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Certified Professional Biller (CPB™) Certification Course

Enroll Now Save up to 64% through Nov 29th

Medical billing is unlike billing in other industries. Collecting allowable reimbursement for medical services while navigating health plans, payer types, and healthcare regulations requires highly specialized professionals. Physicians and provider organizations depend on knowledgeable medical billers, as the financial health of their business is only as strong their billing team.

Why Get Your CPB Certification?

Becoming a certified professional biller (CPB™) positions you as a valuable and in-demand professional qualified to work in any healthcare setting — physician office, ambulatory surgery center, health system, hospital, dentist’s offices, billing companies, etc. And because medical billing is integral to healthcare revenue, CPBs are well compensated, earning an average annual salary of $56,652.

Are you ready for a rewarding new career in healthcare?

Train to get your CPB certification and open the door to your future.

Packages & Pricing

Save up to 64% through Nov 29th

What You’ll Learn in This Course

AAPC’s CPB Certification Course will prepare you for the CPB exam and your career as a medical biller, giving you expertise across the medical billing and reimbursement cycle — including preauthorization, charge entry, claims transmission, submitting appeals, payment posting, insurance follow-up, and patient follow-up.

Students completing this online medical billing course will:

  • Understand various health plans and reimbursement methodologies
  • Understand the regulatory considerations involved in healthcare reimbursement and collections
  • Be able to navigate the process of a physician-based insurance claim — from obtaining patient data and claim form completion to insurance carrier processing and payment posting
  • Understand the 3 major code sets (CPT®, ICD-10-CM, and HCPCS Level II), how to apply medical necessity standards, and how to use the code books
  • Understand the follow-up process for accounts receivable (A/R) in a physician’s office, including the top denials by insurance carrier along with their appeals process

    Download the CPB Online Medical Billing Course Syllabus

CPB Certification Course Options

Lifestyles and learning preferences are not one-size-fits-all, which is why AAPC offers a selection of training options for students preparing for a career in medical billing.

  • Select the self-paced CPB Certification Course if you prefer working without a set schedule or need optimal flexibility.
  • If you enjoy the convenience of training from home but learn better in a structured and interactive setting, choose our instructor-led online CPB Certification Course. This option is live, meets for 16 weeks, and includes 1.5 hours per week of one-on-one time with your instructor.

CPB Prerequisite Courses

Medical billers work with medical codes and patient charts, requiring them to understand medical terminology, anatomy, and pathophysiology. Courses in these subjects are prerequisite for students enrolling in the online medical billing program. If, however, your education or employment background has provided you with working knowledge in these areas, you are exempt from CPB prerequisite courses.

These online courses are offered individually in the self-paced format or collectively in an online instructor-led classroom that meets on specified dates.

SELF-PACED

INSTRUCTOR-LED


Instructor-Led Online Medical Billing Course Requirements

The online instructor-led training meets at specified times for 16 weeks. Each week features 1.5 hours of live instruction, plus an optional 1.5 hours to meet with your instructor. By enrolling in the live training, you commit to:

  • Class attendance and participation
  • Discipline to keep up with the chapters, approximately 18 - 20 hours of study per week
  • High-speed internet

Required Textbooks

Because code sets are updated annually, it’s essential to use code books published in the same year as when you plan to take the certification exam.

Recommended Textbooks

  • Medical dictionary, any publisher

CPB Certification Training Course Description

AAPC’s Certified Professional Biller Training Course introduces you to health insurance and reimbursement. You’ll learn principles of medical billing, as they relate to proper claim form preparation, submission and payment processing, and follow-up processes.

The instructional methods used in the CBP Certification Training Course include reading assignments, practice exercises, practical applications, interactive video lectures, chapter review tests, and a final exam.

While designed to be completed in 4 months, you will have online access to course materials for 6 months from date of purchase. Apart from reading and study time, this course includes approximately 80 clock hours of course work.

CPB Certification Course Content

Medical billing topics covered in the CPB Certification Training Course include:

Health Insurance Models and Consumer Driven Health Plans

  • Group vs individual health plans
  • Health Maintenance Organizations (HMO)
  • Managed Care Organizations (MCO)
  • Accountable Care Organizations (ACO)
  • Government payers
  • Physician credentialing/NPI requirements

Patient Registration Process and Data Capture

  • Overview of an office visit
  • Patient types
  • Demographic and insurance information
  • Medical insurance coverage validation
  • Authorization form
  • Encounter form
  • Discharge process/check-out  

Introduction to ICD-10-CM

  • Overview of ICD-10-CM layout
  • ICD-10-CM conventions
  • Steps to look up a diagnosis code
  • ICD-10-CM Official Guidelines for Coding and Reporting

Current Procedural Terminology (CPT®) Concepts

  • Evaluation and management codes
  • Anesthesia
  • Surgery
  • Radiology
  • Laboratory
  • Medicine
  • Modifiers

HCPCS Level II Concepts

  • HCPCS Level II codes
  • HCPCS Level II modifiers
  • Reporting for discarded drugs/medications

Medical Necessity

  • National Correct Coding Initiative (NCCI/CCI)
  • National Coverage Determinations (NCD) and Local Coverage Determinations (LCD)

Claim Forms

  • CMS-1500 claim form
  • UB-04 (CMS)

Billing

  • Fee schedules
  • Data entry
  • Reduce payment delay
  • Prior authorization
  • Claim scrubbers
  • A/R deposit balancing
  • Technology and insurance claims submission
  • Audits
  • Hospital facility billing
  • Primary vs secondary insurance

A/R and Collection Concepts

  • Explanation of Benefits (EOB) and Remittance Advice (RA)
  • A/R management
  • Denials and appeals
  • Patient statements
  • Refunds
  • Professional courtesy, discounts, and financial hardship
  • Patient collection practices
  • Bankruptcy concepts

Government Carriers (Medicare, Medicaid, TRICARE)

  • Medicare
  • Medicaid
  • Medigap
  • TRICARE and CHAMPVA
  • RBRVS and RVU concepts

Blue Cross/Blue Shield

  • Common types of medical insurance plans
  • Blue Cross Blue Shield Member Card
  • Contractual requirements
  • Claims filing requirements
  • Explanation of Benefits (EOB)
  • Common denials

Commercial Insurance Carriers

  • Common denials/rejections
  • Appeals and the Affordable Care Act
  • Appeals

Workers’ Compensation

  • Coverage and provider reimbursement
  • Claims completion

Download the CPB Online Medical Billing Course Syllabus

Certificate of Completion & CEUs

If you currently hold an AAPC certification, you will earn 40 CEUs you can apply to your existing certification by completing this course. CEUs are one-time use only and satisfy requirements for all certifications except CPCO, CIRCC, CPMA, and specialty certifications.

Successful completion of the CBP Certification Training Course includes:

  • A passing score of 70% or higher on all chapter review exams
  • A passing score of 70% or higher on final exam
  • An overall final course score of 70% or higher

To receive a certificate of completion, students must meet the above requirements and complete the course within the allotted time frame of 4 months (monthly extensions may be purchased).

By purchasing any online course and other items, you certify that you have read and agree to the online course Terms and Conditions and the Refund Policy.

This 80-clock hour course should be completed within 4 months, although you are given an additional 2 months or 6-month access to the class from date of purchase. Date of purchase is considered your course start date, with additional time allotted for processing your order. You will receive email instruction on course access once your order is processed.

  • If you need more time to complete your studies, you may purchase time extensions for a monthly fee.
  • If you purchased a CPB exam voucher in your training package, your voucher is valid for 12 months from date of purchase. 
  • Membershipis required to take any AAPC examination.

Why Choose AAPC for Your Medical Billing Training?

AAPC specializes in healthcare business education and has set the standards for medical billing and coding. CPBs and other AAPC-credentialed professionals represent the best in the industry.

  • AAPC students are three times as likely to pass their certification exam than students who trained elsewhere
  • Our programs are low cost and come with payment options that work within your budget
  • Expert AAPC-certified coaches are available to answer your questions
  • We offer training options suited to your learning style, such as in-person, online and self-paced, or instructor-led virtual classes
Testimonials

Here to support you as you work to pursue professional milestones, AAPC career counselors are eager to answer your questions and provide you with guidance.

Have a Question? Call 877-290-0440 or have a career counselor call you.
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