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Understanding the exact breakdown of the NHA Certified Billing and Coding Specialist test will help you know what to expect and how to most effectively prepare. The NHA Certified Billing and Coding Specialist has multiple-choice questions . The exam will be broken down into the sections below:
| NHA Certified Billing and Coding Specialist Exam Blueprint | ||
|---|---|---|
| Domain Name | % | Number of Questions |
| Anatomy and Physiology/Medical Terminology | 21% | 25 |
| Coding | 23% | 28 |
| Insurance Principles | 22% | 26 |
| Claims Processing/Compliance | 23% | 28 |
| Ethics | 11% | 13 |
NHA Certified Billing and Coding Specialist Study Tips by Domain
- Master directional terms (e.g., medial/lateral, proximal/distal, anterior/posterior) and apply them consistently; red flag: mixing right/left with the provider’s perspective vs the patient’s can flip the meaning.
- Know common roots/prefixes/suffixes (e.g., cardi/o, neur/o, -itis, -ectomy, -algia) and build/parse terms quickly; common trap: confusing -otomy (incision) with -ectomy (removal) changes the procedure meaning.
- Differentiate body planes (sagittal, frontal, transverse) and cavities (thoracic vs abdominopelvic) to place findings accurately; cue: if a note says “RUQ pain” it points to abdominal quadrants, not thoracic regions.
- Link major organ systems to core functions (respiratory gas exchange, renal filtration, endocrine hormones) and common conditions; priority rule: terms ending in -emia usually signal a blood-related issue, not a localized tissue problem.
- Use correct plural forms and abbreviations (bronchus/bronchi, diagnosis/diagnoses, vertebra/vertebrae) when reading documentation; red flag: misreading -ae/-i plurals can cause selecting the wrong anatomical site.
- Recognize high-yield clinical terminology for symptoms and tests (dyspnea, edema, tachycardia; CBC, BMP/CMP, UA) to interpret records; common trap: assuming similar abbreviations mean the same thing (e.g., “MS” can vary by context) without confirming the chart.
- Assign diagnosis codes to the highest level of specificity (e.g., laterality, episode of care, trimester) — red flag: submitting an unspecified ICD-10-CM code when documentation clearly supports a more specific option.
- Sequence codes correctly (principal/first-listed vs secondary) and follow ICD-10-CM guidelines — common trap: coding a symptom as primary when a definitive diagnosis is documented and should be sequenced first.
- Use CPT®/HCPCS Level II codes that match the service, setting, and provider documentation — priority rule: code from the operative/procedure note rather than the order or scheduled procedure.
- Apply modifiers only when documentation supports them and they change reimbursement or edit outcomes — red flag: using modifier -25 without a clearly separate, significant E/M service beyond the procedure’s usual pre/post work.
- Bundle/unbundle appropriately using NCCI concepts — common trap: separately coding components that are integral to a comprehensive code (unbundling) unless a valid modifier and distinct documentation justify it.
- Select correct E/M codes by setting and documentation elements (or time when allowed) — red flag: upcoding based on medical complexity not supported by documented history/exam/MDM or documented time.
- Differentiate plan types: HMO typically requires PCP referrals and has limited networks, while PPO allows more out-of-network use but higher member cost—red flag: billing out-of-network without verifying benefits can shift the balance to patient responsibility.
- Know major payer categories: Medicare (federal, age 65+/certain disabilities), Medicaid (state-administered, income-based), and commercial plans—common trap: assuming Medicaid coverage is uniform across states or that Medicare covers all services without limits.
- Apply coordination of benefits (COB) rules to identify primary vs secondary payer—priority cue: the birthday rule often determines primary coverage for dependents when both parents have insurance.
- Understand patient financial responsibility: premiums, deductibles, copays, coinsurance, and out-of-pocket maximums—threshold cue: collect copays at time of service and don’t apply copays toward deductibles unless the plan states otherwise.
- Verify eligibility and benefits before services: confirm active coverage dates, network status, prior authorization/referral requirements, and coverage limits—red flag: “authorization number” is not a guarantee of payment if eligibility or medical necessity fails.
- Recognize common coverage limitations: noncovered services, frequency limits, and medical-necessity policies—contraindication cue: do not bill a “screening” benefit as diagnostic (or vice versa) because it can change cost-sharing and trigger denials.
- Verify patient demographics and insurance eligibility before the encounter; red flag: a single-digit error in DOB or member ID is a high-frequency cause of payer rejections.
- Use correct claim formats and required elements (CMS-1500/837P for professional, UB-04/837I for facility) and include NPI and taxonomy when required; common trap: mismatching billing vs rendering provider identifiers triggers denials.
- Apply National Correct Coding Initiative (NCCI) edits and modifiers appropriately; priority rule: only append modifiers like 25, 59, X{EPSU} when documentation clearly supports a distinct service—otherwise expect recoupment risk.
- Know timely filing limits and manage the A/R work queue to prevent write-offs; red flag: letting claims sit past payer deadlines is a preventable compliance and revenue loss issue.
- Coordinate benefits and payer sequencing (primary, secondary, tertiary) and include EOB/ERA details for secondary claims; common trap: billing secondary without the primary adjudication information delays payment.
- Follow HIPAA and payer compliance requirements for PHI, authorizations, and medical necessity documentation; contraindication: do not alter dates, diagnoses, or signatures to “get it paid”—this is fraud and a high-stakes audit trigger.
- Protect PHI under HIPAA—use the “minimum necessary” standard, and treat any discussion of patient details in public areas or on social media as a red-flag breach risk.
- Never code or bill services not supported by the medical record; a common trap is “upcoding” based on assumptions rather than documented medical necessity.
- Recognize fraud, waste, and abuse indicators—altering dates, cloning notes, or billing “incident-to” without required supervision are priority red flags to escalate.
- Maintain professional boundaries and avoid conflicts of interest; accepting gifts, kickbacks, or incentives tied to referrals or coding outcomes is a contraindication and can trigger Anti-Kickback/False Claims exposure.
- Follow organizational policy and the chain of command for reporting concerns; a key rule is document what you observed and report promptly rather than “fixing” the chart yourself after the fact.
- Ensure accurate patient identity and authorization before releasing information; a common trap is sharing records with family members or employers without a valid release or legal basis.
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NHA Certified Billing and Coding Specialist Aliases Test Name
Here is a list of alternative names used for this exam.
- NHA Certified Billing and Coding Specialist
- NHA Certified Billing and Coding Specialist test
- NHA Certified Billing and Coding Specialist Certification Test
- NHA CBCS test
- NHA
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- NHA Certified Billing and Coding Specialist (CBCS)
- Certified Billing and Coding Specialist certification
