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AAPC CPB : Certified Professional Biller (CPB)

CPB

Exam Code: CPB

Exam Name: Certified Professional Biller (CPB)

Updated: Aug 15, 2026

Q & A: 245 Questions and Answers

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AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
Types of Insurance21%- Third-party liability
- Medicare, Medigap, Medicaid
- Managed care plans
- Commercial payers
- TRICARE/CHAMPUS, Workers' compensation
Reimbursement and Collections14%- Refunds, payment plans, write-offs
- Patient statements, collections
- Payment posting, adjustments
- Accounts receivable management
HIPAA and Compliance9%- Fraud, abuse, False Claims Act
- Compliance programs
- Medical record retention
- Privacy, security, transaction standards
Billing Regulations13%- ACOs, NCCI, LCDs, NCDs
- Payer payment policies
- Incident-to billing, global packages
- CMS-1500, UB-04 completion
Coding Concepts for Billers12%- Medical necessity
- Code validation, modifiers
- ICD-10-CM, CPT®, HCPCS Level II
Claims and Billing14%- Timely filing rules
- Electronic claims, clearinghouses
- Denials, appeals, corrections
- Claim submission, tracking, follow-up
Case Analysis17%- End-to-end billing scenarios
- Eligibility verification
- Adjudication and resolution

AAPC Certified Professional Biller (CPB) Sample Questions:

1. What is Ambulatory Surgical Center Payment Rate?

A) Predetermined amount for which ASC services are reimbursed, at 80 percent after adjustment for regional wage variations.
B) Predetermined amount for which ASC services are reimbursed, at 80 percent before adjustment for regional wage variations.
C) Determined amount for which ASC services are reimbursed, at 80 percent before adjustment for regional wage variations.
D) Determined amount for which ASC services are reimbursed, at 80 percent after adjustment for regional wage variations.


2. What does the acronym FR stand for?

A) Federal Register
B) General Enrollment Period
C) Flexible Spending Account
D) General Equivalency Mapping


3. GCPI stands for Geographic Cost Practice Index.

A) FALSE
B) TRUE


4. arthr

A) two
B) condition
C) joint


5. What does HIPAA stand for?

A) Health Insurance portability and accountability Act of 1997
B) Health Insurance portability and accountability Act of 1996
C) Health Insurance portability and accountability Act of 1994
D) Health Insurance portability and accountability Act of 1995


Solutions:

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

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CPB - Certified Professional Biller (CPB)
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