1Introduction to Healthcare & the U.S. Revenue Cycle
2Health Insurance Models & Payers
3Cost Sharing & Eligibility Verification
4Patient Registration & Data Capture
5Medical Coding Essentials for Billers
6Claim Forms — CMS-1500 & UB-04
7Billing Platforms & Clearinghouses
8Claim Submission & Payment Posting
9Accounts Receivable & Denial Management
10Enrollment, Credentialing & Provider Setup
11Billing Provisions & NCCI
12Invoicing & Communication
13HIPAA, PHI & Information Security
14Regulations, Fraud & Abuse, Compliance
15Professional Practice + Part 3 Exam
16AI & Automation in the Revenue Cycle
17AI Denial Prediction, Prevention & Appeals
18Cybersecurity & AI-Era HIPAA
19Hands-On Practice Lab & Portfolio
20Analytics, KPIs + Diploma Final Exam
Credential-ready
Built to map to the industry's exam blueprints
And if a recognized credential is part of your plan — now or later in your career — you'll arrive prepared: the modules map to the domains tested by the main U.S. billing credentials.
CPB (AAPC)Payer models, registration & data capture, code sets for billers, claim forms, medical necessity, A/R, denials & appeals, compliance — covered across Modules 1–15.
CBCS (NHA)Billing, regulatory compliance, claims processing, and front-end duties — the four CBCS domains track Parts 1–3 of this program.
CMRS (AMBA)Terminology, code sets, clearinghouses, CMS-1500, insurance & managed care, compliance, fraud & abuse — mirrored across the curriculum.
CPB, CBCS, and CMRS are credentials of AAPC, NHA, and AMBA respectively. Medical Billing Certify is independent and not affiliated with or endorsed by these organizations; exam registration and fees are separate. Our Part 4 (AI, security, analytics) goes beyond current exam blueprints.
