CERTIFIED PROFESSIONAL BILLER
CERTIFICATION EXAM|ACTUAL EXAM
QUESTIONS WITH WELL DETAILED CORRECT
ANSWERS|GRADED A+|BRAND NEW 2026/2027
UPDATE
Save
Terms in this set (250)
Abuse Actions inconsistent with accepted, sound
medical business or fiscal practice
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.)
Accounts Receivable The amount owed to a business for services or
goods provided.
, Accounts Receivable Aging Report Shows the status (by date) of outstanding claims
from each payer, as well as payments due from
patients.
Accounts Receivable Management Assists Providers in the collection of appropriate
reimbursement for services rendered; include
functions such as insurance verification/eligibility
and preauthorization of services.
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.
Adjudication Judicial dispuite resolution process in which an
appeals board makes a final determination.
Adjusted Claim payment correction resulting in additional
payment(s) to the provider.
Advance Beneficiary Notice (ABN) Document that acknowledges patient
responsiblity for payment if Medicare denies the
cliam.
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.
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.
Adverse Selection Covering members who are sicker then the
general population.
CERTIFICATION EXAM|ACTUAL EXAM
QUESTIONS WITH WELL DETAILED CORRECT
ANSWERS|GRADED A+|BRAND NEW 2026/2027
UPDATE
Save
Terms in this set (250)
Abuse Actions inconsistent with accepted, sound
medical business or fiscal practice
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.)
Accounts Receivable The amount owed to a business for services or
goods provided.
, Accounts Receivable Aging Report Shows the status (by date) of outstanding claims
from each payer, as well as payments due from
patients.
Accounts Receivable Management Assists Providers in the collection of appropriate
reimbursement for services rendered; include
functions such as insurance verification/eligibility
and preauthorization of services.
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.
Adjudication Judicial dispuite resolution process in which an
appeals board makes a final determination.
Adjusted Claim payment correction resulting in additional
payment(s) to the provider.
Advance Beneficiary Notice (ABN) Document that acknowledges patient
responsiblity for payment if Medicare denies the
cliam.
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.
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.
Adverse Selection Covering members who are sicker then the
general population.
