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Updated: Sep 17, 2026
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AAPC CPB Exam Overview:
| Certification Vendor: | American Academy of Professional Coders (AAPC) |
|---|---|
| Exam Name: | Certified Professional Biller (CPB) Certification Exam |
| Exam Number: | CPB |
| Real Exam Qty: | 135 |
| Related Certifications: | Certified Physician Practice Manager (CPPM) Certified Professional Coder (CPC) Certified Compliance Officer (CPCO) |
| Passing Score: | 70% |
| Exam Price: | $399 (members), $599 (non-members); $499 for two attempts |
| Exam Format: | Proctored, Multiple-choice, Scenario-based |
| Available Languages: | English |
| Certificate Validity Period: | 2 years (requires 36 CEUs and active membership for renewal) |
| Exam Duration: | 240 minutes |
| Recommended Training: | CPB Official Training Course CPB Study Guide |
| Exam Registration: | AAPC Official Registration |
| Sample Questions: | AAPC CPB Sample Questions |
| Exam Way: | Online remote proctored or in-person at authorized testing centers |
| Pre Condition: | Active AAPC membership required; recommended knowledge of medical terminology, anatomy, and pathophysiology; 2 years of experience recommended (CPB-A awarded without experience) |
| Official Syllabus URL: | https://www.aapc.com/certifications/cpb/ |
AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Reimbursement and Collections | 14% | - Payment posting, adjustments - Accounts receivable management - Refunds, payment plans, write-offs - Patient statements, collections |
| Topic 2: Billing Regulations | 13% | - Incident-to billing, global packages - Payer payment policies - CMS-1500, UB-04 completion - ACOs, NCCI, LCDs, NCDs |
| Topic 3: Case Analysis | 17% | - Adjudication and resolution - Eligibility verification - End-to-end billing scenarios |
| Topic 4: HIPAA and Compliance | 9% | - Privacy, security, transaction standards - Compliance programs - Medical record retention - Fraud, abuse, False Claims Act |
| Topic 5: Types of Insurance | 21% | - Commercial payers - Medicare, Medigap, Medicaid - Managed care plans - Third-party liability - TRICARE/CHAMPUS, Workers' compensation |
| Topic 6: Coding Concepts for Billers | 12% | - Code validation, modifiers - ICD-10-CM, CPT®, HCPCS Level II - Medical necessity |
| Topic 7: Claims and Billing | 14% | - Claim submission, tracking, follow-up - Timely filing rules - Electronic claims, clearinghouses - Denials, appeals, corrections |
AAPC Certified Professional Biller (CPB) Sample Questions:
What does BSR stand for?
- A. Beneficiary Services Representative
- B. Beneficiary Standards Representative
- C. Blue Shield Representative
- D. Black Shield Representative
Correct Answer: A 🗳️
FCA
- A. False Claims Act
- B. Federal Employment Compensation Act
- C. Federal Employee Health Benefit Program
- D. Fair Debt Collection Practices Act
Correct Answer: A 🗳️
CAC (Choose two.)
- A. Certified Coding Specialist
- B. Computerized Axial Tomography
- C. Common Access Card
- D. Computer Assisted Coding
Correct Answer: C,D 🗳️
Adjusted Claim is payment correction resulting in additional payment(s) to the provider.
- A. TRUE
- B. FALSE
Correct Answer: A 🗳️
Which term refers to a digital version of a patient's paper chart, encompassing a comprehensive record of patient health information?
- A. Explanation of Benefits
- B. Electronic Medical Record
- C. Exclusive provider organization
- D. Early and Periodic screening, diagnostic, and treatment
Correct Answer: B 🗳️
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