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AAPC CPB Certified Professional Biller Certification 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers)

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  • October 31, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • aapc cpb certified professional biller certificati

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  • AAPC CPB
  • AAPC CPB

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AAPC CPB Certified Professional Biller Certification.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%




AAPC CPB Certified Professional Biller

Certification


1. Abuse: Actions inconsistent with accepted, sound medical business or fiscal

practice

2. Accept Assignment: Provider accepts as payment in full whatever is paid on the

cliam by the payer (except for any copayment and or coinsurance amounts.)

3. Accounts Receivable: The amount owed to a business for services or goods

provided.

4. Accounts Receivable Aging Report: Shows the status (by date) of outstanding

claims from each payer, as well as payments due from patients.

5. Accounts Receivable Management: Assists Providers in the collection of ap-

propriate reimbursement for services rendered; include functions such as insurance

verification/eligibility and preauthorization of services.

6. Accreditation: Voluntary Process that a healthcare facility or organization (e.g.

hospital or manged care plan) undergoes to demonstarte that it has met standards

beyond those required by law.






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7. Adjudication: Judicial dispuite resolution process in which an appeals board

makes a final determination.

8. Adjusted Claim: payment correction resulting in additional payment(s) to the

provider.

9. Advance Beneficiary Notice (ABN): Document that acknowledges patient re-

sponsiblity for payment if Medicare denies the cliam.

10. Adverse Effect: Also called adverse reaction; the appearance of a pathologic

condition due to ingestion r exposure to a chemical substance properly administered or

taken.

11. Adverse Reaction: Also called adverse effect; the appearance of a pathologic

condition due to ingestion r exposure to a chemical substance properly administered or

taken.

12. Adverse Selection: Covering members who are sicker then the general popu-

lation.

13. Allowable Charge: see limiting charge; maximum fee a physician may charge.

14. Allowed Charge: The Maximum amount the payer will reimburse for each

procedure or service, according to the patients policy.

15. All Patient Diagnosis-Related Group (AP-DRG): DRG system adapted for use

by third-party payers to reimburse hospitals for inpatient care provided to





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non-Medicare beneficiaries (e.g. Blue Cross Blue Shield, commercial health plans,

TRICARE); DRG assignment is based on intensity of resources.

16. All Patient Refined Diagnosis-Related Group (ARP-DRG): Adopted by

Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare

beneficiaries; expanded originial DRG system (based on intensity of resources) to

add two subclasses to each DRG that adjusts Medicare inpatient hospital reimburse-









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