AAPC CPB Exam : Certified Professional Biller (CPB)

CPB
  • Exam Code: CPB
  • Exam Name: Certified Professional Biller (CPB)
  • Updated: Aug 17, 2026
  • Q & A: 245 Questions and Answers

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AAPC CPB Exam Syllabus Topics:

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

AAPC Certified Professional Biller (CPB) Sample Questions:

1. What does CERT stand for?

A) Clinical Error Rate Testing
B) Conversion Error Rate Testing
C) Comprehensive Error Rate Testing
D) Civilian Error Rate Testing


2. Benefit period (Medicare) __________

A) begins with the first day of hospitalization and ends when the patient has been out of the hospital for 30 consecutive days.
B) begins with the first day of hospitalization and ends when the patient has been out of the hospital for 90 consecutive days.
C) begins with the first day of hospitalization and ends when the patient has been out of the hospital for 120 consecutive days.
D) begins with the first day of hospitalization and ends when the patient has been out of the hospital for 60 consecutive days.


3. HAVEN stands for Home Assessment Validation and Entry.

A) TRUE
B) FALSE


4. What does the acronym COB stand for in medical billing?

A) Coordination of Benefits
B) Consolidated Omnibus Budget Reconciliation Act of 1985
C) Current Procedural Terminology
D) Certified Professional Coder


5. COB

A) Coordination of Benefits
B) Consolidated Omnibus Budget Reconciliation Act of 1985
C) Current Procedural Terminology
D) Certified Professional Coder


Solutions:

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

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