Syllabus
CPBP Prep Course (CPBP)
81 lessons. Online and self-paced.
CPBP Role Foundations
Establishes the exam scope, inferred domain map, core terminology, and role boundaries for safe and accurate patient/business operations in ambulatory settings.
- 1Inferred CPBP Domain Map
- 2Front-End And Back-End Flow
- 3Best-Next-Step Reasoning
- 4Allowed Administrative Actions
- 5Out-Of-Role Activities
- 6Escalation Triggers
- 7Patient Access Terms
- 8Billing And Claim Terms
- 9Documentation And Compliance Terms
Patient Access Workflow
Covers the front-end processes that support clean claims and compliant patient flow, from scheduling through check-out and handoff to billing.
- 10Appointment Data Elements
- 11Preregistration Workflow
- 12Scheduling Error Prevention
- 13Registration Data Verification
- 14Identity And Insurance Capture
- 15Same-Day Issue Resolution
- 16Check-Out Data Completion
- 17Patient Financial Communication
- 18Front-End To Billing Handoffs
Insurance Verification Basics
Builds the payer and coverage knowledge needed for eligibility checks, benefit review, referral pathways, and authorization support without exceeding role boundaries.
- 19Commercial Government And Managed Care
- 20Deductible Copay Coinsurance Basics
- 21Primary Secondary And Coordination
- 22Eligibility Verification Sources
- 23Benefits Verification Elements
- 24Verification Documentation Standards
- 25Referral Versus Authorization
- 26Authorization Workflow Support
- 27Timing And Escalation Issues
Claims And Billing Workflow
Follows the path from charge capture support through claim generation, submission, edits, and status review, with emphasis on clean claim principles and routine follow-up.
- 28Charge Workflow Basics
- 29Claim Data Dependencies
- 30Preclaim Edit Checkpoints
- 31Claim Submission Pathways
- 32Rejections Versus Denials
- 33Claim Status Follow-Up
- 34Patient Billing Sequence
- 35Statements And Balance Review
- 36Disputed Billing Workflows
Payments And Accounts Receivable
Covers remittance awareness, payment posting logic, adjustments, credits, underpayments, and structured A/R follow-up within approved procedures.
- 37Remittance Advice Elements
- 38Payment Posting Workflow
- 39Credits Refunds And Reconciliation
- 40Accounts Receivable Aging Basics
- 41Work Queue Prioritization
- 42Underpayment Follow-Up Logic
- 43Office Financial Policy Elements
- 44Patient Account Follow-Up
- 45Payment Plan And Exception Routing
Documentation And Record Support
Explains how administrative staff support documentation sufficiency, record accuracy, release workflows, and audit readiness without altering or inventing content.
- 46Administrative Documentation Requirements
- 47Missing And Inconsistent Elements
- 48Documentation Impact On Claims
- 49Accurate Record Maintenance
- 50Corrections Versus Alterations
- 51Audit Readiness Practices
- 52Authorization And Request Basics
- 53Minimum Necessary Application
- 54Questionable Request Escalation
Compliance And Privacy Operations
Builds practical judgment for HIPAA-aware workflow, fraud-and-abuse awareness, regulatory caution, and consistent policy-based administrative conduct.
- 55PHI In Administrative Settings
- 56Privacy-Safe Communication Practices
- 57Potential Privacy Incident Response
- 58Integrity Risk Red Flags
- 59Routine Error Versus Suspicious Pattern
- 60Reporting And Nonretaliation Pathways
- 61Policy Hierarchy Awareness
- 62Convenience Versus Compliance
- 63Ambiguous Scenario Escalation
Practice Operations And Communication
Covers office workflow control, patient-facing communication, interdepartmental handoffs, prioritization, and problem-solving skills tested in CPBP-style scenarios.
- 64Daily Workflow Control
- 65Priority Rules And Deadlines
- 66Handoff Failure Prevention
- 67Professional Communication Principles
- 68Financial And Coverage Conversations
- 69Difficult Interaction De-Escalation
- 70Task Fact Rule Execute
- 71Common Distractor Patterns
- 72Boundary Cases And Exceptions
Integrated Cases And Exam Readiness
Synthesizes all domains through multi-step scenarios, calculations, sequencing tasks, and final review structures designed for CPBP-style readiness.
- 73Registration To Claim Case
- 74Authorization And Documentation Case
- 75Denial And AR Case
- 76Timely Filing And Aging Logic
- 77Patient Responsibility Estimation
- 78Workflow Sequencing Questions
- 79High-Yield Checklist Review
- 80Cross-Domain Compare And Contrast
- 81Exam Strategy And Pacing