AAPC Certified Professional Biller (CPB) : CPB

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

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AAPC CPB Exam Syllabus Topics:

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

AAPC Certified Professional Biller (CPB) Sample Questions:

Question #1

What does "timely filing" refer to?

  • A. Same-day billing
  • B. Electronic claim submission
  • C. Submitting claims quickly
  • D. Submitting claims within payer-specific deadlines
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #2

EDD

  • A. (California) Employment Development Department
  • B. Electronic funds transfer
  • C. Employer group health plan
  • D. Electronic data interchange
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #3

What does it mean by brachy?

  • A. short
  • B. tall
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #4

EPSDT

  • A. Electronic Remittance Advice
  • B. Employee Retirements income security Act of 1974
  • C. External Quality Review Organization
  • D. Early and Periodic screening, diagnostic, and treatment
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Question #5

BlueCard Program is program that allows BCBS subscribers to receive local Blue Plan healthcare benefits while traveling or living outside of their plan's area.

  • A. FALSE
  • B. TRUE
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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