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AAPC CPB Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Insurance Processing and Payer Rules | - Coordination of benefits (COB) - Private insurance policies and contracts - Medicare and Medicaid guidelines |
| Coding and Claim Submission Basics | - Claims submission processes - Use of modifiers and coding compliance - ICD-10-CM, CPT, and HCPCS overview |
| Revenue Cycle Management | - Claims denial and rejection management - Payment posting and reconciliation - Accounts receivable follow-up |
| Medical Billing Fundamentals | - Insurance types and payer structures - Medical billing workflow and revenue cycle - Healthcare reimbursement systems |
| Compliance and Regulations | - Fraud and abuse prevention - Billing compliance standards - HIPAA and patient privacy rules |
AAPC Certified Professional Biller (CPB) Sample Questions:
1. What document is used to transfer patient financial responsibility after insurance adjudication?
A) Prior Authorization
B) Patient Statement
C) CMS-1500
D) UB-04
2. What does AAMA stand for?
A) African Association of Medical Assistants
B) Australian Association of Medical Assistants
C) American Association of Medical Assistants
D) Asian Association of Medical Assistants
3. de
A) lack of, down
B) half
C) right
D) skin
4. What does ADA stand for?
A) Americans with Disabilities Act
B) Asians with Disabilities Act
C) Africans with Disabilities Act
D) Australians with Disabilities Act
5. What does it mean by gluc and glyc?
A) protein
B) vitamins
C) sugar, glucose
D) fat
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: C |


