AAPC
Certified Professional Biller (CPB)®
AAPC Certification Exams
AAPC CPB Certification Core + Medical Billing Training
AAPC CPB Certification Exam
Course Title and Number: AAPC CPB Certification Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully and Answer All Questions
2. Use the provided answer sheet to mark your responses.
3. Please Ensure all you answer each question below and click Submit
when you have completed the Exam.
4. This test has a time limit, The test will save and submit automatically
when the time expires
5. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
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AAPC CPB Certification Exam Review AAPC Certified
Professional Biller (CPB)® Exam Questions and Answers | 100%
Pass Guaranteed | Graded A+ |
2025- 2026
AAPC CPB Certification Exam
Certified Professional Biller (CPB)®
AAPC CPB Certification Core + Medical Billing Training Program
AAPC Certifications
American Academy of Professional Coders AAPC.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Which providers submit the CMS-1500 claim form?
I. Independent diagnostic testing facilities (IDTFs)
II. Emergency department physicians
III. Hospice organizations
IV. Ambulance companies submitting under their own Medicare
number
V. Physicians in a group practice
VI. Ambulatory surgery centers
A. III-VI
B. IV and VI
C. I, III, IV, and VI
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D. I, II, IV, V and VI - =Answer>> D. I, II, IV, V and VI
According to CPT® Radiology Guidelines, if a patient is given
oral contrast for a CT scan of the abdomen which code is
reported?
A. 74150 Computed tomography, abdomen; without contrast
material
B. 74160 Computed tomography, abdomen; with contrast
material(s)
C. 74170 Computed tomography, abdomen; without contrast
material, followed by contrast material(s) and further sections
D. 74176 Computed tomography, abdomen and pelvis; with
contrast material(s) - =Answer>> A. 74150 Computed
tomography, abdomen; without contrast material
Which of the following is NOT in the HIPAA Privacy Rule?
A. Physician must obtain a patient's written consent and
authorization before using or disclosing PHI to carry out
treatment.
B. Implementing hardware, software, and/or procedural
mechanisms to record and examine access and other activity in
information systems that contains or use electronic PHI (e-PHI).
C. Doctor's office leaving a message on the patient's answering
machine to confirm an appointment time.
D. Patient is given greater access to his own medical record(s)
and control over how his PHI is used. - =Answer>> B.
Implementing hardware, software, and/or procedural
mechanisms to record and examine access and other activity in
information systems that contains or use electronic PHI (e-PHI).
When a physician intentionally bills procedures to Medicaid that
he did not perform he is in violation of which Act?
A. Truth in Lending Act
B. Federal Claims Collection Act
C. False Claims Act
D. Health Insurance Portability and Accountability Act -
=Answer>> C. False Claims Act
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Cardiologist Dr. W has been consistently reporting a higher E/M
level than what is documented to cover the revenue being lost
in his practice. Is this considered fraud or abuse and why?
A. Abuse; the provider's practice is common and therefore
would not be considered fraudulent.
B. Fraud; the provider intentionally over-coded to gain
financially
C. Abuse; charging one level higher on each visit does not show
intent.
D. Fraud; failing to maintain adequate medical or financial
records. - =Answer>> B. Fraud; the provider intentionally
over-coded to gain financially
What is a Qui tam relator?
A. A person who brings civil action for violation under the False
Claims Act (FCA) for themselves and the US government
B. Defendant in a Stark Law case.
C. A person assigned to investigate accusations of fraudulent
billing.
D. A physician who is the defendant in a Qui Tam case. -
=Answer>> A. A person who brings civil action for violation
under the False Claims Act (FCA) for themselves and the US
government
Dr. Wilson assigns all established Medicare patients E/M level
99215 regardless of the work performed during the visit. He
considers all Medicare patients to be complicated patients and
therefore, he should be paid at the highest rate possible. Is Dr.
Wilson's actions considered fraud or abuse?
A. Abuse; some of the visits would be correctly reported at
99215 so all of the claims are not overpayments.
B. Abuse, he is knowingly billing patients incorrectly to obtain
higher payment.
C. Fraud; some of the visits would be correctly reported at
99215 so all of the claims are not overpayments.
D. Fraud; he is knowingly billing patients incorrectly to obtain
higher payment. - =Answer>> D. Fraud; he is knowingly
billing patients incorrectly to obtain higher payment.
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