Exam Name: Certified Professional Biller (CPB)
Certification Provider: AAPC
Corresponding Certification: AAPC Certification
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Check Updated on: Aug 29, 2026
No. of Questions: 245 Questions & Answers with Exam Engine
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AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Insurance and Reimbursement | 20-25% | - Government payers (Medicare, Medicaid, TRICARE) - Workers' compensation and no-fault billing - Commercial insurance policies - Coordination of benefits - Claims submission and processing - Fee schedules and reimbursement methodologies |
| Healthcare Billing Fundamentals | 15-20% | - Anatomy and physiology for billers - Healthcare documentation principles - Revenue cycle overview - Medical terminology basics |
| ICD-10-CM Diagnosis Coding | 15-20% | - ICD-10-CM structure and conventions - Principal diagnosis selection - Code accuracy and specificity - Chapter-specific guidelines - Secondary diagnosis coding |
| Billing Compliance and Regulations | 10-15% | - HIPAA privacy and security requirements - Appeal and denial management - Documentation compliance - Fraud, waste, and abuse prevention - Stark Law and Anti-Kickback Statute basics |
| CPT Coding | 20-25% | - Category II and III codes - Modifiers and their appropriate use - CPT code categories and structure - Surgical procedure codes - Evaluation and Management (E/M) codes |
| Practice Management | 10-15% | - Collections and payment posting - Patient responsibility calculations - Accounts receivable management - Insurance verification processes - Patient registration and demographics |
AAPC Certified Professional Biller (CPB) Sample Questions:
Question 1
What does it mean by brachy?
A. tall
B. short
Question 2
Ambulance Fee Schedule is payment system for ambulance services provided to Medicare Beneficiaries.
A. TRUE
B. FALSE
Question 3
CMS1450
A. Coordination of Benefits
B. Insurance claim used by noninstitutional providers and supplier to bill payers
C. UB04 Claim used by institutional and other selected providers to bill payers
D. clinical nurse specialist
Question 4
EHNAC
A. Evaluation and Management
B. Electronic Health Record
C. Electronic Media Claim
D. Electronic Healthcare Network Accreditation Commission
Question 5
FDCPA
A. Fair Debt Collection Practices Act
B. Federal Employee Health Benefit Program
C. Federal Employment Liability Act
D. Federal Employment Compensation Act
Solutions:
| Question 1 Answer: B | Question 2 Answer: A | Question 3 Answer: C | Question 4 Answer: D | Question 5 Answer: A |
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