AAPC CPB Exam Details & Actual Exam Questions
- Exam Code/Number: CPB
- Exam Name/Title: Certified Professional Biller (CPB)
- Certification Provider: AAPC
- Corresponding Certification: AAPC Certification
- Exam Questions: 245
- Updated On: Sep,23 2026
- Certification Level: Professional
AAPC Certified Professional Biller (CPB) Exam Questions
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(40 Up Votes)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 Compliance Officer (CPCO) Certified Physician Practice Manager (CPPM) Certified Professional Coder (CPC) |
| Exam Price: | $399 (members), $599 (non-members); $499 for two attempts |
| Exam Format: | Multiple-choice, Scenario-based, Proctored |
| Available Languages: | English |
| Exam Duration: | 240 minutes |
| Passing Score: | 70% |
| Certificate Validity Period: | 2 years (requires 36 CEUs and active membership for renewal) |
| 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: Types of Insurance | 21% | - TRICARE/CHAMPUS, Workers' compensation - Managed care plans - Commercial payers - Third-party liability - Medicare, Medigap, Medicaid |
| Topic 2: Case Analysis | 17% | - Eligibility verification - Adjudication and resolution - End-to-end billing scenarios |
| Topic 3: HIPAA and Compliance | 9% | - Fraud, abuse, False Claims Act - Medical record retention - Compliance programs - Privacy, security, transaction standards |
| Topic 4: Coding Concepts for Billers | 12% | - ICD-10-CM, CPT®, HCPCS Level II - Medical necessity - Code validation, modifiers |
| Topic 5: Reimbursement and Collections | 14% | - Patient statements, collections - Payment posting, adjustments - Accounts receivable management - Refunds, payment plans, write-offs |
| Topic 6: Billing Regulations | 13% | - Payer payment policies - CMS-1500, UB-04 completion - Incident-to billing, global packages - ACOs, NCCI, LCDs, NCDs |
| Topic 7: Claims and Billing | 14% | - Claim submission, tracking, follow-up - Electronic claims, clearinghouses - Timely filing rules - Denials, appeals, corrections |
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