Certified Physician Practice Manager (CPPM®)

The broad responsibilities and detailed requirements of managing the revenue cycle, compliance regulations, human resources, health information, and general business processes make practice management a challenging yet rewarding profession. The Certified Physician Practice Manager (CPPM®) credential is a logical next step for those with strong experience in other areas of healthcare and who are ready to advance their careers in physician practice management. Current practice managers will also benefit from this certification with increased knowledge and then validating their knowledge and experience in this skilled profession.

CPPMs have a good understanding of:

  • Health care business process, workflow, and reform
  • Fraud, abuse, and corporate compliance
  • Quality in health care
  • Medical office accounting, physician reimbursement, and revenue cycle management
  • Human resource management
  • Marketing and business relationships
  • HIPAA and data security
  • Health IT, EMRs, and health information exchange

Register for Exam Prepare For Exam

The CPPM® Certification Exam

  • 200 multiple choice questions (proctored)
  • 5 hours and 40 minutes to finish the exam
  • 1 free retake
  • $325.00
  • No References Allowed

The CPPM® exam thoroughly covers

Health Care Business Processes - 16 questions

  • Types of Health Care Providers
  • Medical Practice Staff
  • Patient Visit Process
  • Leadership
  • Management
  • Effective Communication
  • Efficiencies

Health Care Reform - 5 questions

  • American Recovery and Reinvestment Act
  • Provision of Health Care Reform
  • HITECH Act
  • Accountable Care Organizations

Compliance - 25 questions

  • Fraud and Abuse
  • Federal False Claims Act
  • Corporate Integrity Agreements
  • Compliance Plans
  • Malpractice
  • Stark Law
  • Anti-kickback
  • CLIA
  • EMTALA
  • OSHA
  • Risk Management

Quality in Health Care - 5 questions

  • Quality Improvement
  • Benchmarking
  • Physician Quality Reporting System
  • Plan, Do, Check, Act

Medical Office Accounting - 25 questions

  • Analysis of Financial Reports Accounting Methods
  • Budgeting
  • Purchasing
  • Chart of Accounts
  • Accounts Payable

Physician Reimbursement - 20 questions

  • General Principles of E/M Coding and Documentation (Will not be required to code on the exam)
  • General Principles of Billing
  • Types of Reimbursement
  • Payment Polices
  • Denials
  • Code set principals

Health Care Revenue Cycle Management - 25 questions

  • Revenue Cycle Management
  • Analysis of Revenue Cycle Management Reports
  • Accounts Receivable
  • Collections
  • Denials Management
  • Bad Debt Management

Human Resources - 15 questions

  • Hiring and Termination Process
  • Compensation and Benefits
  • Labor Laws
  • Employee Performance Evaluation
  • Provider Credentialing

Marketing and Business Relationships - 10 questions

  • Strengths, Weaknesses, Opportunities and Threats (SWOT) Analysis
  • Brand Development
  • Patient Surveys
  • Marketing Materials
  • Relationships with Hospitals
  • Purchasing and Negotiation Skills

Space Planning and Operational Flows - 10 questions

  • Workflow
  • Scheduling
  • Office triage
  • Medical office design

HIPAA - 15 questions

  • Covered Entities
  • HIPAA Privacy
  • Business Associates

Electronic Medical Record - 10 questions

  • EMR Selection
  • EMR Implementation
  • Meaningful Use
  • HITECH Act

Health Information Exchange - 3 questions

  • Electronic Data Interoperability
  • Health Information Organization

Modern Health IT - 8 questions

  • E-Prescribing
  • Telemedicine
  • Patient Monitoring Devices
  • Clinical Decision Support

Disaster Planning - 8 questions

  • Disaster Recovery Planning
  • Precautionary Measures
  • Policy and Procedures for Disaster Recovery

No manuals or references are allowed for the examination.

You may bring a stand-alone calculator. All other electronic devices with an on/off switch (cell phones, smart phones, tablets, etc.) are not allowed into the examination room. Failure to comply with this policy may result in disqualification of your exam.

  • We recommend having an associate’s degree.
  • Pay examination fee at the time of application submission.
  • Maintain current membership with the AAPC.
    • New members must submit membership payment with examination application.
    • Renewing members must have a current membership at the time of submission and when exam results are released.
  • All exams will be reported with exact scores and areas of study (65% or less).

Note:
Each examination is separate and distinct. To obtain all certifications, each examination must be taken separately and passed. Continuing Education Unit (CEU) submissions are required for all certifications. For CEU requirements please see our CEU Information page.