How to Become a Certified Medical Biller

Q: I want to become a Certified Medical Biller – where do I start?

To become a certified medical biller, the first thing you need to do is take the CPB exam. As the largest organization of health information professionals, the American Association of Professional Coders (AAPC) focuses mainly on medical coding, but they do offer a medical billing certification.

This certification, which is earned upon the completion of the Certified Professional Biller (CPB) exam, tests the medical biller on every facet of the billing profession. Like the CPC Exam, this certified medical biller certification is a rigorous but well-respected benchmark for professionals in the health information field. Source:

You can also earn medical billing certification through online medical billing training programs. Here are Certification Coaching Organization, our online medical billing certification course provides the student with the most current information that pertains to the health insurance industry and the various reimbursement methodologies to ensure accurate submission of medical claims. Upon successful  completion of the CMB course, the student will be prepared to sit for the CPB™ exam and as a result have the qualifications to work in a medical billing department.

Q: What is covered on the Certified Professional Biller (CPB) Exam?

The CPB exam takes five hours and 40 minutes to complete, and consists of 200 questions focused on:

  • Types of insurance (44 questions)
  • Billing regulations (25 questions)
  • HIPAA and compliance (10 questions)
  • Reimbursement and collections (28 questions)
  • Billing (28 questions)
  • Coding (15 questions)
  • Case analysis (50 questions)

Q: How much does the CPB exam cost?

The exam is open to individuals, with a participation fee of $170 for people and $90 for understudies. The expense for the exam is $399, although it is $325 for understudy individuals.

How to Become a Certified Medical Biller — Medical Billing Training CCO Video

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Q: What is the passing score for the CPB exam?

Students must earn a 65% or higher in order to pass the exam. Unlike the CMRS exam, individuals taking the CPB exam must complete the test in one sitting. Students should bring their code books, which list ICD-9-CM, CPT and HCPCS codes.  Source:

Q: How do I prepare for the CPB exam?

Here’s an excertp of the 25 tips to help you pass or prepare for the CPB exam:

  • Understanding diverse sorts of protection arrangements
  • Applying payer arrangement
  • Guidelines on coding rules
  • Exploring the shifting standards and regulations which apply to the medical services industry
  • Knowing billing cases and how to grow your income cycle
  • Aptitude in compelling case for patient determination
  • Online Practice test
  • Classroom preparing
  • Study Guide Books
  • Online Practicums

More of these at:

Coding does pop up on the CPB exam, but the majority of the test is devoted to how billers interact with insurance payers. You’ll need to know the ins and outs of managed care, Medicaid and Medicare, how to format and create claims, how to adhere to the various billing regulations established by HIPAA and other bodies, and lots more. The Case analysis questions will present you with source documents that you must analyze to determine the correct answer, not unlike the case studies questions you’d see on the CPC. Source:

Q: After passing the exam, what are the next steps I have to take?

Like the CMRS certification, individuals must pay for a membership in the sponsoring organization (in this case, the AAPC) and must demonstrate completion of a certain amount of continuing education courses in order to maintain their certification. For the CPB, individuals must complete 36 units of continuing education every two years. Continuing education may take the form of seminars, online classes, meetings, training courses, and other forms of instruction.

If you’re looking for some ways to prepare and pass your CPB exam, enhance your knowledge by taking either one of our Physician Based Billing (PBB) course, study guide and online practice exams. Though not required, these tools will provide the student with the most current information that pertains to the health insurance industry and the various reimbursement methodologies to ensure accurate submission of medical claims.

With these online medical billing training classes, it will help the student properly prepare to qualify for a career in medical billing with the AAPC’s gold standard CPB exam . It is a smart investment and supplement for any medical coder interested in pursuing the medical billing field and we will provide you with the material tools and support you need to be successful in this course. Check out our Physician-Based Medical Billing Course below:

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How to Become a Certified Medical Biller

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