In witness thereof, this certificate is granted by the authority of
Professional Medical Billers Association USA, LLC
Credential Verification
Issue date: April 3, 2025
Expiration date: April 3, 2026
ID: 00e91002-b1d1-4dd6-a1fb-90ba4f307e2b
Professional Medical Billers Association USA LLC (PMBAUSA) has been a trusted leader for 15 years, offering top-tier medical coding and billing training, along with certifications. Committed to excellence, ethics, and compliance.
Type
Certification
Level
Professional
Format
Online
Duration
60 hours
Price
Paid
Description
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 USA LLC (PMBAUSA). 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.
The CPMB® certification is valid for one year, emphasizing the importance of staying current in an ever-evolving industry. To maintain their certification, professionals must renew it annually by submitting the required Continuing Education Units (CEUs) and renewal fees. PMBAUSA LLC supports its certified professionals by providing free CEUs, ensuring they have access to the latest knowledge and best practices in medical billing.
The Certified Professional Medical Biller (CPMB®) certification, offered by PMBAUSA LLC in association with Medesun® Prime, is recognized as the gold standard in the medical billing industry. The CPMB® certification exemplifies excellence in medical billing, ensuring that certified professionals possess the highest level of knowledge, ethics, and compliance required to navigate the complex world of healthcare billing.
Skills
Appeals
HIPAA Eligibility Transaction System
Medical Coding
Medical Billing
Medical Terminology
Revenue Cycle Management
HIPAA Complaince
Insurance Verification
Payment Posting
Medical Terminology
EHR
AR Follow-up
Earning Criteria
Reading
To earn the CPMB® Certification, candidates must thoroughly study the CPMB Medical Billing and Revenue Cycle Management curriculum. This comprehensive curriculum covers the entire billing process, including coding basics, claim submission, insurance verification, payment posting, denial management, and healthcare compliance. Mastery of revenue cycle management strategies is essential to ensure accuracy, efficiency, and optimal financial performance in medical billing.
Assignment
To earn the CPMB® Certification, candidates must successfully complete all assigned medical billing tasks and projects. These assignments are designed to ensure proficiency in coding, claim submission, payment posting, and compliance, reflecting real-world billing scenarios.
Test
Candidates must pass the CPMB® Online Proctored Exam, which consists of 150 questions to be completed within 5 hours. This closed-book exam assesses knowledge and skills in medical billing, covering coding, claim submission, insurance processes, and revenue cycle management. Additionally, candidates must complete all required medical billing assignments, demonstrating practical proficiency in real-world scenarios.