Prepare with AAPC CPB exam practice material, pass for sure
Updated: Aug 05, 2026
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AAPC CPB Exam Overview:
| Certification Vendor: | AAPC |
| Exam Name: | Certified Professional Biller |
| Exam Number: | CPB |
| Passing Score: | 70% |
| Available Languages: | English |
| Exam Format: | Multiple-choice |
| Real Exam Qty: | 200 |
| Related Certifications: | CPC (Certified Professional Coder) CIC (Certified Inpatient Coder) CRC (Certified Risk Adjustment Coder) |
| Exam Price: | $299 (AAPC member) / $399 (non-member) |
| Exam Duration: | 240 minutes |
| Certificate Validity Period: | Annual renewal required (with CEUs) |
| Sample Questions: | AAPC CPB Sample Questions |
| Exam Way: | Online proctored exam (at approved testing centers or remote proctoring) |
| Pre Condition: | Recommended: High school diploma or equivalent; Not mandatory but recommended: Basic knowledge of medical terminology and healthcare billing concepts; AAPC membership required for exam registration |
| Official Syllabus URL: | https://www.aapc.com/certification/cpb |
AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| CPT Coding | 20-25% | - Modifiers and their appropriate use - CPT code categories and structure - Evaluation and Management (E/M) codes - Category II and III codes - Surgical procedure codes |
| Practice Management | 10-15% | - Accounts receivable management - Patient responsibility calculations - Collections and payment posting - Insurance verification processes - Patient registration and demographics |
| Healthcare Billing Fundamentals | 15-20% | - Anatomy and physiology for billers - Healthcare documentation principles - Revenue cycle overview - Medical terminology basics |
| Billing Compliance and Regulations | 10-15% | - Fraud, waste, and abuse prevention - Stark Law and Anti-Kickback Statute basics - HIPAA privacy and security requirements - Documentation compliance - Appeal and denial management |
| ICD-10-CM Diagnosis Coding | 15-20% | - Code accuracy and specificity - Principal diagnosis selection - Secondary diagnosis coding - Chapter-specific guidelines - ICD-10-CM structure and conventions |
| Insurance and Reimbursement | 20-25% | - Commercial insurance policies - Government payers (Medicare, Medicaid, TRICARE) - Fee schedules and reimbursement methodologies - Claims submission and processing - Workers' compensation and no-fault billing - Coordination of benefits |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. What is All Patient DiagnosisRelated Group (APDRG)?
A) DRG system adapted for use by third-party payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross BlueShield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.
B) 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 severity of illness (SOI) (extent of physiological decompensation or organ system loss of function) and risk of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.
2. Which term refers to a digital version of a patient's paper chart, encompassing a comprehensive record of patient health information?
A) Exclusive provider organization
B) Electronic Medical Record
C) Explanation of Benefits
D) Early and Periodic screening, diagnostic, and treatment
3. What is All Patient Refined DiagnosisRelated Group (ARPDRG)?
A) DRG system adapted for use by third-party payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross BlueShield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.
B) 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 severity of illness (SOI) (extent of physiological decompensation or organ system loss of function) and risk of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.
4. Birthday rule determines coverage by primary and secondary policies when each parent subscribes to a different health insurance plan.
A) FALSE
B) TRUE
5. FMAP stands for Federal Medical Assistance Percentage.
A) FALSE
B) TRUE
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: B |
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