AAPC Certified Professional Biller (CPB) - CPB

AAPC CPB test insides dumps
  • Exam Code: CPB
  • Exam Name: Certified Professional Biller (CPB)
  • Updated: Aug 13, 2026
  • Q & A: 245 Questions and Answers
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AAPC CPB Exam Syllabus Topics:

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

AAPC Certified Professional Biller (CPB) Sample Questions:

1. COBRA

A) CHAMPUS Reform Initiative
B) Current Procedural Terminology
C) Certified Professional Coder
D) Consolidated Omnibus Budget Reconciliation Act of 1985


2. Blue Cross Blue Shield (BCBS) is joint venture between Blue Cross and Blue Shield where the corporation shared one building and computer.

A) TRUE
B) FALSE


3. Which part of the body does cardi refer to?

A) head
B) vagina
C) heart
D) neck


4. What is All Patient Refined DiagnosisRelated Group (ARPDRG)?

A) Adopted by Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare beneficiaries; expanded original DRG system (based on intensity of resources) to add two subclasses to each DRG that adjusts Medicare inpatient hospital reimbursement rates for severity of illness (SOI) (extent of physiological decompensation or organ system loss of function) and risk of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.
B) DRG system adapted for use by third-party payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross BlueShield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.


5. Which part of the body does crani refer to?

A) bones
B) skull
C) skeleton


Solutions:

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

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