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Free CPB: Certified Professional Biller Exam Questions and Answers
Last updated: July 30, 2025
Examtopics CPB: Certified Professional Biller Prepaway Real Exam Questions and dumps free download
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704-CPB: Certified Professional Biller
#Question
A patient requests a payment plan. What should the biller do?
A.
Ignore the request
B.
Deny the request
C.
Offer a structured payment plan
D.
Require full payment
Correct Answer:
C
Offering a structured payment plan can assist the patient in managing their financial responsibilities.
#Question
If a patient is referred for a service and the referral was not obtained, what should the biller do?
A.
Inform the patient that the service may not be covered
B.
Accept the denial
C.
Ignore the referral requirement
D.
Bill the service anyway
Correct Answer:
A
Informing the patient about the potential lack of coverage helps manage their expectations.
#Question
A claim is submitted under the wrong patient's name. What is the best action for the biller?
A.
Write off the claim
B.
Accept the denial
C.
Ignore the error
D.
Correct the patient name and resubmit
Correct Answer:
D
Correcting the patient name and resubmitting is essential for proper claims processing.
#Question
A biller discovers a pattern of incorrectly coded claims. What should they do?
A.
Ignore the patterns
B.
Change the codes
C.
Provide training for coders
D.
Accept them as standard
Correct Answer:
C
Providing training for coders helps improve billing accuracy and compliance.
#Question
If a claim is denied because the patient was not eligible for the service, what should the biller do?
A.
Write off the claim
B.
Accept the denial
C.
Ignore the denial
D.
Review eligibility criteria and appeal
Correct Answer:
D
Reviewing eligibility criteria and appealing may help clarify the situation for the patient.
#Question
A claim is submitted electronically. What is the importance of following the correct format?
A.
It speeds up processing
B.
It ensures compliance with regulations
C.
All of the above
D.
It reduces paperwork
Correct Answer:
C
Following the correct format ensures compliance, speeds up the processing, and reduces paperwork.
#Question
If a patient requires a service that their insurance does not cover, what should the biller inform them about?
A.
They will have to pay out-of-pocket
B.
Service is optional
C.
They will receive a discount
D.
They owe nothing
Correct Answer:
A
Informing the patient that they will need to pay out-of-pocket helps manage their expectations.
704-CPB: Certified Professional Biller
#Question
A patient requests a payment plan. What should the biller do?
A.
Ignore the request
B.
Deny the request
C.
Offer a structured payment plan
D.
Require full payment
Correct Answer:
C
Offering a structured payment plan can assist the patient in managing their financial responsibilities.
#Question
If a patient is referred for a service and the referral was not obtained, what should the biller do?
A.
Inform the patient that the service may not be covered
B.
Accept the denial
C.
Ignore the referral requirement
D.
Bill the service anyway
Correct Answer:
A
Informing the patient about the potential lack of coverage helps manage their expectations.
#Question
A claim is submitted under the wrong patient's name. What is the best action for the biller?
A.
Write off the claim
B.
Accept the denial
C.
Ignore the error
D.
Correct the patient name and resubmit
Correct Answer:
D
Correcting the patient name and resubmitting is essential for proper claims processing.
#Question
A biller discovers a pattern of incorrectly coded claims. What should they do?
A.
Ignore the patterns
B.
Change the codes
C.
Provide training for coders
D.
Accept them as standard
Correct Answer:
C
Providing training for coders helps improve billing accuracy and compliance.
#Question
If a claim is denied because the patient was not eligible for the service, what should the biller do?
A.
Write off the claim
B.
Accept the denial
C.
Ignore the denial
D.
Review eligibility criteria and appeal
Correct Answer:
D
Reviewing eligibility criteria and appealing may help clarify the situation for the patient.
#Question
A claim is submitted electronically. What is the importance of following the correct format?
A.
It speeds up processing
B.
It ensures compliance with regulations
C.
All of the above
D.
It reduces paperwork
Correct Answer:
C
Following the correct format ensures compliance, speeds up the processing, and reduces paperwork.
#Question
If a patient requires a service that their insurance does not cover, what should the biller inform them about?
A.
They will have to pay out-of-pocket
B.
Service is optional
C.
They will receive a discount
D.
They owe nothing
Correct Answer:
A
Informing the patient that they will need to pay out-of-pocket helps manage their expectations.
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FAQ
Learn More:
Q1: What are AAPC Certification Exams? A: AAPC (American Academy of Professional Coders) Certification Exams validate your expertise in medical coding, billing, auditing, compliance, and practice management within the healthcare industry.
Q2: Why should I pursue AAPC Certification? A: AAPC Certification enhances your professional credibility, demonstrating your skills and knowledge in medical coding and healthcare administration. This can lead to better job opportunities, higher salaries, and career advancement.
Q3: What are the benefits of AAPC Certification? A: Benefits include recognition of your expertise, improved job performance, access to exclusive resources, continuing education opportunities, and staying current with the latest industry standards and practices.
Q4: Who should take AAPC Certification Exams? A: Medical coders, billers, auditors, compliance officers, and healthcare administrators should consider these certifications to validate their skills and advance their careers in the healthcare industry.
Q5: What types of AAPC Certification Exams are available? A: AAPC offers various certification paths, including Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), and many specialty certifications tailored to specific healthcare roles and expertise levels.
Q6: How do I prepare for AAPC Certification Exams? A: Preparation can include official AAPC training courses, study guides, practice exams, and hands-on experience in medical coding and healthcare management.
Q7: Where can I take AAPC Certification Exams? A: AAPC Certification Exams can be taken at authorized testing centers worldwide or online, providing flexibility to fit your schedule and location.
Q8: How do AAPC Certifications impact my career? A: AAPC Certifications significantly boost your career by demonstrating your expertise to employers, making you a more competitive candidate for advanced roles and promotions in the healthcare industry.
Q9: Are there any prerequisites for AAPC Certification Exams? A: Some exams may have prerequisites, such as foundational knowledge or prior certifications. Check the specific requirements for each certification path on the AAPC website.
Q10: How often do I need to recertify for AAPC Certifications? A: AAPC Certifications typically require continuing education units (CEUs) and recertification every two years to ensure that certified professionals stay updated with the latest industry standards and practices.
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