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AAPC Certified Professional Biller (CPB) : CPB

CPB

Exam Code: CPB

Exam Name: Certified Professional Biller (CPB)

Updated: Aug 19, 2026

Q & A: 245 Questions and Answers

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AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Reimbursement and Collections14%- Patient statements, collections
- Accounts receivable management
- Payment posting, adjustments
- Refunds, payment plans, write-offs
Topic 2: Coding Concepts for Billers12%- Code validation, modifiers
- ICD-10-CM, CPT®, HCPCS Level II
- Medical necessity
Topic 3: HIPAA and Compliance9%- Compliance programs
- Medical record retention
- Privacy, security, transaction standards
- Fraud, abuse, False Claims Act
Topic 4: Billing Regulations13%- Payer payment policies
- ACOs, NCCI, LCDs, NCDs
- CMS-1500, UB-04 completion
- Incident-to billing, global packages
Topic 5: Case Analysis17%- Adjudication and resolution
- End-to-end billing scenarios
- Eligibility verification
Topic 6: Types of Insurance21%- Managed care plans
- TRICARE/CHAMPUS, Workers' compensation
- Medicare, Medigap, Medicaid
- Third-party liability
- Commercial payers
Topic 7: Claims and Billing14%- Denials, appeals, corrections
- Timely filing rules
- Claim submission, tracking, follow-up
- Electronic claims, clearinghouses

AAPC Certified Professional Biller (CPB) Sample Questions:

1. What does it mean by galact and lact?

A) milk
B) water
C) alcohol


2. The medical word root "eti" (or "eti/o") refers to:

A) outside
B) fiber
C) cause
D) out, away from


3. CPT

A) CHAMPUS Reform Initiative
B) Current Procedural Terminology
C) Computed Tomography
D) Customized SubCapitation Plan


4. EQRO

A) External Quality Review Organization
B) Employee Retirements income security Act of 1974
C) First Look Analysis for Hospital Outlier Monitoring
D) Electronic Remittance Advice


5. DRG

A) Diagnosis related groups
B) (California) Employment Development Department
C) Diagnostic and statistical manual
D) Disproportionate share hospital (adjustment)


Solutions:

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

Related Certifications
AAPC Certification
Certified Professional Coder
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