AAPC CPB : Certified Professional Biller (CPB)

  • Exam Code: CPB
  • Exam Name: Certified Professional Biller (CPB)
  • Updated: Oct 07, 2026     Q & A: 245 Questions and Answers

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AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Practice Management10-15%- Accounts receivable management
- Insurance verification processes
- Collections and payment posting
- Patient responsibility calculations
- Patient registration and demographics
Topic 2: ICD-10-CM Diagnosis Coding15-20%- Code accuracy and specificity
- ICD-10-CM structure and conventions
- Secondary diagnosis coding
- Chapter-specific guidelines
- Principal diagnosis selection
Topic 3: Billing Compliance and Regulations10-15%- Appeal and denial management
- Fraud, waste, and abuse prevention
- HIPAA privacy and security requirements
- Documentation compliance
- Stark Law and Anti-Kickback Statute basics
Topic 4: Insurance and Reimbursement20-25%- Commercial insurance policies
- Government payers (Medicare, Medicaid, TRICARE)
- Fee schedules and reimbursement methodologies
- Coordination of benefits
- Workers' compensation and no-fault billing
- Claims submission and processing
Topic 5: Healthcare Billing Fundamentals15-20%- Healthcare documentation principles
- Anatomy and physiology for billers
- Revenue cycle overview
- Medical terminology basics
Topic 6: CPT Coding20-25%- Category II and III codes
- CPT code categories and structure
- Modifiers and their appropriate use
- Evaluation and Management (E/M) codes
- Surgical procedure codes

AAPC Certified Professional Biller (CPB) Sample Questions:

Question #1

dactyl

  • A. lack of, down
  • B. fingers, toes
  • C. skin
  • D. half
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #2

Ambulance Fee Schedule is payment system for ambulance services provided to Medicare Beneficiaries.

  • A. FALSE
  • B. TRUE
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #3

anti

  • A. joint
  • B. against
  • C. condition
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #4

EGHP

  • A. Employer group health plan
  • B. Electronic Health Record
  • C. Electronic Healthcare Network Accreditation Commission
  • D. Evaluation and Management
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #5

CPC

  • A. Certified Professional Coder
  • B. Customized SubCapitation Plan
  • C. Current Procedural Terminology
  • D. CHAMPUS Reform Initiative
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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