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:

SectionObjectives
Topic 1: Insurance Processing and Payer Rules- Private insurance policies and contracts
- Coordination of benefits (COB)
- Medicare and Medicaid guidelines
Topic 2: Coding and Claim Submission Basics- ICD-10-CM, CPT, and HCPCS overview
- Use of modifiers and coding compliance
- Claims submission processes
Topic 3: Revenue Cycle Management- Accounts receivable follow-up
- Claims denial and rejection management
- Payment posting and reconciliation
Topic 4: Compliance and Regulations- HIPAA and patient privacy rules
- Billing compliance standards
- Fraud and abuse prevention
Topic 5: Medical Billing Fundamentals- Healthcare reimbursement systems
- Insurance types and payer structures
- Medical billing workflow and revenue cycle

AAPC Certified Professional Biller (CPB) Sample Questions:

1. Accept Assignment

A) Provider accepts as payment in full whatever is paid on the claim by the payer (except for any copayment and or coinsurance amounts.)
B) Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients.
C) The amount owed to a business for services or goods provided.
D) Assists providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services.


2. What is Blue Cross (BC)?

A) 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.
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 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.
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.


3. Ambulance Fee Schedule is payment system for ambulance services provided to Medicare Beneficiaries.

A) FALSE
B) TRUE


4. Blue Cross Blue Shield (BCBS) is joint venture between Blue Cross and Blue Shield where the corporation shared one building and computer.

A) FALSE
B) TRUE


5. What does AHIMA stand for?

A) Australian Health Information Management Association
B) Asian Health Information Management Association
C) American Health Information Management Association
D) African Health Information Management Association


Solutions:

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

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