MEDICAL BILLING AND CODING
SPECIALIST CERTIFICATION EXAM
QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT.
Medical Billing & Coding Specialist Certification (MBCS) - ANS A credential designed to
document the essential competencies needed for medical coders working in various health
settings.
Purpose of Credential - ANS To demonstrate proficiency in medical coding and billing
processes, including knowledge of coding manuals and medical terminology.
Audience for Credential - ANS Individuals seeking to prove their skills in the billing and coding
process within the healthcare industry.
Job/Career Requirements - ANS Competencies include reading medical charts, coding
diagnoses using ICD-10-CM, coding procedures using CPT, and understanding medical insurance
and billing processes.
Key Tasks of Medical Coders - ANS Conduct communication with patients and medical
personnel, handle medical records according to HIPAA, code patient data, and resolve coding
discrepancies.
Number of Questions in Exam - ANS 100 questions.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 13
, Total Time for Exam - ANS 210 minutes.
Overall Passing Score - ANS 70%, with each section requiring an individual passing score of
70%.
Coding Systems - ANS Includes ICD-9-CM, ICD-10-CM, and HCPCS coding systems used in
medical billing.
ICD-10-CM - ANS The classification system currently used in the U.S. for coding diagnoses,
requiring knowledge of its organization and guidelines.
ICD-10-CM Format - ANS Consists of an index and a tabular list, with specific conventions for
coding.
Health Insurance Portability and Accountability Act (HIPAA) - ANS Legislation that provides
privacy and security provisions for medical information.
Medicare Part A - ANS Hospital insurance coverage under Medicare.
Medicare Part B - ANS Supplementary insurance coverage under Medicare.
Medicare Part C - ANS Medicare Advantage Organizations that provide alternative coverage
plans.
Medicare Part D - ANS Prescription drug coverage under Medicare.
Relative Value Unit (RVU) - ANS A measure used in the outpatient resource-based relative
value scale to determine payment levels.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 13
SPECIALIST CERTIFICATION EXAM
QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT.
Medical Billing & Coding Specialist Certification (MBCS) - ANS A credential designed to
document the essential competencies needed for medical coders working in various health
settings.
Purpose of Credential - ANS To demonstrate proficiency in medical coding and billing
processes, including knowledge of coding manuals and medical terminology.
Audience for Credential - ANS Individuals seeking to prove their skills in the billing and coding
process within the healthcare industry.
Job/Career Requirements - ANS Competencies include reading medical charts, coding
diagnoses using ICD-10-CM, coding procedures using CPT, and understanding medical insurance
and billing processes.
Key Tasks of Medical Coders - ANS Conduct communication with patients and medical
personnel, handle medical records according to HIPAA, code patient data, and resolve coding
discrepancies.
Number of Questions in Exam - ANS 100 questions.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 13
, Total Time for Exam - ANS 210 minutes.
Overall Passing Score - ANS 70%, with each section requiring an individual passing score of
70%.
Coding Systems - ANS Includes ICD-9-CM, ICD-10-CM, and HCPCS coding systems used in
medical billing.
ICD-10-CM - ANS The classification system currently used in the U.S. for coding diagnoses,
requiring knowledge of its organization and guidelines.
ICD-10-CM Format - ANS Consists of an index and a tabular list, with specific conventions for
coding.
Health Insurance Portability and Accountability Act (HIPAA) - ANS Legislation that provides
privacy and security provisions for medical information.
Medicare Part A - ANS Hospital insurance coverage under Medicare.
Medicare Part B - ANS Supplementary insurance coverage under Medicare.
Medicare Part C - ANS Medicare Advantage Organizations that provide alternative coverage
plans.
Medicare Part D - ANS Prescription drug coverage under Medicare.
Relative Value Unit (RVU) - ANS A measure used in the outpatient resource-based relative
value scale to determine payment levels.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 13
