CPB® Preparation Course

Clock Hours

Course Length

Class Hours

Certificate of Completion Issued

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

Included Textbook

Recommended Textbooks/Supplies

Computer Requirements

Course Enrollment Fee

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.