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Last Updated: Sep 11, 2026
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AAPC CPB Practice Q&A's
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AAPC CPB Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Types of Insurance | 21% | - Third-party liability - Commercial payers - TRICARE/CHAMPUS, Workers' compensation - Medicare, Medigap, Medicaid - Managed care plans |
| Topic 2: Claims and Billing | 14% | - Electronic claims, clearinghouses - Denials, appeals, corrections - Claim submission, tracking, follow-up - Timely filing rules |
| Topic 3: Coding Concepts for Billers | 12% | - Medical necessity - Code validation, modifiers - ICD-10-CM, CPT®, HCPCS Level II |
| Topic 4: Reimbursement and Collections | 14% | - Accounts receivable management - Payment posting, adjustments - Patient statements, collections - Refunds, payment plans, write-offs |
| Topic 5: Case Analysis | 17% | - End-to-end billing scenarios - Adjudication and resolution - Eligibility verification |
| Topic 6: HIPAA and Compliance | 9% | - Privacy, security, transaction standards - Medical record retention - Fraud, abuse, False Claims Act - Compliance programs |
| Topic 7: Billing Regulations | 13% | - Incident-to billing, global packages - CMS-1500, UB-04 completion - ACOs, NCCI, LCDs, NCDs - Payer payment policies |
AAPC Certified Professional Biller (CPB) Sample Questions:
The medical prefix "dys-" means:
- A. vomiting
- B. blood condition
- C. excision, removal
- D. bad, painful
EHNAC
- A. Evaluation and Management
- B. Electronic Media Claim
- C. Electronic Health Record
- D. Electronic Healthcare Network Accreditation Commission
HSSA stands for Health Savings Security Account.
- A. FALSE
- B. TRUE
The medical word root "fibr" or "fibr/o" refers to:
- A. milk
- B. fiber
- C. before
- D. stomach
What does AHIMA stand for?
- A. Asian Health Information Management Association
- B. American Health Information Management Association
- C. Australian Health Information Management Association
- D. African Health Information Management Association
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