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Last Updated: Aug 20, 2026
No. of Questions: 245 Questions & Answers with Testing Engine
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AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Billing Regulations | 13% | - Incident-to billing, global packages - CMS-1500, UB-04 completion - Payer payment policies - ACOs, NCCI, LCDs, NCDs |
| Types of Insurance | 21% | - Managed care plans - Commercial payers - Medicare, Medigap, Medicaid - Third-party liability - TRICARE/CHAMPUS, Workers' compensation |
| HIPAA and Compliance | 9% | - Compliance programs - Medical record retention - Fraud, abuse, False Claims Act - Privacy, security, transaction standards |
| Reimbursement and Collections | 14% | - Refunds, payment plans, write-offs - Payment posting, adjustments - Patient statements, collections - Accounts receivable management |
| Claims and Billing | 14% | - Electronic claims, clearinghouses - Claim submission, tracking, follow-up - Denials, appeals, corrections - Timely filing rules |
| Case Analysis | 17% | - Eligibility verification - End-to-end billing scenarios - Adjudication and resolution |
| Coding Concepts for Billers | 12% | - Code validation, modifiers - ICD-10-CM, CPT®, HCPCS Level II - Medical necessity |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. EPO
A) Electronic Remittance Advice
B) External Quality Review Organization
C) Exclusive provider organization
D) Early and Periodic screening, diagnostic, and treatment
2. hemi
A) liver
B) half
C) above, excessive
D) below, under
3. What is the amount owed to a business for services or goods provided?
A) Accounts Receivable
B) Accrued Revenue
C) Accounts Payable
D) Accounts Billing
4. The medical prefix "ab-" means:
A) abdomen
B) away from
C) toward
D) extremities, top
5. EHNAC
A) Electronic Media Claim
B) Electronic Health Record
C) Evaluation and Management
D) Electronic Healthcare Network Accreditation Commission
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: D |
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