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Exam Code: CPB
Exam Name: Certified Professional Biller (CPB)
Updated: Aug 19, 2026
Q & A: 245 Questions and Answers
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| Section | Objectives |
|---|---|
| Revenue Cycle Management | - Accounts receivable follow-up - Claims denial and rejection management - Payment posting and reconciliation |
| Coding and Claim Submission Basics | - Claims submission processes - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance |
| 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 |
| Insurance Processing and Payer Rules | - Private insurance policies and contracts - Medicare and Medicaid guidelines - Coordination of benefits (COB) |
1. Benefit period (Medicare) __________
A) begins with the first day of hospitalization and ends when the patient has been out of the hospital for 120 consecutive days.
B) begins with the first day of hospitalization and ends when the patient has been out of the hospital for 30 consecutive days.
C) begins with the first day of hospitalization and ends when the patient has been out of the hospital for 90 consecutive days.
D) begins with the first day of hospitalization and ends when the patient has been out of the hospital for 60 consecutive days.
2. dactyl
A) lack of, down
B) half
C) skin
D) fingers, toes
3. EHNAC
A) Electronic Media Claim
B) Evaluation and Management
C) Electronic Health Record
D) Electronic Healthcare Network Accreditation Commission
4. What does it mean by benign?
A) cancerous
B) not cancerous
5. EDI
A) Employer group health plan
B) Electronic data interchange
C) Electronic Healthcare Network Accreditation Commission
D) Electronic funds transfer
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: B |
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