BMSC FAQs

Complete the online registration in the DecisionHealth store at https://store.decisionhealth.com/bmsc. Once you have registered for an exam, you will receive an email confirmation. Please allow up to three (3) business days after receipt of this email before scheduling your exam with our testing partner, PSI. PSI will send you an email with instructions on how to schedule your exam.

  1. Visit https://candidate.psiexams.com/.
  2. On the left side of the page, click on “Certification/Professional Associations,” then select the sponsor name: Board of Medical Specialty Coding & Compliance (BMSC). This displays a list of certification exams (including HCS-C, HCS-D, HCS-H, and HCS-O).
  3. Choose the exam you’d like to sit for from the list.
  4. On the next page click on “Test Centers” on the right-hand side of the page. This will display a list of test centers in your area that offer the exam. You can search the list by country and state.
  1. Visit https://candidate.psiexams.com/.
  2. Scroll to the bottom of the home page. Under “Check Available Appointment Dates Before You Register,” click on “Click here.
  3. Select the organization “Certification/Professional Associations,” then select a sponsor name: Board of Medical Specialty Coding & Compliance (BMSC). This displays a list of certification exams (including HCS-C, HCS-D, HCS-H, and HCS-O).
  4. Choose the exam you’d like to sit for and click continue.
  5. On the next page, enter your zip code or city to find a testing center near you. Once you click on a testing center location, all current availabilities will display.

Note: You must call to confirm as the appointments fill up quickly.

Complete the ADA Accommodation form found on the AHCC website at https://ahcc.decisionhealth.com/media/1396/ada-request-for-accommodation_website_v2.pdf. BMSC will review the ADA form and supporting documentation, and if the accommodations are approved, we will contact our testing partner PSI. PSI will contact you in three (3) business days, after we have approved the accommodations, to schedule you for the exam. The exam cannot be scheduled online with PSI. There may be additional fees that apply with some accommodations.

Note: It could take up to 2 weeks after the approval of the accommodations to have the exam scheduled at a PSI testing center.

Yes, you can take an exam at an international PSI testing center, if the BMSC exam is available at that location. Contact customer service for more information at 1-855-CALL-DH1 or customer@decisionhealth.com. There is an additional international seat fee that applies in addition to the exam fee. Once the location for the testing center is confirmed and the payment for the exam registration and international seat fee has been processed, BMSC will contact PSI to schedule the exam at the international PSI testing center.

Note: It takes up to 4 weeks after registration to have the exam scheduled at an international PSI testing center.

If you decide to cancel your BMSC exam registration, you must notify DecisionHealth within 30 days prior to your scheduled exam date for a full refund. Candidates registered for BMSC exams have 90 days from the day they register to take an initial or retake exam. If you do not take the exam within those 90 days and do not cancel within the allowed timeframe, your registration fee is non-refundable and non-transferable. Contact customer service to cancel an exam at 1-855-CALL-DH1 or customer@decisionhealth.com.

You can be granted an extension, but only under the following special circumstances:

  • Natural disaster: In the event of bad weather, a natural disaster, or another emergency (for example, a test center power outage)
  • Medical or Personal Emergency: A medical or personal emergency is an unplanned event that prevents you from taking the exam. A medical or personal emergency may apply to you or one of your immediate family members: spouse, child, or parent as defined by the Family Medical Leave Act. Documentation (such as a doctor’s note, emergency room forms, or obituary) showing why you could not take your exam will be required.

If you have met one of the above special circumstances, you may request an extension for an exam or certification eligibility period. If the extension is approved, the following fees apply:

  1. First Approved Request for an Extension: $75 (valid for 45 days)
  2. Second and Final Approved Request for an Extension: $150 (valid for an additional 30 days). No additional extension will be authorized.

For all extension requests, please complete and submit the AHCC Request for Consideration form on the AHCC website at https://ahcc.decisionhealth.com/media/1038/ahcc-request-consideration.pdf, along with any required documentation. Fees are processed after the request has been approved. Contact customer service at 1-855-CALL-DH1 or customer@decisionhealth.com with any additional questions.

Cancellations made within 3 business days of a scheduled exam date at a PSI testing center are subject to a $72 service fee. Registrants who do not report for the exam at the PSI testing center or at an onsite event, and who do not cancel at least 3 business days before their scheduled exam date are liable for the full registration fee and will be subject to the $72 service fee. Contact customer service to cancel an exam at 1-855-CALL-DH1 or customer@decisionhealth.com.

The most successful credential candidates have on-the-job experience, have attended coding or OASIS training events, and have followed a course of self-study. See the Candidate Handbook for more detail about the eligibility and qualifications we recommend for each BMSC exam.

We also recommend the following study guides to help you prepare for your respective exam(s):  

Yes, the candidate handbook contains all the information you will need to understand and prepare for a BMSC credential.

Please visit https://ahcc.decisionhealth.com/bmsc-exam-information to see what materials are allowed when taking your exam. Scroll down the page to “Allowed materials” and under the exam you will see the allowed materials for the specific certification exam. This information is also in the Candidate Handbook. By scheduling a BMSC exam you are acknowledging you have read and agree to the Allowable Resources.

This information is on the AHCC website at https://ahcc.decisionhealth.com/bmsc-exam-information.

The passing score for the HCS-D exam is 76%.
The passing score for the HCS-O exam is 74%.
The passing score for the HCS-H exam is 75%.
The passing score for the HCS-C exam is 75%.

Please note that the passing rate of each exam may change with the updated exams every year.

To learn more about the core competencies each certification tests, see the Candidate Handbook.

You can access the AHCC job board by visiting and logging in to the AHCC website at https://ahcc.decisionhealth.com/, and hovering over “Membership” and then clicking on “Career Center” from the home page.

If you passed your exam, you’ll receive:

  • A congratulatory letter;
  • A frameable certificate acknowledging the credential earned and date of certification;
  • A score report; and
  • A BMSC lapel pin

These items will be sent via USPS within 6 weeks of taking the exam.

You will receive a score report identifying how you performed in each competency area. For more information about how the exams are scored, refer to the Candidate Handbook. To protect the integrity of the examination, BMSC cannot release a candidate’s specific answers to questions on any certification examination, nor will BMSC discuss rationale for specific correct answers to examination questions.

If you did not pass your exam, you’ll receive:

  • An email stating that you were not successful in your attempt to earn the BMSC credential.
  • A score report identifying how you performed in each competency area.
  • Instructions on how to register to retake the exam.

You must wait at least 3 business days after you’ve taken your initial exam to schedule a retake. You have 90 days from your initial exam date to retake the exam.

Please note: This also applies to any additional retakes after the first retake exam.

There is no retake form. To register for your retake exam:

  1. Visit https://ahcc.decisionhealth.com/.
  2. Click the “Login” button at the top right-hand corner of the page and log in.
  3. Click the “CEU Tracker” button.
  4. Select the certification exam you wish to retake and click “Retake Now” in the tracker. After you have registered and paid for the retake exam fee, you will receive a confirmation email. Once you receive the confirmation email, you can schedule your retake examination at any PSI testing center.

Remember! You must wait at least 3 business days after you’ve taken your initial exam to schedule a retake. This also applies to any additional retakes after the first retake exam.

You must earn twenty (20) CEUs between the anniversary date and expiration date of your current credential cycle before you can recertify. To recertify you must:

  • Earn ten (10) of the required CEUs by completing your mandatory annual home health coding, OASIS, hospice coding, or home health compliance self-assessments. To view instructions for accessing self-assessments, visit https://ahcc.decisionhealth.com/maintaining-your-credentials. CEUs earned from self-assessments are loaded into your tracker by BMSC within three (3) business days.
  • Earn the remaining 10 or more CEUs by participating in accepted and qualified CEU activities. Document that activity in your CEU tracker. Make sure to keep any documentation of CEUs for at least one year for auditing purposes.

Self-assessments are two, fifteen (15) question quizzes that test a certification holder on the most up-to-date information for home health coding, OASIS, hospice coding, or home health compliance. Completing the two self-assessments provides proof of up-to-date training and demonstrates continued competence in home health coding, OASIS accuracy, hospice coding, or home health compliance.

Yes, your BMSC credential (HCS-C, HCS-D, HCS-H, and/or HCS-O) requires an annual recertification to remain active. You must fulfill your annual recertification requirements and submit the applicable fee before your credential expires in order to maintain certification.

Recertification of your credential requires that you earn twenty (20) CEUs between the anniversary date and expiration date of your current credential cycle and paying your recertification fee by your expiration date. These dates are found in your CEU Tracker.

To recertify you must:

  • Earn ten (10) or more CEUs by participating in accepted and qualified CEU activities and document that activity in your CEU Tracker. Make sure to keep any documentation of CEUs for at least one year for auditing purposes.
  • Earn ten (10) of the required CEUs by completing your mandatory annual home health coding, OASIS, hospice coding, or home health compliance self-assessments. CEUs earned from self-assessments are loaded into your tracker by BMSC within three (3) business days. Please keep this in mind as you are responsible for starting your recertification process early enough to meet the required deadlines. Please keep the self-assessment CEU certificates for your records, in case you are audited.
  • Pay your recertification fee by clicking the “Recertify Now” button on your CEU tracker after you have completed your twenty (20) CEUs.

Yes, you have 90 days from the expiration date of your credential to fulfill the recertification requirements. Any recertifications submitted within the 90 days after the credential expires will be subject to a 15% late fee in addition to the recertification fee. Note that 90 days after a credential expires it will be revoked and cannot be recertified.

No, there are only four instances in which the Appeal form will be reviewed. Certification holders and candidates can request a BMSC review of decisions made or actions taken related to the following four situations only:

  • Test administration
  • Test results
  • Certification status (censure, suspension, revocation)
  • Denial of continuing education credits

Click on the “CEU Tracker” button at the top right-hand corner on the AHCC website (https://ahcc.decisionhealth.com/),and log in to your account.

Visit the maintaining your credentials page of the AHCC website at https://ahcc.decisionhealth.com/maintaining-your-credentials. Under the “Accessing Your Self-Assessments” section, please read and follow the instructions.

CEUs must be earned within your current recertification cycle and must be relevant to your specialty credential. For more information on what types of educational activities qualify, visit the AHCC’s website section on “Qualifying Continuing Education Activities” by hovering over the “Certification and Training” drop-down tab. The direct link is https://ahcc.decisionhealth.com/qualifying-continuing-education-activities. This information is also in the Candidate Handbook. All CEUs submitted must meet the qualifications outlined here. Please keep the self-assessment CEU certificates for your records, in case you are audited. 

Please note: BMSC cannot approve CEUs for a non-BMSC event if CEUs were not offered by the sponsoring organization or individual.

The education event sponsor must offer CEUs at the time of the event. You should have a certificate of completion from the education sponsor indicating the number of earned CEUs, the education title, your name and the date of the education. Education topics should directly relate to your certification.

BMSC cannot approve CEUs for an education activity if the original event sponsor did not provide CEUs. If the education activity meets these requirements, enter the earned CEUs in your tracker and retain your certificate of completion for your records in case you are selected for a random audit. 

For a list of the types of educational activities that qualify for CEUs, visit the AHCC website section on Qualifying Continuing Education Activities” at https://ahcc.decisionhealth.com/qualifying-continuing-education-activities. This information is also in the Candidate Handbook.

All AHCC members can earn one CEU each month by taking a monthly quiz based on the AHCC Insider ezine content. AHCC Premium members can earn additional CEUs by taking a quarterly quiz based on AHCC Journal content. Visit the Publications page, https://ahcc.decisionhealth.com/publications/, to find a link to your available CEU quizzes.

You can enter your email in the Login screen at https://ahcc.decisionhealth.com/Login, click on the “Forgot password” link, and your password will be sent to your email. Please make sure you are entering the email that is associated with your AHCC membership.

If you are still having trouble logging in, please email Customer Service at customer@decisionhealth.com or call 1-855-225-5341 (Monday through Friday, 8:00 a.m. to 5:00 p.m. Central Standard Time).

You can reset your password by entering your User Name. Visit https://ahcc.decisionhealth.com/Login. In the Login screen, click on the “Forgot password” link. The email to reset your password will be sent to the email that is associated with your AHCC membership.

You can check most of your information by logging into your AHCC account at https://ahcc.decisionhealth.com/. At the top right-hand corner of the page, click “My Account.” You can reset your password by clicking the button in your account information. If you need to update your email address and/or other personal information, please email Customer Service at customer@decisionhealth.com or call 1-855-225-5341 (Monday through Friday, 8:00 a.m. to 5:00 p.m. Central Standard Time).