Use AAPC CPB PDF Questions [2026]-Forget About Failure

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AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: CPT Coding20-25%- Modifiers and their appropriate use
- Evaluation and Management (E/M) codes
- Category II and III codes
- Surgical procedure codes
- CPT code categories and structure
Topic 2: Practice Management10-15%- Accounts receivable management
- Patient responsibility calculations
- Patient registration and demographics
- Collections and payment posting
- Insurance verification processes
Topic 3: Healthcare Billing Fundamentals15-20%- Medical terminology basics
- Revenue cycle overview
- Anatomy and physiology for billers
- Healthcare documentation principles
Topic 4: ICD-10-CM Diagnosis Coding15-20%- Principal diagnosis selection
- Code accuracy and specificity
- ICD-10-CM structure and conventions
- Chapter-specific guidelines
- Secondary diagnosis coding
Topic 5: Insurance and Reimbursement20-25%- Claims submission and processing
- Coordination of benefits
- Workers' compensation and no-fault billing
- Fee schedules and reimbursement methodologies
- Government payers (Medicare, Medicaid, TRICARE)
- Commercial insurance policies
Topic 6: Billing Compliance and Regulations10-15%- Documentation compliance
- Appeal and denial management
- Fraud, waste, and abuse prevention
- Stark Law and Anti-Kickback Statute basics
- HIPAA privacy and security requirements

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AAPC Certified Professional Biller (CPB) Sample Questions (Q161-Q166):

NEW QUESTION # 161
CDAC stands for Clinical Data Abstracting Center.

Answer: A


NEW QUESTION # 162
Billing entity is the legal business name of the provider's practice.

Answer: A


NEW QUESTION # 163
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.

Answer: A


NEW QUESTION # 164
A patient has Medicare as primary and a commercial plan as secondary. Which insurance should be billed first?

Answer: B

Explanation:
Medicare is billed first when it is the primary payer under coordination of benefits rules.


NEW QUESTION # 165
HHRG stands for Home Health Resource Group.

Answer: A


NEW QUESTION # 166
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