Pass Guaranteed Quiz 2026 AAPC Accurate CPB: Certified Professional Biller (CPB) Latest Exam Guide

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AAPC CPB Exam Syllabus Topics:

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

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AAPC Certified Professional Biller (CPB) Sample Questions (Q236-Q241):

NEW QUESTION # 236
dactyl

A. half
B. skin
C. lack of, down
D. fingers, toes

Answer: D

NEW QUESTION # 237
Which factor determines the correct payer sequence in coordination of benefits (COB)?

A. Patient preference
B. Length of employment
C. Birthday rule
D. Provider type

Answer: C

Explanation:
The birthday rule is used for dependents to determine primary coverage.

NEW QUESTION # 238
EGHP

A. Employer group health plan
B. Electronic Healthcare Network Accreditation Commission
C. Evaluation and Management
D. Electronic Health Record

Answer: A

NEW QUESTION # 239
What is the main purpose of an audit in medical billing?

A. Ensure billing accuracy and compliance
B. Punish billers
C. Increase workload
D. Speed up reimbursements

Answer: A

Explanation:
Audits are used to verify accurate billing practices and ensure compliance with regulations.

NEW QUESTION # 240
Adjudication

A. Also called adverse reaction; the appearance of a pathologic condition due to ingestion r exposure to a chemical substance properly administered or taken.
B. Judicial dispute resolution process in which an appeals board makes a final determination.
C. Payment correction resulting in additional payment(s) to the provider.
D. Document that acknowledges patient responsibility for payment if Medicare denies the claim

Answer: B

NEW QUESTION # 241
......

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