AAPC CPB : Certified Professional Biller (CPB)

Exam Code: CPB

Exam Name: Certified Professional Biller (CPB)

Updated: Sep 18, 2026

Q & A: 245 Questions and Answers

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AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: CPT Coding20-25%- Modifiers and their appropriate use
- CPT code categories and structure
- Surgical procedure codes
- Category II and III codes
- Evaluation and Management (E/M) codes
Topic 2: Billing Compliance and Regulations10-15%- Stark Law and Anti-Kickback Statute basics
- Documentation compliance
- Appeal and denial management
- Fraud, waste, and abuse prevention
- HIPAA privacy and security requirements
Topic 3: Practice Management10-15%- Insurance verification processes
- Patient responsibility calculations
- Accounts receivable management
- Patient registration and demographics
- Collections and payment posting
Topic 4: Healthcare Billing Fundamentals15-20%- Medical terminology basics
- Healthcare documentation principles
- Revenue cycle overview
- Anatomy and physiology for billers
Topic 5: Insurance and Reimbursement20-25%- Commercial insurance policies
- Workers' compensation and no-fault billing
- Government payers (Medicare, Medicaid, TRICARE)
- Claims submission and processing
- Fee schedules and reimbursement methodologies
- Coordination of benefits
Topic 6: ICD-10-CM Diagnosis Coding15-20%- ICD-10-CM structure and conventions
- Principal diagnosis selection
- Chapter-specific guidelines
- Secondary diagnosis coding
- Code accuracy and specificity

AAPC Certified Professional Biller (CPB) Sample Questions:

Question #1

Which part of the body does cervic refer to?

  • A. neck
  • B. skull
  • C. vagina
  • D. head
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #2

HICN stands for Health Insurance claim number.

  • A. TRUE
  • B. FALSE
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #3

HPSA stands for Health Personnel Shortage Area.

  • A. TRUE
  • B. FALSE
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #4

EPSDT

  • A. Electronic Remittance Advice
  • B. Employee Retirements income security Act of 1974
  • C. Early and Periodic screening, diagnostic, and treatment
  • D. External Quality Review Organization
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Question #5

What does it mean by brachy?

  • A. tall
  • B. short
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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