AAPC Certified Professional Biller (CPB) : CPB Exam Questions

  • Exam Code: CPB
  • Exam Name: Certified Professional Biller (CPB)
  • Updated: Oct 08, 2026
  • Q&As: 245 Questions and Answers

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AAPC CPB Exam Syllabus Topics:

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

AAPC Certified Professional Biller (CPB) Sample Questions:

Question #1

Care plan oversight services cover the physician's time supervising a complex and multidisciplinary care treatment program for specific patient who is under the care of a home health agency, hospice, or nursing facility.

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

Correct Answer: A  🗳️

Question #2

Which entity is responsible for enforcing HIPAA privacy regulations?

  • A. Office for Civil Rights (OCR)
  • B. Office of Inspector General (OIG)
  • C. American Medical Association (AMA)
  • D. CMS
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #3

FMAP stands for Federal Medical Assistance Percentage.

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

Correct Answer: A  🗳️

Question #4

DRG

  • A. (California) Employment Development Department
  • B. Diagnosis related groups
  • C. Disproportionate share hospital (adjustment)
  • D. Diagnostic and statistical manual
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #5

Adverse Effect is also called adverse reaction; the appearance of a pathologic condition due to ingestion r exposure to a chemical substance properly administered or taken.

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

Correct Answer: A  🗳️

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