CPB (Certified Professional Biller) Certification Practice Exam

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What does APC stand for in the context of healthcare payment classification?

  1. A. Ambulatory Surgical Center

  2. B. Beneficary Counseling and Assistance Coordinator

  3. C. Ambulatory Payment Classification

  4. D. American Medical Association

The correct answer is: C. Ambulatory Payment Classification

APC stands for Ambulatory Payment Classification in the context of healthcare payment classification. This system is designed to classify outpatient services and procedures for reimbursement purposes. It aims to group services that are clinically similar and have similar costs, which allows healthcare providers to receive a single payment for a set of related services performed during an outpatient visit. This method helps streamline the payment process and encourages efficiency in delivering outpatient care. The other options refer to different concepts within the healthcare field: Ambulatory Surgical Center focuses on facilities where surgeries are performed on an outpatient basis, Beneficiary Counseling and Assistance Coordinator pertains to Medicare beneficiary support, and the American Medical Association is a professional organization representing physicians. However, none of these accurately describes the classification system used for outpatient payment.