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Forms For The Test

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CCO_Admin

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Christina Pitzer asked:

Will there be a copy of the CMS-1500 or UB-04 with our test or should I write down every block in my coding books?

Answer:

On the AAPCs CPB page; they state the following documents will be provided during the exams "Case Analysis" questions. It does not mention the UB-04 form:

In this section of the exam; source documents are provided for the examinee to review. Examinees will be provided with various policies and must be able to apply those policies.

#### Documents provided include:

* 50 questions
* CMS 1500 claim forms
* Remittance advices
* Payment policies
* Local Coverage Determinations (LCD)
* National Coverage Determinations (NCD)
* Appeal letters
* Preauthorizations
* Accounts receivable reports
* Claims follow-up reports

Source: <https://www.aapc.com/certification/cpb/#tab-1>
 
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