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Certified Professional Biller (CPB)

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Certified Professional Biller (CPB)

  /  Certified Professional Biller (CPB)

Certified Professional Biller (CPB)

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About this course

Certified Professional Biller (CPB)

CPB Course:The Certified Professional Biller (CPB) credential prepares medical billers with skills to maintain all aspects of the revenue cycle. Without expertise in medical billing and the nuances of payer requirements, healthcare provider reimbursement may be compromised. CPBs have proven knowledge of how to submit claims compliant with government regulations and private payer policies. They follow-up on claim statuses, resolve claim denials, submit appeals, post payments and adjustments, and manage collections. The CPB medical billing credential is vital to the financial success of the professional healthcare services claims process.

  • 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
  • An understanding of the life cycle of a medical billing claim and how to improve the revenue cycle
  • Expertise in effective claim follow-up, patient follow-up, and denials
  • Types of Insurance
  • Billing regulations
  • HIPPA and Compliance
  • Reimbursement and collections
  • Medical Billing
  • Medical coding- ICD -10 , CPT, HCPCS
  • Case Analysis
  • Remittance advices
  • Payment policies
  • Local Coverage Determinations (LCD)
  • National Coverage Determinations (NCD)
  • Appeal letters
  • Preauthorizations
  • Accounts receivable reports
  • Claims follow-up reports

Any basic degree

Members

Our course begins with the first step for generating great user experiences: understanding what people do, think, say, and feel. In this module, you’ll learn how to keep an open mind while learning.

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