Course Overview
The Certified Professional Biller (CPB®) certification is designed for professionals seeking to specialize in medical billing. It ensures proficiency in managing the billing cycle, insurance claim processes, and regulatory compliance. CPB-certified professionals are equipped with the knowledge to maximize revenue for healthcare organizations while maintaining compliance with federal regulations and payer policies.
Course Content
• Fundamentals of Medical Billing
• Insurance Policies and Payer Requirements
• Healthcare Claim Lifecycle Management
• Coding Guidelines (ICD-10-CM, CPT®, HCPCS Level II)
• Medicare, Medicaid, and Commercial Payer Regulations
• Revenue Cycle Management
• Compliance, Fraud, and Abuse in Medical Billing
• Exam Preparation and Practice
Benefits of the Course
• Globally recognized certification in medical billing.
• Proficiency in managing healthcare claims and billing cycles.
• Improved job opportunities in healthcare billing departments.
• Expertise in handling various payer requirements and compliance standards.
• Access to AAPC’s resources and professional networks.
Curriculum
- 7 Sections
- 0 Lessons
- 60 Days
- 1. Fundamentals of Medical BillingLearn the basics of medical billing and its role in the healthcare revenue cycle.0
- 2. Insurance Policies and Payer RequirementsUnderstand various payer policies, including Medicare, Medicaid, and commercial payers.0
- 3. Healthcare Claim Lifecycle ManagementMaster the process of claim submission, denial management, and payment posting.0
- 4. Coding GuidelinesExplore coding systems like ICD-10-CM, CPT®, and HCPCS Level II as they apply to billing.0
- 5. Revenue Cycle ManagementGain expertise in optimizing the revenue cycle to maximize reimbursement.0
- 6. Compliance, Fraud, and Abuse in Medical BillingFocus on legal and regulatory standards to prevent fraud and ensure compliance.0
- 7. Exam Preparation and PracticePrepare effectively for the CPB exam with study strategies and practice tests.0
Requirements
- Basic understanding of medical coding and billing concepts.
- Familiarity with insurance claim processes.
- AAPC membership (required for exam registration).
Features
- Comprehensive training on the medical billing process.
- In-depth knowledge of payer requirements and compliance.
- Real-world case studies for practical application.
- Certification recognized by healthcare providers and insurance companies.
- Flexible learning schedule with online resources.
Target audiences
- Aspiring medical billers.
- Healthcare professionals seeking to enhance billing knowledge.
- Individuals aiming to specialize in revenue cycle management.
- Billing professionals in need of certification to validate their skills.
