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AAPC Certified Professional Biller (CPB) Sample Questions:

1. 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.

2. What does HA stand for?

A) Health Affairs
B) Home Assessment
C) Healthcare Assessment
D) Healthcare Affairs

3. Blue Cross Blue Shield Association (BCBSA) is an association of independent Blue Cross Blue Shield plans.

A) TRUE
B) FALSE

4. Which of the following suffixes means two?

A) demi
B) hemi
C) bi

5. ilio

A) in, into, not
B) between
C) within, into
D) ilium (hip bone)

Solutions: