Try and practice the latest AAPC : CPB real questions & answers

Last Updated: Aug 21, 2026

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AAPC CPB Exam Syllabus Topics:

SectionWeightObjectives
Billing Regulations13%- CMS-1500, UB-04 completion
- Payer payment policies
- Incident-to billing, global packages
- ACOs, NCCI, LCDs, NCDs
HIPAA and Compliance9%- Medical record retention
- Fraud, abuse, False Claims Act
- Privacy, security, transaction standards
- Compliance programs
Coding Concepts for Billers12%- ICD-10-CM, CPT®, HCPCS Level II
- Medical necessity
- Code validation, modifiers
Claims and Billing14%- Claim submission, tracking, follow-up
- Denials, appeals, corrections
- Electronic claims, clearinghouses
- Timely filing rules
Types of Insurance21%- Commercial payers
- Managed care plans
- Medicare, Medigap, Medicaid
- Third-party liability
- TRICARE/CHAMPUS, Workers' compensation
Reimbursement and Collections14%- Refunds, payment plans, write-offs
- Patient statements, collections
- Accounts receivable management
- Payment posting, adjustments
Case Analysis17%- Adjudication and resolution
- End-to-end billing scenarios
- Eligibility verification

AAPC Certified Professional Biller (CPB) Sample Questions:

1. Accept Assignment

A) Assists providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services.
B) The amount owed to a business for services or goods provided.
C) Provider accepts as payment in full whatever is paid on the claim by the payer (except for any copayment and or coinsurance amounts.)
D) Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients.


2. What is the provider's responsibility when a patient has a copayment?

A) Bill it to insurance
B) Collect it at the time of service
C) Waive it routinely
D) Write it off automatically


3. Which payer typically requires prior authorization for certain services?

A) Only Medicare
B) Medicaid only
C) All payers equally
D) Commercial and managed care plans


4. What does AAMA stand for?

A) Australian Association of Medical Assistants
B) Asian Association of Medical Assistants
C) American Association of Medical Assistants
D) African Association of Medical Assistants


5. Accounts Receivable Aging Report

A) Assists Providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services.
B) Judicial dispute resolution process in which an appeals board makes a final determination.
C) Voluntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.
D) Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients.


Solutions:

Question # 1
Answer: C
Question # 2
Answer: B
Question # 3
Answer: D
Question # 4
Answer: C
Question # 5
Answer: D

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