Free PDF 2026 AAPC CPB: Certified Professional Biller (CPB) Practice Mock

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AAPC CPB Exam Syllabus Topics:

Section	Weight	Objectives
Case Analysis	17%	- Eligibility verification - Adjudication and resolution - End-to-end billing scenarios
Claims and Billing	14%	- Electronic claims, clearinghouses - Denials, appeals, corrections - Timely filing rules - Claim submission, tracking, follow-up
Coding Concepts for Billers	12%	- ICD-10-CM, CPT®, HCPCS Level II - Code validation, modifiers - Medical necessity
Types of Insurance	21%	- Commercial payers - TRICARE/CHAMPUS, Workers' compensation - Managed care plans - Medicare, Medigap, Medicaid - Third-party liability
Billing Regulations	13%	- Incident-to billing, global packages - CMS-1500, UB-04 completion - ACOs, NCCI, LCDs, NCDs - Payer payment policies
HIPAA and Compliance	9%	- Privacy, security, transaction standards - Medical record retention - Fraud, abuse, False Claims Act - Compliance programs
Reimbursement and Collections	14%	- Payment posting, adjustments - Accounts receivable management - Refunds, payment plans, write-offs - Patient statements, collections

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AAPC Certified Professional Biller (CPB) Sample Questions (Q99-Q104):

NEW QUESTION # 99
HSA stands for Health Savings account.

A. TRUE
B. FALSE

Answer: A

NEW QUESTION # 100
Accounts Receivable Aging Report

A. Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients.
B. Judicial dispute resolution process in which an appeals board makes a final determination.
C. Assists Providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services.
D. Voluntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.

Answer: A

NEW QUESTION # 101
Catastrophic cap benefit protects TRICARE beneficiaries form devastating financial loss due to serious illness or long-term treatment by establishing limits over which payments is not required.

A. TRUE
B. FALSE

Answer: A

NEW QUESTION # 102
What is the primary purpose of a compliance program in a medical billing office?

A. Prevent fraud, waste, and abuse
B. Reduce staffing needs
C. Increase reimbursement
D. Speed up claim payments

Answer: A

Explanation:
Compliance programs help prevent improper billing, fraud, and regulatory violations.

NEW QUESTION # 103
CMP

A. Centers of Medicare and Medicaid Services
B. Competitive Medical Plan
C. UB04 Claim used by institutional and other selected providers to
D. Insurance claim used by noninstitutional providers and supplier to bill payers

Answer: B

NEW QUESTION # 104
......

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