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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

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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.

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%.