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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 the main purpose of an audit in medical billing?

A) Increase workload
B) Ensure billing accuracy and compliance
C) Speed up reimbursements
D) Punish billers

3. Case mix includes the types and categories of patients treated by a healthcare provider.

A) TRUE
B) FALSE

4. What does it mean by erythr?

A) red
B) blue
C) yellow
D) green

5. The medical word root "hyster" or "hyster/o" refers to the:

A) condition
B) pertaining to
C) uterus, womb

Solutions: