CPB Certified Professional Biller Certification
Exam/ Q&A/ 2024-2025
Ambulance Fee Schedule - Answer: Payment system for ambulance services provided to
Medicare Beneficiaries.
Ambulatory Payment Classification (APC) - Answer: Prospective payment system used to
calculate reimbursement for outpatient care according to similar clinical characteristics and in
terms of resources required.
Ambulatory Surgical Center (ASC) - Answer: State Licensed Medicare-certified supplier (not
provider) of surgical healthcare services that must accept assignment on Medicare Claims.
Ambulatory Surgical Center Payment Rate - Answer: Predetermined amount for which ASC
services are reimbursed, at 80 percent after adjument for regional wage variations.
Amendment to the HMO Act of 1973 - Answer: Legislation that allowed federally qualified
HMOs to permit members to occasionally use non HMO physicians and be partially reimbursed.
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,American Academy of Processional Coders (AAPC) - Answer: Professional association
established to provide a national certification and credentialing process, to support the national
and local membership by providing educational products and opportunities to network, and to
increase and promote national recognition and awareness of professional coding.
American Association of Medical Assistants (AAMA) - Answer: Enables medical assisting
professionals to enhance and demonstrate the knowledge, skills, and professionalism required
by employers and patients; as well as protect medical assistants' right to practice.
837 - Answer: Claims validation table (as in ANSI ASC X12 837)
AAMA - Answer: American Association of Medical Assistants
ABN - Answer: Advance Beneficiary Notice
ADA - Answer: Americans with Disabilties Act
AHA - Answer: American Hospital Association
AHFS - Answer: American Hospital Formulary Service
AHIMA - Answer: American Health Information Management Association
AMA - Answer: American Medical Association
ANSI - Answer: American National Standards Institute
APC - Answer: Ambulatory Payment Classification
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, AP-DRG - Answer: All Patient Diagnosis-Related Group
ARP-DRG - Answer: All Patient Refined Diagnosis-Related Group
ASC - Answer: Accredited Standards Committee
ASC - Answer: Ambulatory Surgical Center
BC - Answer: Blue Cross
BCAC - Answer: Beneficary Counseling and Assistance Coordinator
BCBS - Answer: Blue Cross Blue Shield
BCBSA - Answer: Blue Cross Blue Shield Association
BS - Answer: Blue Shield
BSR - Answer: Beneficiary Services Representative
CA - Answer: Cancer or Carcinoma
CAC - Answer: Common Access Card
CAC - Answer: Computer Assisted Coding
CAT - Answer: Computerized Axial Tomography
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Exam/ Q&A/ 2024-2025
Ambulance Fee Schedule - Answer: Payment system for ambulance services provided to
Medicare Beneficiaries.
Ambulatory Payment Classification (APC) - Answer: Prospective payment system used to
calculate reimbursement for outpatient care according to similar clinical characteristics and in
terms of resources required.
Ambulatory Surgical Center (ASC) - Answer: State Licensed Medicare-certified supplier (not
provider) of surgical healthcare services that must accept assignment on Medicare Claims.
Ambulatory Surgical Center Payment Rate - Answer: Predetermined amount for which ASC
services are reimbursed, at 80 percent after adjument for regional wage variations.
Amendment to the HMO Act of 1973 - Answer: Legislation that allowed federally qualified
HMOs to permit members to occasionally use non HMO physicians and be partially reimbursed.
Page 1 of 21
,American Academy of Processional Coders (AAPC) - Answer: Professional association
established to provide a national certification and credentialing process, to support the national
and local membership by providing educational products and opportunities to network, and to
increase and promote national recognition and awareness of professional coding.
American Association of Medical Assistants (AAMA) - Answer: Enables medical assisting
professionals to enhance and demonstrate the knowledge, skills, and professionalism required
by employers and patients; as well as protect medical assistants' right to practice.
837 - Answer: Claims validation table (as in ANSI ASC X12 837)
AAMA - Answer: American Association of Medical Assistants
ABN - Answer: Advance Beneficiary Notice
ADA - Answer: Americans with Disabilties Act
AHA - Answer: American Hospital Association
AHFS - Answer: American Hospital Formulary Service
AHIMA - Answer: American Health Information Management Association
AMA - Answer: American Medical Association
ANSI - Answer: American National Standards Institute
APC - Answer: Ambulatory Payment Classification
Page 2 of 21
, AP-DRG - Answer: All Patient Diagnosis-Related Group
ARP-DRG - Answer: All Patient Refined Diagnosis-Related Group
ASC - Answer: Accredited Standards Committee
ASC - Answer: Ambulatory Surgical Center
BC - Answer: Blue Cross
BCAC - Answer: Beneficary Counseling and Assistance Coordinator
BCBS - Answer: Blue Cross Blue Shield
BCBSA - Answer: Blue Cross Blue Shield Association
BS - Answer: Blue Shield
BSR - Answer: Beneficiary Services Representative
CA - Answer: Cancer or Carcinoma
CAC - Answer: Common Access Card
CAC - Answer: Computer Assisted Coding
CAT - Answer: Computerized Axial Tomography
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