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Exam Review

Key Facts: CEHRS Exam

125

Total Exam Questions

NHA CEHRS test plan (100 scored + 25 pretest)

390/500

Passing Score

NHA scaled scoring

125 min

Exam Time

NHA CEHRS test plan

$134

Exam Fee

NHA store (2026)

100

Practice Questions Here

OpenExamPrep question bank

The NHA CEHRS exam has 125 multiple-choice items (100 scored + 25 pretest) completed in 125 minutes, with a scaled passing score of 390 on a 200-500 scale. The test plan, based on a 2019 job analysis, has five domains: Clinical Operations (32 items), Non-Clinical Operations (28), Revenue Cycle/Finance (15), Regulatory Compliance (15) and Reporting (10). 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 review concepts for the CEHRS exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 104+ 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.

Exam sponsor: NHA / PSI Testing Centers / Live Remote Proctoring. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

125 total items (100 scored + 25 pretest), all multiple-choice

Time Limit

2 hours 5 minutes

Passing Score

Scaled score 390/500

Exam / Certification Fees

$134 exam application (NHA store)

Exam sponsor website

Reported exam pass rate: Not separately published by NHA. NHA does not publish CEHRS-specific pass rate data Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

28%

Non-Clinical Operations

Patient identifiers and registration, scheduling and patient flow, acquiring and importing patient data, EHR hardware inventory, end-user EHR training, data discrepancies, and patient portal support.

32%

Clinical Operations

Clinical templates, secure data transmission and exchange, documentation review, point-of-care EHR support, real-time and historic clinical data, CPOE support, patient education materials, and charting formats such as SOAP and POMR.

15%

Revenue Cycle/Finance

ICD, CPT and HCPCS code look-up, superbills and encounter forms, claims data entry, insurance eligibility and authorizations, patient cost estimates and statements, payment posting, EOBs and remittance advice, and EDI.

15%

Regulatory Compliance

Protecting PHI under the HIPAA Privacy Rule and HITECH Act, security threats and safeguards, role-based access controls, de-identification and release of PHI, internal audits, abbreviation rules, downtime procedures, and EHR incentive programs.

10%

Reporting

Standardized and ad hoc financial and clinical reports, quality improvement statistics, external reporting such as the Quality Payment Program, and report accuracy checks.

Preparing for the CEHRS Exam

What You Need to Know

  • Passing score: Scaled score 390/500
  • Assessment: 125 total items (100 scored + 25 pretest), all multiple-choice
  • Time limit: 2 hours 5 minutes
  • Exam / certification fees: $134 exam application (NHA store) Official sources

Using Our Practice Resources

  • Work through all 104 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

CEHRS: Suggested Study Strategy

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 125 multiple-choice questions (100 scored + 25 pretest) completed in 125 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 application is $134 in the NHA store, and each retake requires paying the full exam price again. Some schools include the exam fee in their tuition. Certification must be renewed every 2 years with 10 CE credits and a $195 renewal fee.

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?

Clinical Operations is the largest domain, with 32 of the 100 scored items. Non-Clinical Operations has 28, Revenue Cycle/Finance and Regulatory Compliance have 15 each, and Reporting has 10.