Certified Physician Practice Manager (CPPM®) - Certification Exam

Managing a physician's office requires a wide range of skills. The responsibilities are broad and require detailed management of multiple processes, including the revenue cycle, compliance regulations, human resources, health information, and general business processes. Practice management can be a challenging yet rewarding profession. The Certified Physician Practice Manager (CPPM®) credential is a logical next step for individuals with a lot of experience in many areas of healthcare and who are ready to advance their careers into a physician practice management position. Experienced practice managers will benefit from the broadened skillset and validation of their knowledge and expertise in this profession.

CPPM

How Much Do CPPMs Earn?

It isn't easy managing a physician's office, which is why certified professional practice managers earn a healthy income. And AAPC's 2022 Medical Coding Salary Survey defines 'healthy', showing that CPPMs average $70,895 annually — 29% more than the average salary of health information technicians. Depending on where you live, your responsibilities, and the place of employment, a CPPM's salary will vary. Click here to calculate the average CPMA salary in your area.

CPPMs demonstrate expertise in:

  • Understanding the various types of insurance plans
  • Healthcare business processes, workflow, and reform
  • Fraud, abuse, and corporate compliance
  • Quality initiatives and healthcare
  • Medical office accounting, physician reimbursement, and revenue cycle management
  • Human resource management
  • Marketing and business relationships
  • HIPAA and data security
  • Health information technology, electronic health records, and health information exchange

The CPPM® Certification Exam

  • 135 multiple choice questions (proctored)
  • 4 hours to finish the exam

The CPPM® exam thoroughly covers

  • Types of Health Care Providers
  • Medical Practice Staff
  • Patient Visit Process
  • Leadership
  • Management
  • Effective Communication
  • Efficiencies
  • American Recovery and Reinvestment Act
  • Provision of Health Care Reform
  • HITECH Act
  • Accountable Care Organizations
  • Fraud and Abuse
  • Federal False Claims Act
  • Corporate Integrity Agreements
  • Compliance Plans
  • Malpractice
  • Stark Law
  • Anti-kickback
  • CLIA
  • EMTALA
  • OSHA
  • Risk Management
  • Quality Improvement
  • Benchmarking
  • Plan, Do, Check, Act
  • Analysis of Financial Reports Accounting Methods
  • Budgeting
  • Purchasing
  • Chart of Accounts
  • Accounts Payable
  • 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
  • Revenue Cycle Management
  • Analysis of Revenue Cycle Management Reports
  • Accounts Receivable
  • Collections
  • Denials Management
  • Bad Debt Management
  • Hiring and Termination Process
  • Compensation and Benefits
  • Labor Laws
  • Employee Performance Evaluation
  • Provider Credentialing
  • Strengths, Weaknesses, Opportunities and Threats (SWOT) Analysis
  • Brand Development
  • Patient Surveys
  • Marketing Materials
  • Relationships with Hospitals
  • Purchasing and Negotiation Skills
  • Workflow
  • Scheduling
  • Office triage
  • Medical office design
  • Covered Entities
  • HIPAA Privacy
  • Business Associates
  • EMR Selection
  • EMR Implementation
  • Meaningful Use
  • HITECH Act
  • Electronic Data Interoperability
  • Health Information Organization
  • E-Prescribing
  • Telemedicine
  • Patient Monitoring Devices
  • Clinical Decision Support
  • Disaster Recovery Planning
  • Precautionary Measures
  • Policy and Procedures for Disaster Recovery

Approved References for Use During the CPPM Exam

Reference materials are not required for the CPPM exam. If you prefer to bring a reference, the Practice Management Reference Guide is allowed. Notes may only be written on the printed pages of the book.

Practice Management Certification Requirements

  • Maintain annual AAPC membership
    • If you haven’t become an AAPC member, you must do so prior to scheduling your CPPM exam.
    • Renewing members must have a current membership at the time of exam application and/or when exam results are released.
  • CPPMs are required to complete 36 Continuing Education Units (CEU's) every two years. For CEU requirements, please see our CEU Information page.

Note:

An overall score of 70% or higher is required to pass the certification exam. If you don’t pass, the areas of study/categories with a score of 65% or less will be provided for your preparation to retest. The areas of study reported reflect scores based on the number of questions in each category/section of the exam.

All AAPC certification exams exclusively measure proficiencies relating to the one credential named in the exam. To earn additional medical coding credentials will require you to pass additional certification exams.

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