- Exam Code: CPB
- Exam Name: Certified Professional Biller (CPB)
- Updated: Aug 18, 2026
- Q & A: 245 Questions and Answers
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| Section | Objectives |
|---|---|
| Revenue Cycle Management | - Claims denial and rejection management - Accounts receivable follow-up - Payment posting and reconciliation |
| Compliance and Regulations | - Billing compliance standards - HIPAA and patient privacy rules - Fraud and abuse prevention |
| Coding and Claim Submission Basics | - Claims submission processes - Use of modifiers and coding compliance - ICD-10-CM, CPT, and HCPCS overview |
| Medical Billing Fundamentals | - Medical billing workflow and revenue cycle - Healthcare reimbursement systems - Insurance types and payer structures |
| Insurance Processing and Payer Rules | - Private insurance policies and contracts - Coordination of benefits (COB) - Medicare and Medicaid guidelines |
1. 837
A) Claims validation table (as in ANSI ASC X12 837)
B) Claims validation table (as in ANSI ASC X13 837)
C) Claims validation table (as in ANSI ASC X10 837)
D) Claims validation table (as in ANSI ASC X11 837)
2. Business liability insurance protects business assets and covers the cost of lawsuits resulting from bodily injury, and false advertising.
A) TRUE
B) FALSE
3. Cafeteria plan is also called triple option plan; provides different health benefits plans and extra coverage options through an insure or third-party administrator.
A) TRUE
B) FALSE
4. Which professional association was founded to improve the quality of medical records and current advances toward an electronic and global environment including the implementation of ICD10CM
A) Joint venture between Blue Cross and Blue shield where the corporations shared one building and computer services but maintained separate corporate identities
B) American Academy of Professional Coders (AAPC)
C) American Health Information Management Association (AHIMA)
D) An association of independent Blue Cross Blue Shield plans
5. CHAMPUS stands for Civilian Health and Medical Program of Veterans Affairs.
A) TRUE
B) FALSE
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: A |
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