Exam Name: Certified Professional Biller (CPB)
Certification Provider: AAPC
Corresponding Certification: AAPC Certification
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Check Updated on: Oct 11, 2026
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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Compliance and Regulations | - Billing compliance standards - Fraud and abuse prevention - HIPAA and patient privacy rules |
| Topic 2: Revenue Cycle Management | - Accounts receivable follow-up - Claims denial and rejection management - Payment posting and reconciliation |
| Topic 3: Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Claims submission processes - Use of modifiers and coding compliance |
| Topic 4: Insurance Processing and Payer Rules | - Coordination of benefits (COB) - Private insurance policies and contracts - Medicare and Medicaid guidelines |
| Topic 5: Medical Billing Fundamentals | - Insurance types and payer structures - Healthcare reimbursement systems - Medical billing workflow and revenue cycle |
AAPC Certified Professional Biller (CPB) Sample Questions:
What does the acronym DSM stand for?
- A. (California) Employment Development Department
- B. Electronic funds transfer
- C. Electronic data interchange
- D. Diagnostic and statistical manual
Correct Answer: D 🗳️
FEHBP stands for Federal Employee Health Benefit Program.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
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. The amount owed to a business for services or goods provided.
- C. Assists providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services.
- D. Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients.
Correct Answer: A 🗳️
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