CBCS Exam Pass Rate, Format & Study Guide

The NHA CBCS test plan (based on the 2020 job analysis) lists 100 scored and 25 unscored pretest selected-response questions in 180 minutes. The passing score is 390 on a 200-500 scaled score. The four domains and weights are The Revenue Cycle and Regulatory Compliance (15%), Insurance Eligibility and Other Payer Requirements (20%), Coding and Coding Guidelines (32%) and Billing and Reimbursement (33%).

The CBCS is an NHA credential for medical billing and coding work.

Billing and coding trainees and administrative staff who are preparing for the CBCS.

The certifying body does not publicly publish an official pass rate for this exam. Be wary of third-party sites citing a specific number here — treat any pass-rate claim you see elsewhere for this exam as unverified.

Retake rules and waiting periods are set by NHA; check the current candidate handbook before you reschedule.

The passing score is 390 on a 200-500 scaled score; a scaled score is not a percentage of correct answers, so the percent score in the portal mock is only a self-check. Format: 100 scored questions plus unscored pretest items in 3 hours on computer; the portal mock uses 100 questions in 180 minutes. No official pass rate is available for this exam, so none is quoted here.

The NHA CBCS test plan (based on the 2020 job analysis) lists 100 scored and 25 unscored pretest selected-response questions in 180 minutes. The passing score is 390 on a 200-500 scaled score. The four domains and weights are The Revenue Cycle and Regulatory Compliance (15%), Insurance Eligibility and Other Payer Requirements (20%), Coding and Coding Guidelines (32%) and Billing and Reimbursement (33%). 100 scored + 25 unscored pretest questions · 3 hours · computer-based · scaled score of 390 on 200-500 to pass. The passing score is 390 on a 200-500 scaled score; a scaled score is not a percentage of correct answers, so the percent score in the portal mock is only a self-check.

• The Revenue Cycle and Regulatory Compliance15%
• Insurance Eligibility and Other Payer Requirements20%
• Coding and Coding Guidelines32%
• Billing and Reimbursement33%

The content outline spreads questions across 4 areas: The Revenue Cycle and Regulatory Compliance (15.0%); Insurance Eligibility and Other Payer Requirements (20.0%); Coding and Coding Guidelines (32.0%); Billing and Reimbursement (33.0%).

NHA publishes the eligibility rules for the CBCS in its candidate handbook. Read the current handbook before you register.

NHA charges an exam fee. The amounts change, so no figure is quoted here; confirm them on the NHA site.

Holding the CBCS involves NHA continuing education and renewal; check the current NHA rules.

Start with Billing and Reimbursement and Coding and Coding Guidelines, then payer requirements and the revenue cycle, and finish with timed 100-question runs.

This guide follows the NHA CBCS test plan (2020 job analysis) and candidate handbook, checked October 31, 2026. Fees and policies can change.