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AAPC Certified Professional Biller (CPB) : CPB exam dump
- Exam Code: CPB
- Exam Name: Certified Professional Biller (CPB)
- Updated: Oct 19, 2026
- Q&As: 245 Questions and Answers
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AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Reimbursement and Collections | 14% | - Refunds, payment plans, write-offs - Patient statements, collections - Accounts receivable management - Payment posting, adjustments |
| Claims and Billing | 14% | - Denials, appeals, corrections - Electronic claims, clearinghouses - Claim submission, tracking, follow-up - Timely filing rules |
| HIPAA and Compliance | 9% | - Medical record retention - Privacy, security, transaction standards - Compliance programs - Fraud, abuse, False Claims Act |
| Case Analysis | 17% | - Eligibility verification - End-to-end billing scenarios - Adjudication and resolution |
| Coding Concepts for Billers | 12% | - ICD-10-CM, CPT®, HCPCS Level II - Code validation, modifiers - Medical necessity |
| Types of Insurance | 21% | - Managed care plans - Medicare, Medigap, Medicaid - Commercial payers - Third-party liability - TRICARE/CHAMPUS, Workers' compensation |
| Billing Regulations | 13% | - CMS-1500, UB-04 completion - Incident-to billing, global packages - Payer payment policies - ACOs, NCCI, LCDs, NCDs |
AAPC Certified Professional Biller (CPB) Sample Questions:
Question #1
What does AMA stand for?
- A. American Military Association
- B. American Management Association
- C. American Medical Association
Correct Answer: C 🗳️
Question #2
dactyl
- A. half
- B. lack of, down
- C. skin
- D. fingers, toes
Correct Answer: D 🗳️
Question #3
What should be done if an insurance company incorrectly denies a covered service?
- A. File an appeal with supporting documentation
- B. Write off the charge
- C. Resubmit the same claim without changes
- D. Bill the patient immediately
Correct Answer: A 🗳️
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Question #4
Which of the following suffixes means two?
- A. bi
- B. demi
- C. hemi
Correct Answer: A 🗳️
Question #5
What is the primary purpose of National Correct Coding Initiative (NCCI) edits?
- A. Identify unbundling and improper coding
- B. Replace CPT guidelines
- C. Increase claim approvals
- D. Set reimbursement rates
Correct Answer: A 🗳️
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