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Exam Code: CPB
Exam Name: Certified Professional Biller (CPB)
Updated: Sep 14, 2026
Q & A: 245 Questions and Answers
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| Section | Objectives |
|---|---|
| Compliance and Regulations | - Billing compliance standards - Fraud and abuse prevention - HIPAA and patient privacy rules |
| Insurance Processing and Payer Rules | - Private insurance policies and contracts - Coordination of benefits (COB) - Medicare and Medicaid guidelines |
| Revenue Cycle Management | - Claims denial and rejection management - Accounts receivable follow-up - Payment posting and reconciliation |
| Medical Billing Fundamentals | - Medical billing workflow and revenue cycle - Healthcare reimbursement systems - Insurance types and payer structures |
| Coding and Claim Submission Basics | - Claims submission processes - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance |
What does the acronym E/M stand for in medical coding?
Correct Answer: B 🗳️
Who is a person who performs services for another under an expressed or implied agreement?
Correct Answer: A 🗳️
What does it mean by dis?
Correct Answer: B 🗳️
Catchment area is the region defined by code boundaries within a 40mile radius of a military treatment facility.
Correct Answer: B 🗳️
What is the main purpose of an audit in medical billing?
Correct Answer: D 🗳️
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