CPB PDF Guide & CPB Latest Test Question

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| Section | Weight | Objectives |
|---|
| Topic 1: Insurance and Reimbursement | 20-25% | - Workers' compensation and no-fault billing - Coordination of benefits - Claims submission and processing - Commercial insurance policies - Fee schedules and reimbursement methodologies - Government payers (Medicare, Medicaid, TRICARE)
|
| Topic 2: Practice Management | 10-15% | - Patient responsibility calculations - Patient registration and demographics - Insurance verification processes - Collections and payment posting - Accounts receivable management
|
| Topic 3: Healthcare Billing Fundamentals | 15-20% | - Anatomy and physiology for billers - Medical terminology basics - Revenue cycle overview - Healthcare documentation principles
|
| Topic 4: Billing Compliance and Regulations | 10-15% | - Appeal and denial management - Documentation compliance - Stark Law and Anti-Kickback Statute basics - HIPAA privacy and security requirements - Fraud, waste, and abuse prevention
|
| Topic 5: CPT Coding | 20-25% | - Surgical procedure codes - Category II and III codes - Modifiers and their appropriate use - Evaluation and Management (E/M) codes - CPT code categories and structure
|
| Topic 6: ICD-10-CM Diagnosis Coding | 15-20% | - Principal diagnosis selection - Secondary diagnosis coding - Chapter-specific guidelines - ICD-10-CM structure and conventions - Code accuracy and specificity
|
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100% Pass Quiz 2026 CPB: Authoritative Certified Professional Biller (CPB) PDF Guide
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AAPC Certified Professional Biller (CPB) Sample Questions (Q67-Q72):
NEW QUESTION # 67
DMEPOS
- A. Department of Defense
- B. Diagnosis related groups
- C. Durable Medical Equipment regional carriers
- D. Durable Medical Equipment, Prosthetic and Orthotic Supplies
Answer: D
NEW QUESTION # 68
Which of the following suffixes refers to in?
Answer: D
NEW QUESTION # 69
Accounts Receivable Management
- A. Payment correction resulting in additional payment(s) to the provider.
- B. 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.
- C. Judicial dispute resolution process in which an appeals board makes a final determination.
- D. Assists providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services
Answer: D
NEW QUESTION # 70
Who is the person who prepares and reviews claims for accuracy to ensure prompt payment?
- A. Healthcare Provider
- B. Health Insurance Specialist
- C. Independent Contractor
Answer: B
NEW QUESTION # 71
Which part of the body do colp and kolp refer to?
- A. neck
- B. head
- C. skull
- D. vagina
Answer: D
NEW QUESTION # 72
......
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