AAPC CPB - Certified Professional Biller (CPB)

AAPC CPB Actual PDF
  • Exam Code: CPB
  • Exam Name: Certified Professional Biller (CPB)
  • Updated: Aug 14, 2026
  • Q & A: 245 Questions and Answers
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AAPC CPB Exam Syllabus Topics:

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

AAPC Certified Professional Biller (CPB) Sample Questions:

1. Cafeteria plan is also called triple option plan; provides different health benefits plans and extra coverage options through an insure or third-party administrator.

A) TRUE
B) FALSE


2. DRG

A) (California) Employment Development Department
B) Diagnostic and statistical manual
C) Disproportionate share hospital (adjustment)
D) Diagnosis related groups


3. CRI

A) CHAMPUS Reform Initiative
B) Customized SubCapitation Plan
C) Debt Collection Assistance Officer
D) Computed Tomography


4. What does it mean by erythr?

A) blue
B) red
C) green
D) yellow


5. CA refers to Cancer or Carcinoma.

A) TRUE
B) FALSE


Solutions:

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

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