Medical Billing Training
Medical Billing Training – Medical Billing Certification

Certified Professional Medical Biller (CPMB)

The CPMB (Certified Professional Medical Biller) certificate prepares medical billers with the skills to maintain all aspects of the sales cycle. Without expertise in medical billing and the nuances of payment requirements, reimbursement for healthcare providers can be impacted. The Certified Professional Medical Biller (CPMB) certification, provided by PMBAUSA since 2009, has garnered widespread recognition in the market. Thousands of medical billers have achieved this esteemed certification. CPMB certification is highly sought after, particularly by professionals specializing in Accounts Receivable and Revenue Cycle Management. Obtaining a Certified Professional Medical Biller (CPMB) certification represents a significant professional achievement and a standout credential in the field of medical billing.


Confirm your expertise

Through rigorous testing and experience, mutual funds have demonstrated that they know how to file claims in accordance with government regulations and private indemnity guidelines. You track claims status, resolve claim denials, file claims, record payments and adjustments, and manage collections. The CPMB Medical Billing Eligibility Certificate is critical to the financial success of the professional healthcare claim process. 

The CPMB exam

  • 200 multiple choice questions (Exam from home)
  • CPMB Exam is well recognized by Medical Billing and RCM Managers
  • 1 free repetition that can be used within one year of the first attempt
  • one free repeat
  • Open codebook (manuals)

The CPB exam includes the following:

  • Types of insurance
  • 44 questions
  • Treatment protocol
  • Commercial Payer
  • Medicare
  • Medigap
  • Medicaid
  • Blue cross / blue shield
  • Workers compensation
  • Third party paying (car, civil liability, etc.)

Accounting rules

  • 25 questions
  • Responsible care organizations (ACO)
  • National Correct Coding Initiative (NCCI)
  • Local coverage determination (LCD)
  • National coverage determination (NCD)
  • Billing incident
  • Global packages
  • Unbundling
  • CMS-1500 Completion
  • Completion of UB-04
  • Pay payment instructions

HIPAA and compliance

  • 10 questions
  • HIPAA Privacy
  • Billing compliance
  • Retention of medical records
  • Financial policy
  • Fraud and abuse

Refund and collection

  • 28 questions
  • Patient payment and reimbursement
  • Supplier IDs
  • conditions
  • Fair debt
  • Patient testimony
  • Patient discharge
  • Professional courtesy
  • Collection agencies
  • The collections
  • bankruptcy
  • Payment plans
  • Pre-authorizations
  • Complaints handling tools
  • Transfer notice


  • 28 questions
  • Calls
  • The rejects
  • Monitoring and tracking of losses
  • Timely submission
  • Demography
  • Superbill / Meeting Forms
  • Keep records
  • Payment of the balance
  • Courtesy phone
  • Electronic application
  • Own claims
  • Review the invoicing process


  • 15 questions
  • CPT®
  • ICD-10-CM
  • HCPCS Level II
  • Modifiers

Case analysis

In this section of the exam, the source documents are made available to the candidate for review. Candidates are given various guidelines and must be able to apply them. 

The documents provided include:

  • 50 questions
  • CMS 1500 application forms
  • Transfer information
  • Payment policy
  • Local coverage regulation (LCD)
  • National coverage determinations (NCD)
  • Letter of appeal
  • Pre-authorizations
  • Accounts Receivable Reports
  • Complaints follow-up reports

Learn more about the CPMB exam

  • CPB  Study Guide
  • CPB Preparation Course (online)
  • Practice exam
  • CPB exam

CPB : Online Medical Billing Course Save up to 62%

The final online medical billing rate was intended to provide the most up-to-date information on the health insurance industry and the various reimbursement methods for the correct filing of claims. Success prepares students to take the CPB exam and work in a medical billing department in a doctor’s office, clinic, facility, other healthcare facility, or as a claims assessor for insurers. 

CPB Study Guide

The CPB Study Guide reviews each section of the CPB exam in detail, providing practical examples, sample questions, and testing techniques. If you have billing experience or have successfully completed medical billing training (like the courses listed above), this study guide makes exam preparation simple. 

CPB Online Practice Examinations

These 50-question online practice exams are recommended for anyone taking the CPB ™ exam. These practice exams mimic the content and difficulty of the actual exam and allow you to familiarize yourself with the format and time constraints of the actual test. The three practice exams, which correspond to the exam length of 150 questions, can be purchased separately or as a complete package.

Certified Professional Biller
Professional Medical Billing Training

Approved Manuals for Use During Examination

Required References:

  • CPT® Books (AMA standard or professional edition ONLY). No other publisher is allowed.
  • Your choice of ICD-10-CM.
  • Your choice of HCPCS Level II.

S.No       Choose Your SpecialtyChoose Your Certifications
1Anesthesia and Pain Management – CANPCCPC (Certified Professional Coder)
2Cardiology (CCC)COC (Certified Outpatient Coder)
3Cardiovascular and Thoracic Surgery  (CCVTC)CIC (Certified Inpatient Coder
4Emergency Department  (CEDC)CRC (Certified Risk Adjustment Coder)
5Family Practice  (CFPC)CPB (Certified Professional Biller)
6General Surgery  (CGSC)CPMA (Certified Professional Medical Auditor)
7Hematology and Oncology  (CHONC)CDEO (Certified Documentation Expert – Outpatient)
8Obstetrics and Gynecology  (COBGC)CPPM (Certified Physician Practice Manager)
9Ophthalmology  (COPC)CPCO (Certified Professional Compliance Officer)
10Orthopedic Surgery (COSC)Medical Coding

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For medical billers aiming to excel in their careers, the Certified Professional Medical Biller (CPMB) certification is more than just a credential; it's a pathway to professional growth, enhanced earning potential, and recognition as an expert in the field. By achieving and maintaining this certification, you not only enrich your professional life but also contribute significantly to the effectiveness and efficiency of the healthcare system.