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CERTIFIED PROFESSIONAL BILLER (CPB)

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The Certified Professional Biller (CPB) certificate prepares medical billers with skills to maintain all aspects of the revenue cycle.

COURSE INFORMATION AND FEATURE

Certified Professional Billers know how to submit claims compliant with government regulations and private payer policies. They follow-up on claim status, resolve claim denials, file appeals, post payments, adjustments, and manage collections. The CPB medical billing certificate is vital to the financial success of the professional healthcare services claims process.

Certified Professional Billers have:

An understanding of various types of insurance plans

Expertise in applying payer policy, Local Coverage Determinations (LCDs), and National Coverage.

Determinations (NCDs) for successful claim submissions

Knowledge of CPT®, ICD-10-CM, and HCPCS Level II coding guidelines

Successful navigation of healthcare industry rules and regulations, including HIPAA, False Claims Act, Fair Debt Collections Act, and Stark Law.

Understanding the medical billing claim and improving the revenue cycle.

The CPB Exam
  • 200 multiple choice questions and objectives.

  • 5 hours and 40 minutes exam duration

  • Open codebook (manuals)

The CPPM Certification Exam

CURRICULUM 

The CPB exam thoroughly covers:

  • Types of Insurance

  • Billing Regulations

  • HIPAA & Compliance

  • Reimbursement & Collections

  • Billing

  • Coding

  • Case Analysis

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