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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 |
| Exam Price: | $399 (members), $599 (non-members); $499 for two attempts |
| Exam Duration: | 240 minutes |
| Available Languages: | English |
| Related Certifications: | Certified Professional Coder (CPC) Certified Physician Practice Manager (CPPM) Certified Compliance Officer (CPCO) |
| Certificate Validity Period: | 2 years (requires 36 CEUs and active membership for renewal) |
| Passing Score: | 70% |
| Exam Format: | Multiple-choice, Scenario-based, Proctored |
| Recommended Training: | CPB Study Guide CPB Official Training Course |
| 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 |
|---|---|---|
| Claims and Billing | 14% | - Electronic claims, clearinghouses - Denials, appeals, corrections - Claim submission, tracking, follow-up - Timely filing rules |
| HIPAA and Compliance | 9% | - Privacy, security, transaction standards - Compliance programs - Medical record retention - Fraud, abuse, False Claims Act |
| Case Analysis | 17% | - End-to-end billing scenarios - Adjudication and resolution - Eligibility verification |
| Coding Concepts for Billers | 12% | - Medical necessity - ICD-10-CM, CPT®, HCPCS Level II - Code validation, modifiers |
| Types of Insurance | 21% | - Managed care plans - Commercial payers - Third-party liability - TRICARE/CHAMPUS, Workers' compensation - Medicare, Medigap, Medicaid |
| Reimbursement and Collections | 14% | - Patient statements, collections - Accounts receivable management - Refunds, payment plans, write-offs - Payment posting, adjustments |
| Billing Regulations | 13% | - ACOs, NCCI, LCDs, NCDs - Payer payment policies - Incident-to billing, global packages - CMS-1500, UB-04 completion |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. iasis
A) eyelid
B) two
C) short
D) condition
2. arthr
A) joint
B) two
C) condition
3. CPT
A) Computed Tomography
B) CHAMPUS Reform Initiative
C) Customized SubCapitation Plan
D) Current Procedural Terminology
4. The medical prefix "infra-" means:
A) between
B) within, into
C) within, into
D) same
5. What does GEM stand for?
A) Geographic Equivalency Mapping
B) General Enrollment Management
C) General Equivalency Mapping
D) Group Enrollment Management
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: C |
By Boyce
