Purchase AAPC : CPB Exam Materials and then pass exam easily
Updated: Aug 13, 2026
No. of Questions: 245 Questions & Answers with Testing Engine
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AAPC CPB Exam Overview:
| Certification Vendor: | American Academy of Professional Coders (AAPC) |
| Exam Name: | Certified Professional Biller (CPB) Certification Exam |
| Exam Number: | CPB |
| Exam Format: | Multiple-choice, Scenario-based, Proctored |
| Certificate Validity Period: | 2 years (requires 36 CEUs and active membership for renewal) |
| Related Certifications: | Certified Professional Coder (CPC) Certified Physician Practice Manager (CPPM) Certified Compliance Officer (CPCO) |
| Exam Price: | $399 (members), $599 (non-members); $499 for two attempts |
| Exam Duration: | 240 minutes |
| Passing Score: | 70% |
| Real Exam Qty: | 135 |
| Available Languages: | English |
| Recommended Training: | CPB Study Guide CPB Official Training Course |
| Exam Registration: | AAPC Official Registration |
| Sample Questions: | AAPC CPB Sample Questions |
| Exam Way: | Online remote proctored or in-person at authorized testing centers |
| Pre Condition: | Active AAPC membership required; recommended knowledge of medical terminology, anatomy, and pathophysiology; 2 years of experience recommended (CPB-A awarded without experience) |
| Official Syllabus URL: | https://www.aapc.com/certifications/cpb/ |
AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Claims and Billing | 14% | - Electronic claims, clearinghouses - Claim submission, tracking, follow-up - Timely filing rules - Denials, appeals, corrections |
| Coding Concepts for Billers | 12% | - ICD-10-CM, CPT®, HCPCS Level II - Medical necessity - Code validation, modifiers |
| Types of Insurance | 21% | - Commercial payers - Third-party liability - Medicare, Medigap, Medicaid - TRICARE/CHAMPUS, Workers' compensation - Managed care plans |
| Reimbursement and Collections | 14% | - Refunds, payment plans, write-offs - Patient statements, collections - Payment posting, adjustments - Accounts receivable management |
| HIPAA and Compliance | 9% | - Fraud, abuse, False Claims Act - Compliance programs - Medical record retention - Privacy, security, transaction standards |
| Case Analysis | 17% | - Eligibility verification - Adjudication and resolution - End-to-end billing scenarios |
| Billing Regulations | 13% | - ACOs, NCCI, LCDs, NCDs - Payer payment policies - Incident-to billing, global packages - CMS-1500, UB-04 completion |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. Amendment to the HMO Act of 1973 is legislation that allowed federally qualified HMOs to permit members to occasionally use non HMO physicians and be partially reimbursed.
A) FALSE
B) TRUE
2. FATHOM
A) Fair Debt Collection Practices Act
B) False Claims Act
C) First Look Analysis for Hospital Outlier Monitoring
D) Federal Employment Compensation Act
3. DOD
A) Diagnostic and statistical manual
B) Diagnosis related groups
C) Disproportionate share hospital (adjustment)
D) Department of Defense
4. The word root "acr" (or "acro-") refers to:
A) toward
B) extremities, top
C) fat
5. Ambulatory Payment Classification (APC) is prospective payment system used to calculate reimbursement for outpatient care according to similar clinical characteristics and in terms of resources required.
A) FALSE
B) TRUE
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: B |
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