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100+ Free AMCA EHRC Practice Questions

Pass your AMCA Electronic Health Records Certification exam on the first try — instant access, no signup required.

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What does e-prescribing allow a clinician to do within an EHR?

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2026 Statistics

Key Facts: AMCA EHRC Exam

100

Exam Questions

120-minute time limit

70%

Passing Score

AMCA EHRC

$119

Exam Fee

AMCA 2026

4

Exam Domains

AMCA blueprint

2 years

Certification Valid

Recertification required

HIPAA + HITECH

Key Law Coverage

Medical Law domain

The AMCA EHRC exam contains 100 questions over 120 minutes with a 70% passing score. Content spans four domains: EHR functionality, HIPAA/HITECH compliance, medical administrative tasks, and entry-level billing and coding. The exam costs $119 and can be taken via Live Remote Proctoring. Eligibility requires completion of an approved training program or 1 year of relevant work experience. Note: As of January 1, 2026, first-time test takers access EHRC through Career Advancement Certificate programs.

Sample AMCA EHRC Practice Questions

Try these sample questions to test your AMCA EHRC exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which of the following is a core function of an Electronic Health Record (EHR) system?
A.Computerized Provider Order Entry (CPOE)
B.Manual prescription writing
C.Paper-based lab result filing
D.Phone-based appointment scheduling only
Explanation: Computerized Provider Order Entry (CPOE) is one of the core EHR functions recognized by ONC and CMS. It allows clinicians to enter orders electronically, reducing transcription errors and supporting clinical decision support alerts. Manual or paper-based processes are the legacy alternatives that EHRs replace.
2Under HIPAA, Protected Health Information (PHI) includes which combination of identifiers?
A.Name, date of birth, and diagnosis linked to a patient
B.A de-identified dataset with all 18 identifiers removed
C.Statistical health data aggregated by zip code only
D.General wellness survey results without patient names
Explanation: PHI is individually identifiable health information that includes or could be used to identify a person. A combination of name, date of birth, and diagnosis meets this definition. A properly de-identified dataset (per Safe Harbor or Expert Determination) is no longer PHI. Aggregate statistics and anonymous surveys do not constitute PHI.
3The HITECH Act primarily incentivized healthcare providers to do which of the following?
A.Adopt and demonstrate meaningful use of certified EHR technology
B.Transition from ICD-9 to ICD-10 coding
C.Implement DICOM imaging across all radiology departments
D.Require all patients to use patient portals
Explanation: The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 allocated approximately $19 billion to incentivize eligible professionals and hospitals to adopt certified EHR technology and demonstrate Meaningful Use (now Promoting Interoperability). ICD-10 transition, DICOM, and patient portal mandates are separate initiatives.
4What does e-prescribing allow a clinician to do within an EHR?
A.Transmit prescription orders directly to a patient's pharmacy electronically
B.Manually fax a handwritten prescription to the pharmacy
C.Print a prescription that the patient delivers to the pharmacy
D.Verbally call in controlled substance prescriptions only
Explanation: E-prescribing enables clinicians to send medication orders directly to pharmacies via electronic networks, improving accuracy, reducing fraud risk for paper prescriptions, and streamlining refill requests. It is a core Meaningful Use/Promoting Interoperability objective that reduces call-in and fax-based workflows.
5A clinical decision support (CDS) alert fires when a provider orders penicillin for a patient whose allergy list shows a penicillin allergy. What is the primary benefit of this alert?
A.Preventing a potentially harmful drug administration error
B.Reducing the amount of documentation required
C.Automatically substituting a different antibiotic without provider review
D.Removing the allergy entry from the patient record
Explanation: Clinical Decision Support (CDS) alerts are designed to surface actionable information at the point of care to prevent harm. A drug-allergy alert stops a potentially life-threatening administration error. CDS does not eliminate documentation, automatically substitute medications without provider approval, or alter allergy records.
6Which of the following best describes the purpose of a patient's Problem List in an EHR?
A.A maintained list of active and chronic medical conditions for longitudinal tracking
B.A one-time note created only during hospital admission
C.A billing-only record used exclusively by the coding department
D.A temporary list that resets at each new encounter
Explanation: The Problem List is a longitudinal record of a patient's active and chronic medical conditions, enabling consistent care coordination across all providers. It persists across encounters, is not limited to inpatient settings, and serves clinical rather than solely billing purposes.
7Under the HIPAA Security Rule, which category of safeguard covers employee training and workforce sanctions policies?
A.Administrative safeguards
B.Physical safeguards
C.Technical safeguards
D.Organizational safeguards
Explanation: Administrative safeguards under the HIPAA Security Rule include policies and procedures for workforce training, access management, and sanction policies for employees who violate ePHI rules. Physical safeguards address facility access and workstation security. Technical safeguards cover encryption, audit controls, and automatic logoff.
8What does HL7 v2 primarily facilitate in a healthcare setting?
A.Electronic messaging between healthcare information systems such as ADT and lab results
B.Three-dimensional medical imaging storage and retrieval
C.Standardized drug terminology across pharmacy systems
D.Patient financial billing and claims adjudication
Explanation: HL7 version 2 is a widely used messaging standard for exchanging clinical and administrative data between systems—such as ADT (Admit/Discharge/Transfer) events and lab results. DICOM handles imaging, RxNorm standardizes drug terminology, and X12 EDI handles billing/claims.
9FHIR (Fast Healthcare Interoperability Resources) uses which technology to enable data exchange?
A.RESTful API with JSON or XML resources
B.Flat file batch transfers via FTP
C.Proprietary binary protocols within a single vendor system
D.HL7 v2 pipe-delimited segments only
Explanation: FHIR (HL7 FHIR R4 and newer) uses RESTful APIs and supports JSON and XML resource formats, making it web-friendly and suitable for mobile and cloud-based health apps. It differs significantly from HL7 v2 pipe-delimited messaging and FTP batch file transfers.
10A medical office receives a request for a patient's records from another provider treating the same patient. Which document typically authorizes this exchange without requiring patient consent under HIPAA's Treatment provision?
A.Treatment, Payment, or Operations (TPO) provision allows sharing without patient authorization
B.A HIPAA Business Associate Agreement (BAA) signed by the patient
C.A court order issued by a state judge
D.A patient authorization form signed within 90 days
Explanation: HIPAA's Privacy Rule permits the disclosure of PHI without patient authorization for Treatment, Payment, and Healthcare Operations (TPO). Sharing records between treating providers for direct care purposes falls under the Treatment provision. A BAA governs business associate relationships, not patient-to-provider releases.

About the AMCA EHRC Exam

The AMCA Electronic Health Records Certification (EHRC) validates the knowledge and skills needed to work with electronic medical records in healthcare administrative and clinical settings. The exam covers four domains: Medical Administrative (~25%), Electronic Health Records/Functionality (~30%), Entry Level Billing and Coding (~20%), and Medical Law & Ethics (~25%). Topics include core EHR functions (CPOE, e-prescribing, CDS, patient portals), HIPAA/HITECH/Breach Notification compliance, interoperability standards (HL7 v2, FHIR, CCDA, DICOM, LOINC, SNOMED CT, RxNorm), Promoting Interoperability/Meaningful Use, ICD-10-CM/CPT coding basics, and EHR vendor landscape. The exam contains 100 multiple-choice questions with a 120-minute time limit and a 70% passing score.

Questions

100 scored questions

Time Limit

120 minutes

Passing Score

70%

Exam Fee

$119 (American Medical Certification Association (AMCA))

AMCA EHRC Exam Content Outline

~25%

Medical Administrative

Patient registration and demographics, scheduling, medical record documentation, health information management, release of information, Master Patient Index, record correction and addendum procedures

~30%

Electronic Health Records/Functionality

CPOE, e-prescribing, clinical decision support, problem lists, allergy lists, medication reconciliation, e-MAR, patient portals, downtime procedures, EHR training/adoption, EHR vendor landscape (Epic, Oracle Health/Cerner, Athenahealth, Allscripts/Veradigm), interoperability standards (HL7 v2, FHIR, CDA, CCDA, DICOM, LOINC, SNOMED CT, RxNorm), USCDI versions, ONC certification criteria, HIE infrastructure, 21st Century Cures Act/information blocking, population health management

~20%

Entry Level Billing and Coding

ICD-10-CM diagnosis coding, CPT procedure coding, HCPCS Level II, NPI, superbill processing, X12 837 claim submission, insurance eligibility verification, EOB interpretation, charge capture, revenue cycle basics

~25%

Medical Law and Ethics

HIPAA Privacy Rule (PHI, TPO, minimum necessary, NPP, patient rights, BAA), HIPAA Security Rule (administrative, physical, technical safeguards, risk analysis, contingency plan, audit controls, RBAC), HIPAA Breach Notification Rule (4-factor risk assessment, 60-day notification), HITECH Act, Meaningful Use/Promoting Interoperability stages, 21st Century Cures Act information blocking, ePHI safeguards

How to Pass the AMCA EHRC Exam

What You Need to Know

  • Passing score: 70%
  • Exam length: 100 questions
  • Time limit: 120 minutes
  • Exam fee: $119

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

AMCA EHRC Study Tips from Top Performers

1Master HIPAA's three rules: Privacy Rule (PHI use/disclosure), Security Rule (ePHI safeguards), and Breach Notification Rule (60-day notification, 4-factor risk assessment)
2Know the HITECH Act's role in EHR adoption incentives ($19 billion) and its strengthening of HIPAA breach penalties
3Understand Meaningful Use/Promoting Interoperability stages and key objectives: e-prescribing, patient electronic access, health information exchange, and immunization reporting
4Learn the three categories of HIPAA Security Rule safeguards: Administrative (training, sanction policy, risk analysis), Physical (workstation security, facility access), and Technical (unique IDs, encryption, audit logs, auto-logoff)
5Study core EHR functions: CPOE reduces handwriting errors; CDS alerts fire for drug-allergy and drug-drug interactions; e-MAR tracks medication administration; patient portals support patient engagement
6Know interoperability standards: HL7 v2 (messaging), FHIR (REST API), CCDA (clinical documents), DICOM (imaging), LOINC (lab/observations), SNOMED CT (clinical terminology), RxNorm (medications)
7Review ICD-10-CM coding structure (chapters, combination codes, coding guidelines) and CPT code sets for outpatient services
8Understand EHR vendor landscape: Epic (large health systems, MyChart portal), Oracle Health/Cerner (hospitals, VA/DoD), Athenahealth (ambulatory), Allscripts/Veradigm (medical groups)
9Know downtime procedures: paper-based forms, staff notification, and back-entry of data after restoration
10Study the 21st Century Cures Act information blocking provisions and USCDI data classes required for interoperability

Frequently Asked Questions

What is the AMCA EHRC exam?

The AMCA EHRC (Electronic Health Records Certification) is a credential offered by the American Medical Certification Association (AMCA) that validates the administrative and clinical knowledge needed to work with electronic health records. It covers four domains: Medical Administrative, EHR Functionality, Entry Level Billing and Coding, and Medical Law & Ethics.

How many questions are on the AMCA EHRC exam?

The AMCA EHRC exam contains 100 multiple-choice questions with a 120-minute time limit. The passing score is 70%. The exam can be taken at an AMCA Approved Test Site or via Live Remote Proctoring (additional $40 fee).

What are the eligibility requirements for the AMCA EHRC?

Candidates may qualify through three pathways: (1) Graduation from an AMCA Approved Test Site training program within 1 year of completion, (2) Graduation from a non-AMCA approved program with proof of completion within 1 year, or (3) Minimum 1 year of current full-time work experience directly related to the EHRC credential with employer verification (attempt within 60 days of approval).

What does the AMCA EHRC exam cover?

The EHRC covers four domains: Medical Administrative (scheduling, registration, HIM), EHR Functionality (CPOE, e-prescribing, CDS, patient portals, interoperability standards including HL7 v2, FHIR, LOINC, SNOMED CT, RxNorm, and EHR vendor landscape), Entry Level Billing and Coding (ICD-10-CM, CPT, claims), and Medical Law & Ethics (HIPAA Privacy, Security, and Breach rules; HITECH; Promoting Interoperability).

How much does the AMCA EHRC exam cost?

The AMCA EHRC exam costs $119 per attempt. Live Remote Proctoring (taking the exam from home) requires an additional $40 fee, bringing the total to $159. Retake attempts also require the $119 exam fee.

Is the AMCA EHRC exam still available in 2026?

As of January 1, 2026, the EHRC exam is no longer available to standard first-time test takers. It remains available as a stackable credential through AMCA Career Advancement Certificate programs and for eligible exam retakes and recertifications per AMCA Certification Board policies.

How should I prepare for the AMCA EHRC exam?

Study systematically across all four domains. Focus on HIPAA Privacy, Security, and Breach Notification rules; core EHR functions such as CPOE, e-prescribing, and clinical decision support; interoperability standards (HL7 v2, FHIR, CCDA, LOINC, SNOMED CT); and basic ICD-10-CM and CPT coding principles. Use the official AMCA EHRC study guide and practice questions covering all domains. Most candidates need 4-8 weeks of focused preparation.