AAPC CPB Exam : Certified Professional Biller (CPB)

AAPC CPB exam
  • Exam Code: CPB
  • Exam Name: Certified Professional Biller (CPB)
  • Updated: Aug 20, 2026
  • Q & A: 245 Questions and Answers
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AAPC CPB Exam Syllabus Topics:
SectionWeightObjectives
Coding Concepts for Billers12%- Medical necessity
- Code validation, modifiers
- ICD-10-CM, CPT®, HCPCS Level II
Claims and Billing14%- Timely filing rules
- Claim submission, tracking, follow-up
- Electronic claims, clearinghouses
- Denials, appeals, corrections
Billing Regulations13%- ACOs, NCCI, LCDs, NCDs
- CMS-1500, UB-04 completion
- Incident-to billing, global packages
- Payer payment policies
Reimbursement and Collections14%- Patient statements, collections
- Accounts receivable management
- Payment posting, adjustments
- Refunds, payment plans, write-offs
HIPAA and Compliance9%- Fraud, abuse, False Claims Act
- Medical record retention
- Compliance programs
- Privacy, security, transaction standards
Case Analysis17%- End-to-end billing scenarios
- Eligibility verification
- Adjudication and resolution
Types of Insurance21%- TRICARE/CHAMPUS, Workers' compensation
- Medicare, Medigap, Medicaid
- Managed care plans
- Commercial payers
- Third-party liability
AAPC Certified Professional Biller (CPB) Sample Questions:

1. What does AAMA stand for?

A) African Association of Medical Assistants
B) Australian Association of Medical Assistants
C) Asian Association of Medical Assistants
D) American Association of Medical Assistants


2. EDD

A) (California) Employment Development Department
B) Electronic data interchange
C) Employer group health plan
D) Electronic funds transfer


3. Which term means the patient is not responsible for paying for what the insurance plan denies?

A) Explanation of Benefits
B) Centers of Medicare and Medicaid Services150 (CMS1500)
C) Hold Harmless Clause
D) Health Insurance Claim


4. FPL

A) Flexible Spending Account
B) General Equivalency Mapping
C) Federal Register
D) Federal Poverty Level


5. CAT stands for Computerized Axial Tomography.

A) FALSE
B) TRUE


Solutions:

Question # 1
Answer: D
Question # 2
Answer: A
Question # 3
Answer: C
Question # 4
Answer: D
Question # 5
Answer: B

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