AAPC Official Course
Certified Professional Biller (CPB)®
Prepare for the CPB® exam, AAPC's credential for medical billing, through AAPC's live, instructor-led online course.
- Format: Online sessions conducted by AAPC certified trainers
- Duration: 16 weeks
- Certification awarded by: AAPC
What is a Certified Professional Biller?
The CPB credential validates a professional's expertise in the medical billing process. Earning the CPB demonstrates proficiency in claim submission, payment posting, insurance guidelines, and revenue cycle workflows that ensure healthcare providers are reimbursed accurately and on time.
This certification is ideal for individuals seeking to start or advance their career in medical billing. CPB-certified professionals are prepared to handle the complexities of payer requirements, manage denials and appeals, and contribute to the financial stability of physician practices, hospitals, and healthcare organizations.
Why earn the CPB certification?
- Stand out with a core credential recognized across healthcare for billing expertise
- Validate your ability to submit accurate claims, navigate payer policies, and manage denials
- Gain deeper knowledge of revenue cycle processes, compliance regulations, and billing systems
- Position yourself for career growth in billing, reimbursement, revenue cycle, and healthcare administration
What does the CPB cover?
Core billing knowledge
- Fundamentals of the healthcare revenue cycle and payer reimbursement
- Claim submission processes for commercial payers, Medicare, and Medicaid
- Understanding payer guidelines, edits, and clean claim requirements
Insurance and payer requirements
- Knowledge of different insurance plans, policies, and coverage rules
- Navigating coordination of benefits, medical necessity, and prior authorization requirements
- Applying compliance standards from federal and commercial payers
Denials, appeals, and collections
- Identifying and correcting claim errors that cause denials
- Preparing effective appeals and managing resubmissions
- Payment posting, reconciliation, and collections processes
Compliance and regulatory standards
- HIPAA privacy and security in billing workflows
- Fraud and abuse prevention in claim submission
- Adhering to CMS and payer-specific billing guidelines
Course curriculum overview
The medical billing training course gives you a broad understanding of health insurance, along with specific knowledge on legal and regulatory issues, and a variety of reimbursement methodologies to ensure you can accurately prepare, submit, and follow up on medical claims. You will learn how to use three major coding manuals: CPT®, ICD-10-CM, and HCPCS Level II.
The course provides hands-on practice with real-world, redacted medical records, and assures you have the proper qualifications to do medical billing for physician's offices, clinics, insurance carriers, and other types of healthcare facilities. Upon course completion, you will be prepared to take AAPC's CPB certification exam.
Medical billing training objectives
- 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.
Who should earn the CPB?
- Healthcare professionals and billers
- New entrants to healthcare who want to launch their careers in medical billing
- Experienced but uncertified billers seeking to validate their skills and increase earning potential
- Revenue cycle professionals looking to strengthen their knowledge of billing and payer requirements
- Healthcare staff transitioning into billing roles from administrative or support positions
Experience requirements
A high-level knowledge of medical terminology, anatomy, and pathophysiology, along with understanding of the proper application of payer policies; compliance rules; healthcare regulations; CPT® procedure codes, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis codes.
If you don't have billing experience or working knowledge of these subjects, AAPC offers recommended prerequisite courses to prepare you for the CPB certification training course.
Maintaining your certification
To maintain your credential, you must maintain your AAPC annual membership, and earn 36 continuing education units (CEUs) every two years.
Expand your opportunities with the CPB certification.
Becoming a CPB-certified professional demonstrates your ability to manage the full billing cycle with accuracy and compliance. This credential highlights your readiness to submit clean claims, manage denials, and ensure providers are paid for the care they deliver. Whether you're new to the field or an experienced biller seeking certification to boost your earning potential, the CPB opens the door to expanded career opportunities in billing and revenue cycle management.
Questions about CPB®
Register for AAPC Training
As AAPC's Strategic Partner in Pakistan, we support students throughout the enrollment process by coordinating batch schedules, payment processing, and access to required books and online learning resources. AAPC provides the training and credentials.
Get trained by AAPC instructors: live, instructor-led online courses led by AAPC faculty. Your certification is awarded by AAPC.
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