About This Certification

The Certified Billing and Coding Specialist (CBCS) credential validates mastery of medical billing processes, claim submission, reimbursement methodologies, and procedure/diagnosis coding in outpatient and physician practice settings. Credential holders ensure accurate claims processing and optimize revenue cycle performance.

Exam Overview

The NHA CBCS exam contains 100 scored multiple-choice questions with a 3-hour time limit. Questions test applied coding and billing knowledge using patient scenarios, Explanation of Benefits documents, and payer policy situations.

Exam Domains & Weighting

Domain	Description	Weight
ICD-10-CM Diagnosis Coding	Diagnosis code selection, sequencing rules, and chapter-specific guidelines	24.0%
CPT® & HCPCS Procedure Coding	Procedure code assignment, modifiers, bundling, and HCPCS Level II	22.0%
Claim Submission & Billing Process	CMS-1500 and UB-04 completion, electronic claim submission, and claim lifecycle	20.0%
Reimbursement & Payer Systems	Medicare, Medicaid, commercial payers, fee schedules, and remittance advice	18.0%
Compliance & Regulatory Requirements	HIPAA, fraud and abuse, OIG guidelines, and coding compliance programs	10.0%
Medical Terminology & Anatomy	Body system terminology and pathophysiology relevant to billing and coding	6.0%

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What's Included

✓ Full question bank

✓ Domain-weighted practice exams

✓ 100-question & 50-question exams

✓ Domain-specific practice mode

✓ Missed questions review

✓ Bookmarks & study notes

✓ Detailed explanations

✓ Performance analytics

✓ Timed exam simulation