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AAPC CPB Exam Overview:
| Certification Vendor: | American Academy of Professional Coders (AAPC) |
|---|---|
| Exam Name: | Certified Professional Biller (CPB) Certification Exam |
| Exam Number: | CPB |
| Related Certifications: | Certified Compliance Officer (CPCO) Certified Physician Practice Manager (CPPM) Certified Professional Coder (CPC) |
| Exam Format: | Multiple-choice, Scenario-based, Proctored |
| Real Exam Qty: | 135 |
| Passing Score: | 70% |
| Available Languages: | English |
| Certificate Validity Period: | 2 years (requires 36 CEUs and active membership for renewal) |
| Exam Duration: | 240 minutes |
| Exam Price: | $399 (members), $599 (non-members); $499 for two attempts |
| Recommended Training: | CPB Official Training Course CPB Study Guide |
| Exam Registration: | AAPC Official Registration |
| 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 |
|---|---|---|
| Claims and Billing | 14% | - Denials, appeals, corrections - Claim submission, tracking, follow-up - Electronic claims, clearinghouses - Timely filing rules |
| Billing Regulations | 13% | - ACOs, NCCI, LCDs, NCDs - CMS-1500, UB-04 completion - Payer payment policies - Incident-to billing, global packages |
| Case Analysis | 17% | - End-to-end billing scenarios - Eligibility verification - Adjudication and resolution |
| Types of Insurance | 21% | - Third-party liability - Managed care plans - TRICARE/CHAMPUS, Workers' compensation - Medicare, Medigap, Medicaid - Commercial payers |
| Coding Concepts for Billers | 12% | - Medical necessity - Code validation, modifiers - ICD-10-CM, CPT®, HCPCS Level II |
| Reimbursement and Collections | 14% | - Payment posting, adjustments - Patient statements, collections - Refunds, payment plans, write-offs - Accounts receivable management |
| HIPAA and Compliance | 9% | - Privacy, security, transaction standards - Compliance programs - Medical record retention - Fraud, abuse, False Claims Act |
CPB Exam FAQs for 2026 Candidates
Which certification does the CPB exam lead to?
The CPB exam is the official American Academy of Professional Coders (AAPC) exam behind the Certified Professional Biller (CPB) certification, validating the skills measured by the AAPC Certified Professional Biller (CPB) credential. It sits at the Professional level of the American Academy of Professional Coders (AAPC) certification program. It also connects to Certified Professional Coder (CPC), Certified Physician Practice Manager (CPPM), Certified Compliance Officer (CPCO), so the knowledge you build here carries over to those tracks as well.
How many questions are on the CPB exam, and how much time do I get?
The CPB exam contains 135 questions to be completed within 240 minutes. Before exam day, divide the available time by the question count to work out a comfortable per-question pace, and mark any item that eats into it so you can return later instead of getting stuck. Timed sessions in the Getcertkey test engines make that pacing automatic — run at least two full-length mock exams under the clock so time pressure never becomes the reason you drop points.
What score do I need to pass the CPB exam, and what does it cost?
The passing score for the CPB exam is 70%, and the official registration fee is $399 (members), $599 (non-members); $499 for two attempts. Retakes are not discounted — every new attempt means paying the full fee again — so it pays to measure yourself before you book. Work through the 245 practice questions on Getcertkey, sit a timed practice test, and schedule your exam only when your scores are consistently comfortable. That simple habit is the cheapest exam strategy there is.
Are there any prerequisites for the CPB exam?
Active AAPC membership required; recommended knowledge of medical terminology, anatomy, and pathophysiology; 2 years of experience recommended (CPB-A awarded without experience) Requirements can change when American Academy of Professional Coders (AAPC) revises its certification program, so confirm the current eligibility rules on the official exam page before you register.
How do I register for the CPB exam?
You can book the AAPC Certified Professional Biller (CPB) exam through the official registration channels below:
As for delivery, the exam is offered in the following format: Online remote proctored or in-person at authorized testing centers. Choose the option that suits you best when you book your seat.
What official training is recommended for the CPB exam?
American Academy of Professional Coders (AAPC) recommends the following training resources for the AAPC Certified Professional Biller (CPB) exam:
Official courses build the foundation; the 245 practice questions from Getcertkey then show you how that knowledge is examined, so the two work best together.
Can I try the CPB practice questions before I buy?
Yes. Getcertkey provides a free CPB PDF demo so you can review the question style and answer quality before purchasing. Every purchase also includes 365 days of free updates — if AAPC revises the exam during that period, the updated material reaches you at no cost. Once the free-update year ends, you can extend your update service at a 50% discount.
What if I fail the CPB exam, and how is my order delivered?
Every AAPC Certified Professional Biller (CPB) purchase on Getcertkey is covered by a 100% money-back guarantee with clear conditions: if you take the corresponding exam within 60 days of your purchase and do not pass, you can claim a full refund by submitting a scanned copy of your exam enrollment slip and your official score report as a PDF within two days of the exam date; claims are processed within seven days of submission. The guarantee does not apply to exams taken within three days of purchase, to material that was downloaded but never used in an exam attempt, or to free products and expired orders, and the candidate name must match the payer name. If you would rather not take a refund, you can instead exchange your purchase for two free exam preparation products of equal value and keep the update service on your original product.
Delivery is instant: your download is sent to your email within one minute of payment, with no limit on how many computers you may install the material on. If nothing arrives within two hours, check your spam folder and contact customer service for help.
What topics are covered in the CPB exam?
The AAPC Certified Professional Biller (CPB) exam blueprint is organized into 7 domains. The first three are:
- Types of Insurance — 21% of the exam
- Billing Regulations — 13% of the exam
- Claims and Billing — 14% of the exam
For the complete domain-by-domain breakdown, scroll up to the full exam topics outline above and use it to plan how you distribute your study time.
AAPC Certified Professional Biller (CPB) Sample Questions:
Question 1
What does GEM stand for?
A. Geographic Equivalency Mapping
B. Group Enrollment Management
C. General Equivalency Mapping
D. General Enrollment Management
Question 2
FCA
A. False Claims Act
B. Federal Employment Compensation Act
C. Fair Debt Collection Practices Act
D. Federal Employee Health Benefit Program
Question 3
What is Blue Cross (BC)?
A. Insurance plan created in 1929 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 20 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
B. Insurance plan created in 1930 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 20 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
C. Insurance plan created in 1930 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 21 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
D. Insurance plan created in 1929 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 21 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
Question 4
Case management is development of patient care plans to coordinate and provide care for complicated cases in a cost effective manner.
A. TRUE
B. FALSE
Question 5
What document is used to transfer patient financial responsibility after insurance adjudication?
A. CMS-1500
B. Patient Statement
C. Prior Authorization
D. UB-04
Solutions:
| Question 1 Answer: C | Question 2 Answer: A | Question 3 Answer: D | Question 4 Answer: A | Question 5 Answer: B |
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