CPB Certified Professional Biller Certification Practice Exam 2025 – All-in-One Guide to Achieve Exam Success!

Question: 1 / 400

What does APC stand for in the context of billing?

Ambulatory Payment Classification

The correct answer is Ambulatory Payment Classification. This term refers to the classification system used by Medicare to determine payment for outpatient services provided to patients. Each APC is associated with a specific payment rate that reflects the resources used to provide certain services or procedures, allowing for a structured and standardized approach to billing for ambulatory care.

This system is crucial in the healthcare billing process, especially for outpatient facilities, as it helps ensure that providers are compensated appropriately for the services rendered while also maintaining a level of cost control for payers like Medicare. The understanding of APCs is essential for professionals in the billing field as it directly impacts revenue cycle management and compliance with healthcare regulations.

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Aggressive Payment Calculation

Adjusted Payment Classification

Automatic Payment Classification

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