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Key Facts: CBCS Exam
73.82%
Pass Rate
NHA 2024
390/500
Passing Score
NHA
110 min
Exam Duration
NHA
100
Scored Questions
NHA
$50,250
Median Salary
BLS 2024
7%
Job Growth (2024-2034)
BLS
The NHA CBCS (Certified Billing and Coding Specialist) exam has a 73.82% pass rate (NHA 2024) and requires a scaled score of 390/500 to pass. The exam has 100 scored questions + 10 pretest questions in 110 minutes. It covers 4 domains: Billing (43%), Regulatory Compliance (21%), Claims Processing (19%), and Front-End Duties (17%). BLS reports a median salary of $50,250 for medical records specialists (May 2024) with 7% job growth projected 2024-2034.
About the CBCS Exam
The CBCS certification validates expertise in medical billing, coding, claims processing, and regulatory compliance. It is ideal for medical billing and coding specialists seeking NHA certification for healthcare revenue cycle roles.
Questions
110 scored questions
Time Limit
110 minutes
Passing Score
390/500 (scaled)
Exam Fee
$155 (NHA / PSI)
CBCS Exam Content Outline
Billing
CPT/HCPCS/ICD-10-CM coding, modifiers, CMS-1500/UB-04 forms, patient responsibility calculations, EOB interpretation, and clean claims
Regulatory Compliance
HIPAA privacy and security rules, CMS guidelines, fraud/waste/abuse prevention, OIG compliance programs, and documentation requirements
Claims Processing
Claim submission workflows, denial management, appeals process, clearinghouse operations, payer policies, and adjudication
Front-End Duties
Patient intake, insurance verification, preauthorization, medical necessity, referral management, and insurance plan types
How to Pass the CBCS Exam
What You Need to Know
- Passing score: 390/500 (scaled)
- Exam length: 110 questions
- Time limit: 110 minutes
- Exam fee: $155
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
CBCS Study Tips from Top Performers
Frequently Asked Questions
What is the CBCS exam pass rate?
The NHA CBCS exam has a 73.82% pass rate according to NHA 2024 data. To pass, you need a scaled score of 390 out of 500. The exam consists of 100 scored questions plus 10 unscored pretest questions with a 110-minute time limit.
How hard is the CBCS exam?
The CBCS exam is considered moderately difficult. The largest domain is Billing at 43%, which tests CPT, HCPCS, and ICD-10-CM coding skills. As of September 2024, candidates no longer bring coding manuals to the exam, so you must understand coding principles without reference materials.
What are the eligibility requirements for CBCS?
To take the CBCS exam, you need: (1) A high school diploma or GED plus completion of a medical billing and coding training program within the last 5 years, OR (2) A high school diploma plus 1 year of supervised work experience in billing/coding within the last 3 years (or 2 years within the last 5 years).
How many questions are on the CBCS exam?
The CBCS exam contains 110 total questions: 100 scored questions and 10 unscored pretest (pilot) questions. You have 110 minutes to complete the exam. All questions are multiple-choice with 4 options, delivered via computer at PSI testing centers.
What is the difference between CBCS and CPC?
CBCS is administered by NHA and focuses on medical billing AND coding, including claims processing and front-end duties. CPC is administered by AAPC and focuses primarily on medical coding (CPT, ICD-10-CM, HCPCS). CBCS is generally considered more entry-level and covers the full revenue cycle, while CPC goes deeper into coding specifics.
How much do CBCS-certified professionals earn?
According to BLS (May 2024), the median annual wage for medical records specialists is $50,250. Certified billing and coding specialists typically earn $35,000-$55,000, with experienced professionals earning $60,000+. Remote work opportunities are abundant in medical billing, making it attractive for work-life balance.