CPB Certified Professional Biller Certification 2026 – 400 Free Practice Questions to Pass the Exam

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.