Study with CPB most valid questions & verified answers
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Updated: Aug 02, 2026
No. of Questions: 245 Questions & Answers with Testing Engine
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AAPC CPB Exam Overview:
| Certification Vendor: | AAPC |
| Exam Name: | Certified Professional Biller |
| Exam Number: | CPB |
| Certificate Validity Period: | Annual renewal required (with CEUs) |
| Exam Price: | $299 (AAPC member) / $399 (non-member) |
| Real Exam Qty: | 200 |
| Exam Duration: | 240 minutes |
| Available Languages: | English |
| Passing Score: | 70% |
| Related Certifications: | CPC (Certified Professional Coder) CIC (Certified Inpatient Coder) CRC (Certified Risk Adjustment Coder) |
| Exam Format: | Multiple-choice |
| Sample Questions: | AAPC CPB Sample Questions |
| Exam Way: | Online proctored exam (at approved testing centers or remote proctoring) |
| Pre Condition: | Recommended: High school diploma or equivalent; Not mandatory but recommended: Basic knowledge of medical terminology and healthcare billing concepts; AAPC membership required for exam registration |
| Official Syllabus URL: | https://www.aapc.com/certification/cpb |
AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Insurance and Reimbursement | 20-25% | - Government payers (Medicare, Medicaid, TRICARE) - Coordination of benefits - Commercial insurance policies - Workers' compensation and no-fault billing - Claims submission and processing - Fee schedules and reimbursement methodologies |
| Topic 2: Healthcare Billing Fundamentals | 15-20% | - Anatomy and physiology for billers - Revenue cycle overview - Medical terminology basics - Healthcare documentation principles |
| Topic 3: Practice Management | 10-15% | - Patient registration and demographics - Collections and payment posting - Insurance verification processes - Patient responsibility calculations - Accounts receivable management |
| Topic 4: ICD-10-CM Diagnosis Coding | 15-20% | - Code accuracy and specificity - Secondary diagnosis coding - Principal diagnosis selection - Chapter-specific guidelines - ICD-10-CM structure and conventions |
| Topic 5: Billing Compliance and Regulations | 10-15% | - Documentation compliance - Stark Law and Anti-Kickback Statute basics - Fraud, waste, and abuse prevention - Appeal and denial management - HIPAA privacy and security requirements |
| Topic 6: CPT Coding | 20-25% | - Modifiers and their appropriate use - Evaluation and Management (E/M) codes - Category II and III codes - CPT code categories and structure - Surgical procedure codes |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. EDI
A) Electronic Healthcare Network Accreditation Commission
B) Electronic funds transfer
C) Electronic data interchange
D) Employer group health plan
2. What does it mean by gyn, gyne and gynec?
A) women, female
B) men, male
3. Which term means the patient is not responsible for paying for what the insurance plan denies?
A) Explanation of Benefits
B) Health Insurance Claim
C) Centers of Medicare and Medicaid Services150 (CMS1500)
D) Hold Harmless Clause
4. What does BSR stand for?
A) Beneficiary Standards Representative
B) Black Shield Representative
C) Blue Shield Representative
D) Beneficiary Services Representative
5. CPT
A) CHAMPUS Reform Initiative
B) Customized SubCapitation Plan
C) Computed Tomography
D) Current Procedural Terminology
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: D |
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PDF Version: can be read under the Adobe reader, or many other free readers, including OpenOffice, Foxit Reader and Google Docs.
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