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EXPIRED ON OCTOBER 15, 2024 This credential has expired and is no longer valid.

CPMB - CERTIFIED PROFESSIONAL MEDICAL BILLER

The Certified Professional Medical Biller (CPMB) exam is a national certification exam for medical billers in the United States. It is sponsored by the Professional Medical Billers Association (PMBA). The CPMB exam covers a wide range of topics related to medical billing, including: Medical billing procedures and policies Insurance reimbursement Patient accounts receivable Claims processing Medical Coding HIPAA compliance The CPMB exam is a 200-question multiple choice exam that is administered electronically. The exam is open book, meaning that candidates can bring reference materials into the exam room. However, the exam is not open note, meaning that candidates cannot bring handwritten notes or other prepared materials into the exam room. The CPMB exam is designed to assess a candidate's knowledge and skills in all aspects of medical billing. The exam is challenging, but it is achievable for candidates who have a good understanding of medical billing procedures and concepts. Here are some of the specific medical billing topics that are covered on the CPMB exam: Medical insurance Patient financial responsibility Claims processing Medical Coding HIPAA compliance Appeals and denials Customer service In order to prepare for the CPMB exam, it is important to study all the topics that are covered on the exam. There are a number of resources available to help candidates prepare for the exam, including online study courses, textbooks, and exam preparation guides.

Skills / Knowledge

  • Medical Coding, Medical Billing, HIPAA, Revenue Cycle Management

Issued on

October 15, 2023

Expired on

October 15, 2024

Earning Criteria

Optional

exam
The primary requirement for earning the CPMB (Certified Professional Medical Biller) certification is to pass the CPMB Exam with a minimum score of 80%.
degree
Baccalaureate degree
knowledge
Medical Coding, Medical Billing, CMS-1500 form, Accounts Receivables, Appeals, Medicare, Medicaid, Insurance Verification, Charge Posting, Payment Posting, HIPAA, HITECH Law
skill
Medical Billing, CMS-1500, Electronic Billing, Insurance Verification, Pre-Authorization, Appeals.
course
ICD-10-CM, CPT, HCPCS, Medical Billing, HIPAA Compliance, Revenue Cycle Management
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