Certified Professional Biller
About This Course
Launch your career in healthcare billing with the Certified Professional Biller (CPB) Training by Xpert HealthCare Group. This program equips you with the essential skills to handle the medical billing process, ensuring accurate claims submission, effective revenue cycle management, and compliance with payer policies. Gain in-depth knowledge of billing systems, insurance guidelines, and reimbursement methodologies to succeed in today’s healthcare industry.
Our hands-on training focuses on real-world applications, preparing you to manage billing operations for various healthcare providers. Whether you’re new to the field or looking to enhance your skills, this course offers everything you need to excel and obtain CPB certification.
Learning Objectives
Comprehensive understanding of the medical billing cycle.
Proficiency in handling insurance claims, denials, and appeals.
Knowledge of reimbursement methodologies and payer guidelines.
Skills to ensure compliance with HIPAA and other legal standards.
Expertise in working with billing software and real-world case studies.
Material Includes
- Access to online course modules and interactive lessons.
- Downloadable billing resources and reference guides.
- Practice exams tailored to the CPB certification format.
- Real-world billing scenarios and exercises.
- Certification of Completion after successfully finishing the course.
Requirements
- Prerequisites: No prior experience is required; beginners are welcome.
- A computer or tablet with internet access is essential.
- Access to billing software (provided or recommended during training).
- Commitment to completing assigned coursework and practice exams.
Target Audience
- Aspiring medical billers looking to start a career in healthcare.
- Healthcare professionals seeking CPB certification.
- Coders and billing specialists wanting to enhance their billing knowledge.
- Students interested in learning about revenue cycle management.
Curriculum
60h
Module 1: Introduction to Medical Billing
Overview of Medical Billing and the Revenue Cycle
Roles and Responsibilities of a Professional Biller
Understanding the Importance of Accurate Billing
Module 2: Insurance Policies and Payer Requirements
Types of Insurance Plans: Medicare, Medicaid, Private Insurance
Payer Policies and Guidelines
Coordination of Benefits (COB)
Module 3: Claims Lifecycle Management
Steps for Creating and Submitting Claims
Denial Management and Appeals Process
Resolving Claim Errors and Resubmissions
Module 4: Billing Compliance and Ethical Practices
HIPAA Regulations for Billing Professionals
Fraud, Abuse, and Compliance in the Revenue Cycle
Legal and Ethical Considerations in Medical Billing
Module 5: Reimbursement Methodologies
Fee-for-Service and Value-Based Reimbursement Models
Diagnosis-Related Groups (DRGs) and Capitation
Understanding Payment Systems and Adjustments
Module 6: Coordination with Medical Coding
The Relationship Between Billing and Coding
Validating Medical Codes for Claims Submission
Case Studies in Coding-Billing Integration
Module 7: Specialized Billing Scenarios
Billing for Different Medical Specialties: Surgery, Radiology, and More
Managing Patient Payments and Financial Counseling
Handling Billing Challenges in Specialty Practices
Module 8: Practical Applications
Real-World Billing Case Studies and Exercises
Resolving Common Billing Issues in Practice
Hands-on Training with Billing Software
Module 9: CPB Exam Preparation
Exam Format and Content Breakdown
Practice Exams and Test-Taking Strategies
Tips for Success on Certification Day
Module 10: Career Advancement and Next Steps
Building Your Resume and Portfolio
Job Search Strategies for Professional Billers
Continuing Education and Specialization Opportunities
Your Instructors
Xpert Healthcare Group
See more
₹25,000.00
Material Includes
- Access to online course modules and interactive lessons.
- Downloadable billing resources and reference guides.
- Practice exams tailored to the CPB certification format.
- Real-world billing scenarios and exercises.
- Certification of Completion after successfully finishing the course.
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