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AAPC Certified Professional Biller (CPB) Sample Questions:

1. What does CCS stand for?

A) Certified Coding Standards
B) Certified Coding Services
C) Certified Coding Specialist

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

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.

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

A) FALSE
B) TRUE

4. HAVEN stands for Home Assessment Validation and Entry.

A) FALSE
B) TRUE

5. FEHBP stands for Federal Employee Health Benefit Program.

A) FALSE
B) TRUE

Solutions: