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Last Updated: Nov 06, 2026
No. of Questions: 245 Questions & Answers with Testing Engine
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AAPC CPB Practice Q&A's
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AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Coding Concepts for Billers | 12% | - Code validation, modifiers - ICD-10-CM, CPT®, HCPCS Level II - Medical necessity |
| Types of Insurance | 21% | - Commercial payers - Third-party liability - Medicare, Medigap, Medicaid - TRICARE/CHAMPUS, Workers' compensation - Managed care plans |
| HIPAA and Compliance | 9% | - Privacy, security, transaction standards - Fraud, abuse, False Claims Act - Medical record retention - Compliance programs |
| Claims and Billing | 14% | - Timely filing rules - Claim submission, tracking, follow-up - Electronic claims, clearinghouses - Denials, appeals, corrections |
| Case Analysis | 17% | - Adjudication and resolution - End-to-end billing scenarios - Eligibility verification |
| Billing Regulations | 13% | - CMS-1500, UB-04 completion - Incident-to billing, global packages - Payer payment policies - ACOs, NCCI, LCDs, NCDs |
| Reimbursement and Collections | 14% | - Payment posting, adjustments - Accounts receivable management - Patient statements, collections - Refunds, payment plans, write-offs |
AAPC Certified Professional Biller (CPB) Sample Questions:
HPSA stands for Health Personnel Shortage Area.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
Which payer typically requires prior authorization for certain services?
- A. All payers equally
- B. Medicaid only
- C. Only Medicare
- D. Commercial and managed care plans
Correct Answer: D 🗳️
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What is the coding system currently in use to report diagnoses and reasons for encounter?
- A. International Classification of Diseases, 6th revision, clinical modification (ICD6CM)
- B. International Classification of Diseases, 9th revision, clinical modification (ICD9CM)
- C. International Classification of Diseases, 7th revision, clinical modification (ICD7CM)
- D. International Classification of Diseases, 8th revision, clinical modification (ICD8CM)
Correct Answer: B 🗳️
What does CDT stand for?
- A. Civilian Dental Terminology
- B. Conversion Dental Terminology
- C. Current Dental Terminology
- D. Comprehensive Dental Terminology
Correct Answer: C 🗳️
GPWW stands for Group Practice Without Walls.
- A. FALSE
- B. TRUE
Correct Answer: B 🗳️
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