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Questions by Category

Cbcs-Billing97 questions
Cbcs-Regulatory-Compliance35 questions
Cbcs-Claims-Processing35 questions
Cbcs-Front-End-Duties33 questions
2026 Statistics

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

43%

Billing

CPT/HCPCS/ICD-10-CM coding, modifiers, CMS-1500/UB-04 forms, patient responsibility calculations, EOB interpretation, and clean claims

21%

Regulatory Compliance

HIPAA privacy and security rules, CMS guidelines, fraud/waste/abuse prevention, OIG compliance programs, and documentation requirements

19%

Claims Processing

Claim submission workflows, denial management, appeals process, clearinghouse operations, payer policies, and adjudication

17%

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

1Focus on the Billing domain (43% of exam) — master CPT, ICD-10-CM, and HCPCS coding principles
2Know HIPAA inside and out — privacy rules, security safeguards, and patient rights are heavily tested
3Practice reading EOBs and remittance advice — understand adjustment reason codes (CO, OA, PR, PI)
4Learn the claims lifecycle from submission through adjudication and appeals
5Understand insurance plan types (HMO, PPO, EPO, POS) and how they affect billing workflows

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.

CBCS Resources