AAPC Certified Professional Biller (CPB) : CPB

CPB real exams

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

AAPC Certified Professional Biller (CPB) Sample Questions:

1. HIPPS stands for Health Insurance Prospective Payment System (code set).

A) TRUE
B) FALSE


2. ABN stands for Advance Beneficiary Notice.

A) TRUE
B) FALSE


3. DOD

A) Diagnosis related groups
B) Diagnostic and statistical manual
C) Department of Defense
D) Disproportionate share hospital (adjustment)


4. CSCP

A) Computed Tomography
B) Customized SubCapitation Plan
C) Defense Enrollment Eligibility Reporting System
D) Debt Collection Assistance Officer


5. Which entity is responsible for enforcing HIPAA privacy regulations?

A) CMS
B) Office for Civil Rights (OCR)
C) Office of Inspector General (OIG)
D) American Medical Association (AMA)


Solutions:

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

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