New Launch CPB Certified Professional Biller (CPB) Dumps Options To Pass the Exam 2026
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| Section | Weight | Objectives |
|---|
| Topic 1: ICD-10-CM Diagnosis Coding | 15-20% | - Secondary diagnosis coding - Code accuracy and specificity - Principal diagnosis selection - ICD-10-CM structure and conventions - Chapter-specific guidelines
|
| Topic 2: Billing Compliance and Regulations | 10-15% | - Fraud, waste, and abuse prevention - Documentation compliance - Stark Law and Anti-Kickback Statute basics - HIPAA privacy and security requirements - Appeal and denial management
|
| Topic 3: CPT Coding | 20-25% | - Surgical procedure codes - Modifiers and their appropriate use - Category II and III codes - Evaluation and Management (E/M) codes - CPT code categories and structure
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| Topic 4: Practice Management | 10-15% | - Insurance verification processes - Patient responsibility calculations - Patient registration and demographics - Collections and payment posting - Accounts receivable management
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| Topic 5: Healthcare Billing Fundamentals | 15-20% | - Medical terminology basics - Healthcare documentation principles - Revenue cycle overview - Anatomy and physiology for billers
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| Topic 6: Insurance and Reimbursement | 20-25% | - Fee schedules and reimbursement methodologies - Claims submission and processing - Workers' compensation and no-fault billing - Commercial insurance policies - Coordination of benefits - Government payers (Medicare, Medicaid, TRICARE)
|
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AAPC Certified Professional Biller (CPB) Sample Questions (Q63-Q68):
NEW QUESTION # 63
Allowable Charge
- A. Adopted by Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare beneficiaries; expanded original DRG system (based on intensity of resources) to add two subclasses to each DRG that adjusts Medicare inpatient hospital reimbursement rates for of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.
- B. The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
- C. DRG system adapted for use by thirdparty payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross Blue Shield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.
- D. See limiting charge; maximum fee a physician may charge.
Answer: D
NEW QUESTION # 64
What does HA stand for?
- A. Healthcare Affairs
- B. Healthcare Assessment
- C. Home Assessment
- D. Health Affairs
Answer: D
NEW QUESTION # 65
HHRG stands for Home Health Resource Group.
Answer: A
NEW QUESTION # 66
What does ADA stand for?
- A. Africans with Disabilities Act
- B. Americans with Disabilities Act
- C. Asians with Disabilities Act
- D. Australians with Disabilities Act
Answer: B
NEW QUESTION # 67
The medical word root "ankyl/o" (or "ankyl") means:
- A. crooked, bent
- B. against
- C. joint
- D. condition
Answer: A
NEW QUESTION # 68
......
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