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Free CBCS Exam Prep

NHA Certified Billing and Coding Specialist (CBCS) Examination

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Your Study Path

CBCS NHA Certifications License: Complete Roadmap

Follow this path to maximize your chances of passing on the first try

1

Phase 1: Revenue Cycle, HIPAA, and ComplianceYou are here

Master revenue cycle phases, HIPAA Privacy/Security/Breach Notification, PHI handling, fraud/abuse (FCA, Stark, AKS), OIG compliance elements, and audit programs.

12
hours
2

Phase 2: Insurance Eligibility and Payer Rules

Drill plan types (HMO/PPO/EPO/indemnity), Medicare Parts A–D, Medicaid, TRICARE, COB/birthday rule, MSP, prior authorization, ABN, and self-pay workflows.

15
hours
3

Phase 3: Coding (ICD-10-CM, CPT, HCPCS, Modifiers)

Practice abstracting from documentation, ICD-10-CM conventions and sequencing, CPT sections (E/M, surgery, radiology, pathology), HCPCS Level II, and key modifiers.

25
hours
4

Phase 4: Billing, Claims, Denials, and Appeals

Complete CMS-1500 and UB-04 form fields, NCCI/MUE edits, EDI 837/835, denial management with CARC/RARC, the Medicare 5-level appeal process, aging reports, and credit balances.

18
hours
Estimated total study time
70 hours
That's about 7 weeks at 10 hours/week

Can You Take the CBCS Exam?

Check if you meet the basic eligibility requirements

Age
Education
High school diploma or GED/equivalency required
Experience
Completion of a billing and coding training program within the last 5 years OR 1 year of supervised work experience in billing and coding within the last 3 years
Additional Requirements
  • Registration through NHA account required
  • Candidates have 6 months from registration to schedule and take the exam
  • Coding manuals (CPT, ICD-10-CM, HCPCS) are required at the testing event per the candidate handbook
  • Certification renews every 2 years with 10 CE credits and a renewal fee

CBCS Quick Facts

Time to Get Licensed

8–12 weeks for focused self-study

From start to license in hand

Exam Provider

NHA / PSI Testing Centers / Live Remote Proctoring

Remote Testing Available
Schedule Your Exam

Retake Policy

Candidates may retake the exam after a 30-day waiting period for the first 3 attempts. After 3 failed attempts, candidates must wait 1 year before testing again. Each retake requires a new exam fee.

Total Cost Breakdown

Exam Fee$117 exam application (verify current fee at NHA)
Total Estimated Cost$117–$250 initial (exam + optional study materials)
Why Choose Us

Free CBCS Prep That Actually Works

The official pass rate is See NHA annual pass rate report for the most recent CBCS data. Our students do better.

100 Practice Questions

CBCS-style questions across all 4 official domains with detailed explanations and source citations.

AI-Powered Review

Work through ICD-10-CM, CPT, HCPCS, modifier, and CMS-1500 scenarios with AI tutoring support.

2026 Updated

Aligned to the current NHA CBCS test plan (2020 job analysis with 2024 review confirmation), 2026 ICD-10-CM, and 2026 CPT updates.

Free Start

Practice before paying the NHA exam application fee.

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What You'll Study

6 chapters covering everything you need to pass

CBCS Exam Details

NHA Certified Billing and Coding Specialist (CBCS) Examination

Administered by National Healthcareer Association (NHA)

Official Source
Scaled score 390 (200–500 scale)
Passing Score
125
Questions
3
Hours
$117 exam application (verify current fee at registration)
Exam Fee
Study time: No official study-hour estimate published by NHA
Prerequisites: High school diploma/GED plus completion of a billing and coding training program within the last 5 years OR 1 year of supervised work experience in billing and coding within the last 3 years.
Valid for: 2 years (renewable with 10 CE credits and renewal fee)

Exam Content Breakdown

Based on the official National Healthcareer Association (NHA) content outline

The Revenue Cycle and Regulatory Compliance15 items (15%)

Revenue cycle phases, HIPAA Privacy/Security/Breach Notification rules, PHI handling, fraud and abuse (False Claims Act, Stark Law, Anti-Kickback), audits (RAC/ZPIC), OIG compliance plans, and consent types.

Insurance Eligibility and Other Payer Requirements20 items (20%)

Insurance card data, eligibility/benefits verification (270/271), commercial plans (HMO, PPO, EPO, indemnity), government plans (Medicare A/B/C/D, Medicaid, Medigap, TRICARE), workers' comp, COB and birthday rule, ABN, prior authorization, and self-pay policies.

Coding and Coding Guidelines32 items (32%)

Anatomy and medical terminology, ICD-10-CM (annual Oct 1 update), CPT (annual Jan 1 update) sections, HCPCS Level II, E/M leveling under 2021 AMA rules, modifiers (-25, -59, -50, -76, -78, -91, -RT/-LT, -GA/-GZ), code sequencing, place of service, telehealth, and physician queries.

Billing and Reimbursement33 items (33%)

CMS-1500 and UB-04 fields, NPI, EDI 837/835/270/271/277CA/999, NCCI PTP edits and MUE, LCD/NCD, EOB/ERA reading, denial management and CARC/RARC, appeals (Medicare 5-level), aging reports, timely filing, credit balances, and the 60-day overpayment rule.

What's Included

6 Chapters

Complete exam coverage

Practice Quizzes

With detailed explanations

Free to Start

No credit card required

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Why It's Free

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What's Next After the CBCS?

After passing the CBCS, you can pursue these career paths

CBCS Exam FAQ

Official National Healthcareer Association (NHA) Resources

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