AAPC CPB Questions & Answers - in .pdf
- Total Q&A: 245
- Update: Aug 20, 2026
- Price: $59.99
- Vendor: AAPC
- Exam Code: CPB
- Exam Name: Certified Professional Biller (CPB)
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AAPC CPB Q&A - Testing Engine
- Total Q&A: 245
- Update: Aug 20, 2026
- Price: $59.99
- Vendor: AAPC
- Exam Code: CPB
- Exam Name: Certified Professional Biller (CPB)
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AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|
| Healthcare Billing Fundamentals | 15-20% | - Healthcare documentation principles
- Medical terminology basics
- Anatomy and physiology for billers
- Revenue cycle overview
|
| CPT Coding | 20-25% | - Category II and III codes
- Modifiers and their appropriate use
- Evaluation and Management (E/M) codes
- CPT code categories and structure
- Surgical procedure codes
|
| Insurance and Reimbursement | 20-25% | - Claims submission and processing
- Fee schedules and reimbursement methodologies
- Workers' compensation and no-fault billing
- Coordination of benefits
- Commercial insurance policies
- Government payers (Medicare, Medicaid, TRICARE)
|
| ICD-10-CM Diagnosis Coding | 15-20% | - ICD-10-CM structure and conventions
- Principal diagnosis selection
- Chapter-specific guidelines
- Secondary diagnosis coding
- Code accuracy and specificity
|
| Practice Management | 10-15% | - Patient registration and demographics
- Accounts receivable management
- Collections and payment posting
- Patient responsibility calculations
- Insurance verification processes
|
| Billing Compliance and Regulations | 10-15% | - HIPAA privacy and security requirements
- Fraud, waste, and abuse prevention
- Documentation compliance
- Appeal and denial management
- Stark Law and Anti-Kickback Statute basics
|
AAPC Certified Professional Biller (CPB) Sample Questions:
1. What is Blue Cross (BC)?
A) Insurance plan created in 1929 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 21 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
B) Insurance plan created in 1930 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 20 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
C) Insurance plan created in 1930 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 21 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
D) Insurance plan created in 1929 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 20 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
2. HSSA stands for Health Savings Security Account.
A) TRUE
B) FALSE
3. The medical prefix "ab-" means:
A) extremities, top
B) away from
C) toward
D) abdomen
4. A patient has Medicare as primary and a commercial plan as secondary. Which insurance should be billed first?
A) Secondary insurance
B) Medicare
C) Commercial insurance
D) Medicaid
5. Which amount is written off when a provider is contracted with an insurance company?
A) Deductible
B) Allowed amount
C) Copayment
D) Contractual adjustment
Solutions:
Question # 1
Answer: A | Question # 2
Answer: A | Question # 3
Answer: B | Question # 4
Answer: B | Question # 5
Answer: D |
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