Certified Professional Biller (CPB)

Course Curriculum Overview

Module 1: Introduction to Medical Billing

• Revenue cycle basics
• Roles of a professional biller
• Importance of accurate billing

Module 2: Insurance & Payer Guidelines

• Medicare, Medicaid & private insurance
• Coordination of benefits

Module 3: Claims Management

• Claim submission process
• Denial management & resubmission

Module 4: Compliance & Ethics

• HIPAA regulations
• Fraud & abuse prevention

Module 5: Reimbursement Methodologies

• Fee-for-service vs value-based models
• DRGs & payment systems

Module 6: Billing & Coding Integration

• Code validation for claims
• Case-based learning

Module 7: Specialty Billing

• Radiology, surgery & specialty practices
• Patient payments

Module 8: Practical Training

• Real-world case studies
• Billing software practice

Module 9: CPB Exam Preparation

• Practice exams
• Exam strategies

Module 10: Career Support

• Resume building
• Job placement guidance

professionals are in high demand across hospitals, clinics, BPOs, and healthcare companies.