CPB® Preparation Course

Clock Hours

80 (Note: 80 clock hours account only for time spent in the online course, and does not include time spent outside of the course or study time. Study time will vary widely per individual.)

Course Length

Instructor Lead course 24-week program via Virtual and LMS/Blackboard systems.

Class Hours

Virtually we meet once weekly.
Online learning materials are available throughout the week online.

Certificate of Completion Issued

Yes

Course Description

This course introduces the student to health insurance and reimbursement. In this course, the student will become familiar with the health insurance industry, legal and regulatory issues, and differences in reimbursement methodologies. The student will learn principles of medical billing related to proper claim form preparation, submission and payment processing, and the follow up process. This course is recommended for anyone who is preparing for a career in a medical billing department at a physician's office, clinic, or similar positions. This course is strongly recommended for anyone who is preparing for AAPC’s CPB™ certification exam.

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

Successful course completion includes

A Passing Score of 70% of Higher on All Module Review Exams
A Passing Score of 70% or Higher on the Final Exam
An Overall Final Course Scores of 70% or Higher

No reduced hours in the course or tuition discount for previous education or training will be granted.

Included Textbook

Included in the course are all required materials, 1 exam voucher, and 1 year free membership.

Medical Coding Training: CPB Textbook and Practical Application Combo - eBook; AAPC; AAPC Publisher

Recommended Textbooks/Supplies

Medical Dictionary, Any Publisher

Computer Requirements

High-speed internet connection with Blackboard supported Operating System & Web browser.

Course Enrollment Fee

Down payment is due at the time of enrollment.

Fees listed include all recommended textbooks/supplies they are not purchased separately by the student. Prices are variable and subject to change.

Please note that all prices quoted, including deposit amounts and total course fees, already reflect applicable ACH and credit card processing fees. No additional processing fees will be charged upon payment.