AAPC CPB : Certified Professional Biller (CPB)

  • Exam Code: CPB
  • Exam Name: Certified Professional Biller (CPB)
  • Updated: Sep 18, 2026
  • Q & A: 245 Questions and Answers

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AAPC CPB Exam Syllabus Topics:

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

AAPC Certified Professional Biller (CPB) Sample Questions:

Question #1

Who is a person who performs services for another under an expressed or implied agreement?

  • A. Healthcare Provider
  • B. Independent Contractor
  • C. Health Insurance Specialist
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #2

What does APC stand for?

  • A. Ambulatory Payment Classification
  • B. Advanced Payment Classification
  • C. Ambulatory Patient Classification
  • D. Advanced Patient Classification
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #3

What does it mean by graphy?

  • A. process of publishing
  • B. process of recording
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #4

What does AAMA stand for?

  • A. African Association of Medical Assistants
  • B. Australian Association of Medical Assistants
  • C. Asian Association of Medical Assistants
  • D. American Association of Medical Assistants
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Question #5

The medical prefix "infra-" means:

  • A. within, into
  • B. same
  • C. between
  • D. within, into
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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