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100+ Free CEHRS Practice Questions

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Key Facts: CEHRS Exam

110

Total Exam Questions

NHA CEHRS (100 scored + 10 pretest)

390/500

Passing Score

NHA scaled scoring

1 hr 50 min

Exam Time

NHA CEHRS test plan

$117–$155

Exam Fee

NHA CEHRS registration

100

Practice Questions Here

OpenExamPrep question bank

The NHA CEHRS exam has 110 total multiple-choice items (100 scored + 10 pretest) completed in 1 hour 50 minutes, with a scaled passing score of 390/500. The exam covers five content areas: EHR software and health IT, medical terminology, HIPAA compliance and privacy, coding and billing basics (ICD-10/CPT), and clinical workflows including patient registration, medication reconciliation, and e-prescribing. The CEHRS is an entry-level certification requiring a high school diploma and completion of a CEHRS training program or equivalent.

Sample CEHRS Practice Questions

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

1What does EHR stand for?
A.Electronic Hospital Records
B.Electronic Health Records
C.Emergency Health Registry
D.Electronic Healthcare Repository
Explanation: EHR stands for Electronic Health Records — digital versions of patients' paper charts that contain medical histories, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory results. EHRs are designed to be shared across different healthcare settings for coordinated care delivery.
2HIPAA stands for:
A.Health Insurance Portability and Accountability Act
B.Hospital Information Privacy and Access Act
C.Healthcare Information Protection and Audit Act
D.Health Information Processing and Administration Act
Explanation: HIPAA is the Health Insurance Portability and Accountability Act of 1996. It established national standards for protecting sensitive patient health information (PHI) from being disclosed without the patient's consent or knowledge. HIPAA includes the Privacy Rule, Security Rule, Breach Notification Rule, and Enforcement Rule.
3Which of the following is an example of Protected Health Information (PHI)?
A.A hospital's annual revenue report
B.A patient's name combined with their diagnosis
C.A physician's medical school transcript
D.Generic health statistics with no identifying information
Explanation: PHI is any individually identifiable health information that relates to a person's past, present, or future physical or mental health condition, healthcare services, or payment for healthcare. PHI includes 18 identifiers: name, dates, phone numbers, SSN, medical record numbers, email addresses, and others. De-identified data (with all 18 identifiers removed) is not PHI.
4The process of converting a diagnosis into a standardized alphanumeric code is called:
A.Transcription
B.Medical coding (ICD-10-CM coding)
C.Referral processing
D.Chart auditing
Explanation: Medical coding translates diagnoses, procedures, and medical services into standardized codes for billing, reporting, and data analysis. ICD-10-CM codes are used for diagnoses (e.g., E11.9 for Type 2 diabetes mellitus without complications), while CPT codes describe medical procedures and services. Accurate coding is essential for proper reimbursement and healthcare data quality.
5What is the primary purpose of the 'problem list' in an EHR?
A.To track employee attendance
B.To maintain a running list of the patient's active diagnoses and health concerns
C.To record equipment maintenance issues
D.To list the clinic's organizational problems
Explanation: The problem list is a key EHR component that provides a concise, up-to-date summary of the patient's active diagnoses, chronic conditions, and significant health concerns. It facilitates clinical decision-making by giving providers a quick overview of the patient's health status. Problems should be added, resolved, or updated as the patient's condition changes.
6The prefix 'hyper-' in medical terminology means:
A.Below normal
B.Above normal or excessive
C.Around
D.Without
Explanation: The prefix 'hyper-' means above normal, excessive, or beyond. Examples include hypertension (elevated blood pressure), hyperglycemia (elevated blood sugar), and hyperthyroidism (overactive thyroid). The opposite prefix 'hypo-' means below normal or deficient (e.g., hypotension, hypoglycemia).
7What is the HIPAA 'minimum necessary' standard?
A.Providing the maximum amount of patient information possible
B.Limiting PHI use, disclosure, and requests to the minimum amount needed for the intended purpose
C.Requiring minimum staffing levels
D.Setting minimum data storage requirements
Explanation: The HIPAA minimum necessary standard requires covered entities to make reasonable efforts to limit PHI access and disclosure to the minimum amount necessary to accomplish the intended purpose. For example, a billing clerk should only access the financial and coding information needed for claims processing, not the patient's complete clinical notes.
8Which CPT code range covers Evaluation and Management (E/M) services?
A.00100-01999
B.99202-99499
C.70000-79999
D.80000-89999
Explanation: CPT codes 99202-99499 cover Evaluation and Management (E/M) services, including office visits, hospital visits, consultations, emergency department visits, and preventive medicine services. E/M codes are among the most commonly used codes in outpatient practices. The code level is determined by medical decision-making complexity or time spent.
9E-prescribing (electronic prescribing) allows providers to:
A.Perform surgeries remotely
B.Send prescriptions electronically directly to the patient's pharmacy
C.Manufacture medications in the office
D.Bypass all Drug Enforcement Administration regulations
Explanation: E-prescribing enables providers to send prescriptions electronically to the patient's chosen pharmacy, replacing handwritten or faxed prescriptions. Benefits include reducing medication errors from illegible handwriting, enabling real-time drug interaction and allergy checking, improving prescription tracking, and streamlining the refill process. EPCS (Electronic Prescribing for Controlled Substances) requires additional security measures.
10The medical suffix '-itis' means:
A.Tumor
B.Inflammation
C.Surgical removal
D.Pain
Explanation: The suffix '-itis' means inflammation. Examples include appendicitis (inflammation of the appendix), bronchitis (inflammation of the bronchi), arthritis (inflammation of joints), and gastritis (inflammation of the stomach lining). Understanding medical suffixes is essential for EHR documentation and accurate coding of diagnoses.

About the CEHRS Exam

The NHA CEHRS exam validates competency in electronic health record systems, health data management, medical terminology, HIPAA compliance, clinical workflows, and coding/billing fundamentals. CEHRS-certified specialists work in physician offices, hospitals, clinics, insurance companies, health IT companies, and billing services, supporting the effective use of EHR technology for patient care, data management, and regulatory compliance.

Assessment

110 total items (100 scored + 10 pretest), all multiple-choice

Time Limit

1 hour 50 minutes

Passing Score

Scaled score 390/500

Exam Fee

$117–$155 exam application (NHA / PSI Testing Centers / Live Remote Proctoring)

CEHRS Exam Content Outline

~25%

EHR Software and Health IT

EHR navigation, templates, CPOE, clinical decision support, patient portals, interoperability (HL7/FHIR), health information exchange, meaningful use, and cloud-based systems.

~15%

Medical Terminology

Prefixes (hyper-, hypo-, sub-, peri-), suffixes (-itis, -ectomy, -ology), root words (cardi, gastr, nephr), combining forms, anatomical terms, and clinical abbreviations (PRN, BID, NPO).

~20%

HIPAA Compliance and Privacy

Privacy Rule, Security Rule, PHI identification, minimum necessary standard, breach notification, BAAs, patient rights, administrative/physical/technical safeguards, and HITECH Act.

~20%

Coding and Billing Basics

ICD-10-CM diagnosis coding, CPT procedure coding, HCPCS Level II, modifiers, superbills, EOBs, claim denials, revenue cycle management, and insurance verification.

~20%

Clinical Workflows and Data Management

Patient registration, medication reconciliation, e-prescribing, referral management, document imaging, charge capture, prior authorization, quality reporting, and after-visit summaries.

How to Pass the CEHRS Exam

What You Need to Know

  • Passing score: Scaled score 390/500
  • Assessment: 110 total items (100 scored + 10 pretest), all multiple-choice
  • Time limit: 1 hour 50 minutes
  • Exam fee: $117–$155 exam application

Keys to Passing

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

CEHRS Study Tips from Top Performers

1HIPAA is heavily tested — know the Privacy Rule vs. Security Rule distinction, the 18 PHI identifiers, the minimum necessary standard, permitted uses (TPO), breach notification requirements (60-day rule for 500+ individuals), and the difference between covered entities and business associates.
2Master medical terminology by learning common prefixes (hyper/hypo, tachy/brady, sub/supra), root words (cardi, gastr, nephr, pulmon), and suffixes (-itis, -ectomy, -ology, -pnea). Practice breaking down unfamiliar terms into their component parts.
3Understand the difference between ICD-10-CM (diagnosis codes) and CPT (procedure codes). Know that ICD-10-CM codes are used for reporting 'what's wrong' and CPT codes are used for reporting 'what was done.' Know basic E/M code ranges (99202-99215).
4Know clinical workflow sequences: registration → eligibility verification → clinical intake → provider encounter → CPOE → coding/charge capture → claim submission → payment posting → patient billing. Questions often test the correct order of these steps.
5Study interoperability concepts: HL7 (messaging standard), FHIR (modern API-based standard), HIE (health information exchange), and the 21st Century Cures Act information blocking rule. These represent the future direction of health IT and are increasingly tested.

Frequently Asked Questions

What is the NHA CEHRS exam?

The CEHRS (Certified Electronic Health Records Specialist) exam from NHA validates competency in EHR systems, medical terminology, HIPAA compliance, coding basics, and clinical workflows. It has 110 multiple-choice questions (100 scored + 10 pretest) completed in 1 hour 50 minutes.

What score do I need to pass the CEHRS exam?

You need a scaled score of 390 out of 500 to pass the CEHRS exam. NHA uses scaled scoring across a 200-500 range to ensure fairness across different exam versions.

How much does the CEHRS exam cost?

The CEHRS exam fee ranges from $117 to $155 depending on the registration pathway. Some schools include the exam fee in their tuition. Certification must be renewed every 2 years with 10 CE credits.

Can I take the CEHRS exam remotely?

Yes, NHA offers live remote proctoring (LRP), allowing you to take the CEHRS exam from home using a computer with a webcam, microphone, and stable internet connection. You can also take it at a PSI testing center or at your school.

What jobs can I get with a CEHRS certification?

CEHRS-certified specialists work as EHR specialists, health information technicians, medical records clerks, clinical data specialists, patient registration specialists, and health IT support staff in healthcare organizations, billing services, and health IT companies.

What is the biggest section on the CEHRS exam?

EHR Software and Health IT is the largest section at approximately 25% of scored questions. HIPAA Compliance, Coding/Billing, and Clinical Workflows each account for approximately 20%. Medical Terminology accounts for approximately 15%.