AAPC CPB : Certified Professional Biller (CPB)

  • Exam Code: CPB
  • Exam Name: Certified Professional Biller (CPB)
  • Updated: Aug 16, 2026
  • Q & A: 245 Questions and Answers

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AAPC CPB Exam Syllabus Topics:

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

AAPC Certified Professional Biller (CPB) Sample Questions:

1. Case management is development of patient care plans to coordinate and provide care for complicated cases in a cost effective manner.

A) FALSE
B) TRUE


2. American Association of Medical Assistants (AAMA) enables medical assisting professionals to enhance and demonstrate the knowledge, skills, and professionalism required by employers and patients; as well as protect medical assistants' right to practice.

A) FALSE
B) TRUE


3. DMERC

A) Department of Defense
B) Disproportionate share hospital (adjustment)
C) Durable Medical Equipment regional carriers
D) Diagnosis related groups


4. bronch

A) bronchial tube
B) heart
C) head
D) neck, cervix


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

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


Solutions:

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

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