Board Certified Home Health Coder


Fazzi experts developed the Board Certified Home Health Coder (BCHH-C) certification to serve as an accurate measure of an individual’s proficiency in home health coding.

Why is the BCHH-C so Valuable?

  • Coders and other coding experts can obtain coding certification completely online with our online certification course and examination.
  • No need to leave the office, no travel expenses, test on your own time.
  • BCHH-C certificants receive free October 1st updates webinars and “Ask the Expert” sessions to stay up to date with coding excellence best practice.
  • The BCHH-C course and exam include practical tips and activities to help coders evaluate their skill levels.
  • Coders with other coding certifications may take the BCHH-C 75 question recertification exam.
  • The BCHH-C preparation course is approved for approximately 12 ANCC and BCHH-C contact hours.
  • The BCHH-C include OASIS questions coders must know. Many employers do not require additional OASIS certification for coders who hold the BCHH-C credentials.

Developed by industry-leading coding experts, the complete BCHH-C bundle includes:

  • A comprehensive, effective, engaging, convenient and affordable 8-week online coding certification preparation course and practice exam.
  • A 100-question/5-hour proctored certification exam which can be taken online from the convenience of home or office.
  • A 75-question proctored recertification exam for candidates with proof of CODING certification in good standing.
  • We’ve packaged the course and exam together for highest impact and greatest value. Participants may choose to purchase the package, or may purchase the course and exam individually.
  • A printed copy of Fazzi’s OASIS-D1 Field Guide to Data Collection – hot off of the press.

More Benefits of the BCHH-C:

  • Led by coding experts, instructors, enthusiasts, devotees, coaches and mentors – Lisa Woolery, Anita Werner, Alanna Lunden and Janeann Walker – the quality of the course instruction and materials are outstanding.
  • Developed, reviewed, psychometrically analyzed and beta tested by industry coding, the BCHH-C is an accurate and important measure of coding proficiency.
  • BCHH-C certificate holders are entitled to these additional benefits to continuously stay up to date with coding excellence best practice:
    • Complimentary webinars on the October 1st  updates.
    • Complimentary “Ask the Expert” Q+A sessions
  • Candidates with proof of active CODING certification in good standing from other certification programs are welcome to sit for the 75-question recertification BCHH-C exam.

Need to start from the beginning? Purchase Fazzi’s Total Coding Bundle
For coders not familiar with the ICD-10-CM code set we recommend purchasing our Total Coder Bundle. In addition to the certification program, you’ll receive access to our 20+ hour complete ICD-10 training program. This is a self-paced course that covers the conventions and general coding guidelines, a review of how to use the coding manual, and a chapter-by-chapter review of the ICD-10-CM code set.

Purchase BCHH-C Certification Bundle
For Coders already familiar with ICD-10: 8-week certification preparation course, BCHH-C exam, OASIS-D1 Field Guide.

Purchase the Total Coder Bundle
For Coders new to ICD-10: 20 hour ICD-10 complete program, 8-week certification preparation course, BCHH-C exam, OASIS-D1 Field Guide. 

Comprehensive FAQ

What is the online coding Certification Preparation Course?

Fazzi’s online Coding Certification Preparation Course is designed to prepare participants for successfully achieving BCHH-C Coding Certification.  Anyone wishing to achieve a strong knowledge of coding with the ability to accurately respond to the other domains of the BCHH-C exam (OASIS, Health Information Records and Regulatory and Compliance).

Is the exam included in the bundle?

Yes! The BCHH-C bundle includes the 8-week online preparation course, the certification (or recertification) exam and the OASIS-D1 Field Guide to Data Collection.

How does the course work?

The BCHH-C Preparation Course includes 8 weekly modules. At the start of each week, a new module is opened that includes a combination of presentation videos, practice activities, and discussion with course colleagues. Participants should expect to spend 1-2 hours per week completing each module.

Upon completion of the course, participants will receive access to a practice certification exam to test their readiness. Once ready, participants may sign up to complete the BCHH-C or other certification exam on their own schedule.

Is the course approved for contact hours?

Yes, the course is approved for approximately 12 ANCC and BCHH-C contact hours. You will be able to earn your contact hours certificate by completing all activities and then completing the post-test at the end of the course. Additional contact hours will also be available for participation in any of the live Q&A sessions.

What if I’m on vacation for a week or two during the program? Can I still sign up?

Yes! The program is designed so that you can work through modules any time after their weekly release, and any live webinars are recorded and available for your review at a later time that’s convenient for you.

Do I need to take the BCHH-C immediately after completing the course?

While we encourage Preparation Course participants to take the exam soon after successful completion of the course, participants may complete the certification exam anytime within 1-year of purchase.

How is the BCHH-C certification attained?

Candidates may take a proctored online examination through the Fazzi Learning Center.  Additionally, the proctored online examination is offered through the State Associations that sponsor the BCHH-C preparation course and certification exam.

Am I required to complete the BCHH-C Preparation Course in order to take the exam?

No. While the BCHH-C Preparation Course is recommended to assist you in preparing for the exam, it is not required.

How long is the BCHH-C valid?

The certification is valid for three years at which time a 75-question recertification examination may be taken to maintain credentialed status. The recertification exam is shorter (75 questions) than the initial certification exam (100 questions), because candidates have demonstrated general competency with coding by passing the initial certification exam (BCHH-C or other certifications).  The recertification exam will incorporate newer guidance to show the test taker has kept up to date with the coding guidance as well as questions related to long-standing guidance in order to demonstrate they have not ‘lost’ any of their old knowledge base.  Do note that the BCHH-C no longer accepts CEUs for recertification.

Who should sit for the BCHH-C certification examination?

Anyone wishing to demonstrate proficiency in the home health coding may sit for the examination. As ICD-10-CM is a complex code set with extensive guidance, it is recommended that individuals have formal education and at least one year of experience working the coding data set or complete our ICD-10-CM online course prior to testing.  There are no formal requirements for prior education or experience.

How can a person prepare for the BCHH-C examination?

Fazzi offers a comprehensive certification preparation program for candidates wishing to improve their knowledge of coding. This course is available in two ways:

  • An 8-week online preparation course and practice exam is offered through the Fazzi Learning Center.
  • Individual agencies and state associations may sponsor the on-site preparation course and certification exam.

Both programs are comprehensive, engaging and effective.  They provide in-depth education not only on completion of the coding items, but information necessary to accurately respond to the 3 other domains within the exam.

The online course combines interactive online education with printed materials and webinars to maximize understanding of coding concepts.  Candidates participating in this offering of the BCHH-C course will receive a free copy of Fazzi’s “Field Guide to OASIS-D1 Data Collection”.  In addition to the Field Guide, coders should bring a recent ICD-10-CM code book with them to the exam.

How was the BCHH-C developed?

Developed, reviewed, beta tested and psychometrically analyzed by industry leading coding experts, the BCHH-C is an accurate and important measure of coding proficiency. Here is how it was developed:

  • Phase 1: Exam questions are written by two Fazzi coding experts. 200 total questions are written for a goal of a 100 question exam.
  • Phase 2: The Fazzi expert review panel reviews the test questions and provides input on questions and responses.  This input is sent back to the expert writers for review and revisions.
  • Phase 3: The Beta Test is administered to a beta group of 50 coders with proven advanced coding knowledge.  Construct validity is measured for each test question using question response rates (% correct/incorrect) and through feedback collected from testers.  Questions with an incorrect response rate of 50% or higher are automatically eliminated.  All other questions are reviewed based on feedback provided.
  • Phase 4: The test is revised and distributed again to the initial 50 beta testers.  Test-retest reliability is measured based on consistency and response rates for each of the remaining questions.  Questions with reliability less than 75% are eliminated.
  • Phase 5: The edited test is distributed to a second beta group of 75 testers with intermediate and advanced coding knowledge.  The cut score (passing score) is determined based on the beta test results.
What is the cost of the exam?
  • Initial Certification Fee: $289 (Fazzi’s coding bundles include the exam for free as part of the package!)
  • Recertification Fee: $149 (available to BCHH-C and other coding certification holders with proof of active certification in good standing)
How do I schedule an exam?

All exams are scheduled online through the Fazzi Learning Center. You will be enrolled in an exam course, and from this course you will be able to schedule an online exam session through our proctoring partner, ProctorU. You will need to register at least 72 hours ahead of your session. If taking the exam on an agency computer, we highly recommend verifying the ability to use a webcam proctoring service with your IT department prior to scheduling, or please plan to take the exam on a personal computer.

What happens if I need to reschedule an exam?

Exams may be rescheduled up to 24 hours prior to the scheduled test time.  Candidates wishing to reschedule exams with less than 24 hours notice will not be refunded and may be charged an additional fee.

What to expect on exam day

Candidates should login at least fifteen minutes prior to their exam start time.  Once logged in, they will be connected with their online proctor, provide required identification, have their exam materials inspected (if applicable), and receive additional instructions.

What type of identification do I need to take the exam?

Candidates will be required to present their Test Taker Authorization Code and one form of identification upon their arrival at the test site.  If taking the exam online, the identification must be shown via webcam to the online proctor.  The form of identification must be a government-issued photo ID. Acceptable forms of primary government-issued photo identification include:

  • Driver’s license or learner’s permit including a valid expiration date
  • Military identification for members, spouses, or dependents
  • Passport or passport card
  • Green card or permanent resident visa

If you have a form of identification not on this list, please contact Fazzi prior to your testing date to inquire whether it will be accepted at the test site.

Candidates without all required identification will not be allowed to test.

What about test security?

Candidates will also be required to sign a statement verifying their identity, accepting all test security policies, and acknowledging potential consequences for violation of security policy.  Violations of security policy include, but are not limited to:

  • Use of unauthorized materials or devices
  • Unauthorized communication with other candidates or with the proctor
  • Giving false identification information
  • Attempting to reproduce, remove, report, or distribute examination materials
  • Creating a disturbance

Candidates may not communicate with anyone other than the proctor during the testing period.  Candidates may not request any information regarding exam content from the proctor.  Failure to comply will result in the candidate being disqualified from taking the exam, and may result in score cancellation for the candidate’s entire test group.

Allegations of candidate or proctor misconduct will be investigated.  Any evidence of unacceptable behavior may result in score cancellation and other disciplinary measures as determined by Fazzi Associates.

In order to provide a consistent and fair experience for all test takers, to protect the integrity of the examinations, and to ensure the validity of certification examination scores, candidates must adhere to the guidelines established in the handling of examination materials.  Candidates may not remove, reproduce, report, or distribute exam materials in any part and by any means, including electronic, manual, and verbal.  Failing to comply is a copyright violation and will result in disciplinary measures including score cancellation, revocation of credentials, and prosecution to the fullest extent of the law.

What should I bring or not bring?

Candidates for the BCHH-C may bring the following paper reference materials to the exam: recent ICD-10-CM code book and an OASIS Field Guide.

Electronic resources are not allowed.

No communication or other electronic devices will be permitted in the testing area. Cell phones or other handheld electronic devices must be turned completely off and placed out of reach during the test.

Candidates may bring water in either unopened commercial bottles or clear, unmarked reusable bottles.  No other food or beverage is allowed for the duration of the exam, unless previously approved by the Fazzi through an accommodation request.

What conduct is required at the exam?

It is the responsibility of all candidates to keep certification exam content confidential and to treat others with courtesy and respect during the exam.  Candidates will carefully read and listen to instructions prior to the start of the exam and will ask any questions related to exam administration procedure prior to the start of the exam.  Candidates will leave quietly after submitting their exam either when they are finished, or at the end of the exam time.

How do I get my results?

BCHH-C Exam candidates will receive their scores immediately after submission/completion of the exam.  Fazzi reserves the right to withhold examination results for the duration of an investigation of candidate misconduct, or internal errors.

How is the exam score calculated?

Your percentage score will be given on a scale of 1 – 100.  Your score is a representation of the percentage of all items answered correctly.

What is the BCHH-C Certificant Directory?

Passing candidates’ names and states of residence will be published on the Fazzi website in the Certificant Directory.  Candidates may choose to opt-out of the Certificant Directory by contacting Fazzi in writing.

How do I get my certificate?

Certificates are mailed to all successful certificants 7-10 days after passing the exam.  Do note that it may take the post office up to 30 days to delivery our certificate.

How do I properly use the Credential?

Passing candidates are authorized to use the related credential following their names as long as certification remains valid and in good standing.

How often can I retest until I pass the exam?

Candidates may take the BCHH-C a total of 3 times annually.  Candidates who do not pass the test the first time must wait 30 days before retesting the second time.  Candidates who do not pass the second time must wait 6 months before retesting for the third time.  After that, a candidate must wait one year from their last attempt before retesting.

What if I want to appeal a disciplinary decision?

If candidates wish to appeal a disciplinary decision, they must submit a written request for appeal within 30 days of receiving the disciplinary decision.  Candidates may only appeal on the grounds of material errors of fact or a procedural violation in their original disciplinary investigation.  The Appeals Committee will review the appeal and notify the candidate of their decision within 30 days.

How do I report complaints about the exam?

Candidates must report any complaints regarding their test center, proctor, or testing misconduct to Fazzi in writing within twenty-four hours of their test time.

Candidates who fail the exam and believe irregular testing conditions were a contributing factor may file an appeal. Candidates who fail the exam and believe there has been a scoring error may request a hand-scoring of their exam.  Appeals regarding the content of the exam, including specific exam questions, will not be considered.

How are complaints reviewed?

Complaints will be reviewed by the Fazzi Disciplinary Committee and all complaints judged to have merit will be investigated by the Committee.  Members of the committee found to have a personal or familial relationship to the certificant in question will recuse themselves.

Candidates under investigation will be notified regarding the nature of the complaint and will have the opportunity to submit a written statement.  Notification will include a copy of the disciplinary and appeals policy.  The Disciplinary Investigation Committee may contact the individual for additional information as needed.

The Disciplinary Committee will determine what, if any, disciplinary actions will be taken. Disciplinary actions may include:

  • Implementation of a probationary period
  • Asking certificant to re-test
  • Revocation of credentials
  • Legal action if applicable
Is my personal information and exam score kept confidential?

Candidate information, including scores, will remain confidential. Fazzi will never distribute information to a third party.  Individual results will only be distributed to authorized parties for the purposes of: scoring and investigations of misconduct or internal error.  Exam performance and candidate demographic information will be used and distributed in aggregate form for purposes including but not limited to: required reporting, exam development and improvement, and research.

How often do I need to recertify?

The BCHH-C is valid for 3-years. Certificants must recertify by re-testing on the current version of the certification exam in the third year of their certification cycle. The recertification exam is 75 questions and will incorporate regulatory and practice updates in all applicable domain areas. The certificant will be expected to achieve the passing score required of new certificants to recertify by test.

What happens if I do not recertify?

Certificants failing to recertify by the end of their certification cycle will be removed from the Certificant Registry and may no longer use their credential.