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AAPC Certified Professional Biller (CPB) Sample Questions:

1. What is the primary purpose of National Correct Coding Initiative (NCCI) edits?

A) Replace CPT guidelines
B) Identify unbundling and improper coding
C) Increase claim approvals
D) Set reimbursement rates

2. Which scenario would most likely result in a claim denial for lack of medical necessity?

A) Missing modifier
B) Late filing
C) Incorrect patient demographics
D) Diagnosis code does not support the procedure

3. DCAO

A) Debt Collection Assistance Officer
B) Durable Medical Equipment
C) Durable Medical Equipment, Prosthetic and Orthotic Supplies
D) Defense Enrollment Eligibility Reporting System

4. in

A) within, into
B) between
C) in, into, not

5. What does "timely filing" refer to?

A) Electronic claim submission
B) Same-day billing
C) Submitting claims within payer-specific deadlines
D) Submitting claims quickly

Solutions: