CPB Certified Professional Biller - Certification
Course Description:

Medical billing is the process by which health care providers submit claims to insurance providers (payers), government programs (Medicaid/Medicare), and/or patients directly in order to receive reimbursement for services. Besides invoicing and collecting payments, medical billers are involved with handling denied claims and processing appeals.

At the completion of this course the student will be prepared for the CPB exam. The exam is held at a local site at various locations across the country.

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The Certified Professional Biller (CPB™) credential prepares medical billers with skills to maintain all aspects of the revenue cycle. Without expertise in medical billing and the nuances of payer requirements, healthcare provider reimbursement may be compromised.

Code & Bill Inc. Certification Prep Course is designed for anyone interested in healthcare or already have background knowledge of healthcare but looking to enhance their career in medical billing.

This course also prepares the student for the nationally recognized CPB® (Certified Professional Biller). The CPB® Exam is proctored locally at various locations across the country. Exam fee is not included.


AAPC Education Provider

Course Contents:

  • Course Objectives:
    • Review an introduction to healthcare from a medical billing perspective.
    • List a variety of health insurance models and how they affect medical entities.
    • Understand the legal regulatory considerations involved in health care reimbursement and collections.
    • Explain the process of a physician-based insurance claim including obtaining patient data, claim form completion, insurance carrier processing and payment received.
    • Demonstrate the ability to use the three major coding manuals, CPT® , ICD-10-CM, and HCPCS Level II, and apply medical necessity standards.
    • Explain the follow up process for A/R in a physician's office, including the top denials by insurance carrier along with their appeals process.

  • Course Content:
    • Introduction to Healthcare
    • Health Insurance Models
    • Patient Registration Process/Data Capture
    • Introduction to ICD-10-CM Coding
    • Introduction to CPT® Coding
    • Introduction to HCPCS Level II Coding
    • Medical Necessity
    • Claim Forms (CMS-1500 and UB-04)
    • Billing
    • A/R and Collection Concepts
    • Government Carriers (Medicare, Medicaid, and TRICARE)
    • Blue Cross/Blue Shield
    • Commercial Insurance Carriers
    • Workers' Compensation
    • Final Exam

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