Program

Medical Billing

Medical Billing is the process of submitting and following up on healthcare claims with insurance companies to ensure providers are reimbursed for services. It involves translating patient treatments into billing codes, preparing invoices, and ensuring accurate and timely payments.

Enroll in the course

Introduction

Importance

Medical Billers and Coders are critical assets that safeguard healthcare institutions against federal, state, and private insurance penalties and regulatory violations on top of ensuring proper reimbursement.

Benefits of the course

Take one course - Receive a certification

Save money and time!

Precise learning goals

All instructions are recorded

Over 1 million students worldwide

100% remote learning

CPB

Certified Professional Biller

Specializes in medical billing by managing the financial aspects of healthcare services through accurately processing and submitting claims for reimbursement.

Commitment

We’ve partnered with AAPC to offer a top-tier curriculum, designed by certified professionals, ensuring students are prepared for successful careers and certifications.

AAPC Partnership We’ve partnered with AAPC, the leading accrediting body for Medical Billing and Coding schools.

Certified Curriculum Our program, designed by MGMA, AHIMA, and AAPC certified professionals, prepares students for a successful career in medical coding and billing.

Strong Network With 350+ partners and over 30 years of experience, we offer one of the strongest educational networks in the industry.

Exam Readiness Upon completing the program, students are fully prepared to challenge the CPB exam.

Course outline

Prepare for the AAPC CPB™ Certification Exam

Course Duration 10 weeks (Self-paced or Instructor-led options)

Format 100% Online | Includes Video Lectures, Practice Exams, Quizzes & Support

Prerequisites High school diploma or equivalent; basic understanding of anatomy and medical terminology recommended

Course Modules

Module 1: Orientation & Introduction to Healthcare & Research Guidance

Lecture: Overview of medical billing, revenue cycle, and regulatory compliance
Practical: Interactive lecture on business of medicine

Module 2: Health Insurance Models

Lecture: Understanding private vs. government payers, HMOs, PPOs, and self-pay
Practical: Case studies on different payer types and coverage guidelines

Module 3: Patient Registration & Data Capture

Lecture: Patient demographics, verifying insurance, and eligibility checks
Practical: Hands-on exercises in data entry, eligibility verification, and policy checks

Module 4: Introduction to ICD-10, CPT, HCPCS Level II Code Sets

Lecture: Overview of coding systems and their role in billing
Practical: Hands-on practice with ICD-10-CM, CPT, and HCPCS coding scenarios

Module 5: Medical Necessity & Compliance

Lecture: NCDs, LCDs, and medical necessity documentation
Practical: Case-based exercises on linking diagnosis codes to procedures for reimbursement

Module 6: Claim Forms (CMS-1500 & UB-04) and Medical Billing Processes

Lecture: Completing claim forms, clean claim submission, and common errors
Practical: Practice filling out CMS-1500 and UB-04 claims

Module 7: Accounts Receivable (A/R) & Collections Concepts

Lecture: Payment posting, denials, appeals, and collections strategies
Practical: Case scenarios on denial management and revenue recovery

Module 8: Government Carriers (Medicare, Medicaid, TRICARE)

Lecture: Coverage, billing guidelines, and compliance for federal payers
Practical: Case studies on Medicare/Medicaid claim submissions and appeals

Module 9: Blue Cross/Blue Shield

Lecture: BCBS plan types, billing policies, and coordination of benefits
Practical: Exercises on BCBS claim processing and secondary insurance billing

Module 10: Commercial Payers & Workers’ Compensation

Lecture: Private insurance companies, third-party administrators, and workers’ comp guidelines
Practical: Hands-on coding and billing exercises for commercial payers & workers’ compensation claims

What’s Included

80–100 hours of online instruction

Access to AAPC-aligned curriculum

Practice quizzes and final exam

Instructor support

Certificate of Completion

Why Enroll with Us?

Taught by AAPC certified instructors with industry experience
Flexible learning: self-paced or instructor-guided
Interactive lessons and real-world examples
Job readiness support after certification