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AAPC CPB : Certified Professional Biller (CPB)

Exam Code: CPB

Exam Name: Certified Professional Biller (CPB)

Updated: Aug 12, 2026

Q & A: 245 Questions and Answers

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AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Claims and Billing14%- Timely filing rules
- Claim submission, tracking, follow-up
- Denials, appeals, corrections
- Electronic claims, clearinghouses
Topic 2: Billing Regulations13%- CMS-1500, UB-04 completion
- ACOs, NCCI, LCDs, NCDs
- Incident-to billing, global packages
- Payer payment policies
Topic 3: HIPAA and Compliance9%- Medical record retention
- Privacy, security, transaction standards
- Fraud, abuse, False Claims Act
- Compliance programs
Topic 4: Types of Insurance21%- TRICARE/CHAMPUS, Workers' compensation
- Commercial payers
- Third-party liability
- Managed care plans
- Medicare, Medigap, Medicaid
Topic 5: Case Analysis17%- Eligibility verification
- Adjudication and resolution
- End-to-end billing scenarios
Topic 6: Reimbursement and Collections14%- Refunds, payment plans, write-offs
- Patient statements, collections
- Accounts receivable management
- Payment posting, adjustments
Topic 7: Coding Concepts for Billers12%- ICD-10-CM, CPT®, HCPCS Level II
- Medical necessity
- Code validation, modifiers

AAPC Certified Professional Biller (CPB) Sample Questions:

1. HPSA stands for Health Personnel Shortage Area.

A) TRUE
B) FALSE


2. What does it mean by dis?

A) combination
B) separation


3. What is Ambulatory Surgical Center Payment Rate?

A) Determined amount for which ASC services are reimbursed, at 80 percent after adjustment for regional wage variations.
B) Determined amount for which ASC services are reimbursed, at 80 percent before adjustment for regional wage variations.
C) Predetermined amount for which ASC services are reimbursed, at 80 percent before adjustment for regional wage variations.
D) Predetermined amount for which ASC services are reimbursed, at 80 percent after adjustment for regional wage variations.


4. What is accreditation?

A) Voluntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.
B) Involuntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.


5. Which part of the body does gloss refer to?

A) cheek
B) teeth
C) tongue
D) lips


Solutions:

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

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