• 60 questions

RHIA Exam Questions

Unofficial practice for the Registered Health Information Administrator exam, in the five domains of AHIMA's published outline.

Which standard is a normalized naming system for generic and branded drugs?

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Exam mode: 50 questions, 70 minutes.

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Unofficial practice questions, not affiliated with the American Health Information Management Association (AHIMA). Bank checked October 15, 2026.

The real exam, as AHIMA describes it

Questions
150
Time limit
210 minutes
Retakes
After 30 days, with a new application
Scored
130 scored, 20 pretest
Passing score
300, a scaled score
Books
None required
Where
A Pearson VUE testing center

Checked October 15, 2026 against AHIMA, Registered Health Information Administrator (RHIA) page, Exam Specifications, with the RHIA Exam Content Outline (effective 10/01/2023) and the Candidate Guide. Rules change, so confirm with the agency itself before your test.

AHIMA's own RHIA page

Next step RHIT practice examCPHQ practice questions

All 60 questions

Data and information governance 11

  • A committee wants one reference that gives each data element's meaning, format, origin, usage and relationships. What is it? Wikipedia, "Data dictionary", introduction
  • A security policy written in 2019 was replaced in 2023. From which date does the 6-year retention period for the old policy run? 45 CFR 164.316, paragraph (b)(2)(i)
  • An analyst finds and corrects inaccurate and incomplete records in a registry before it is used. Which process is this? Wikipedia, "Data cleansing", introduction
  • The author, creation date and file type recorded for a scanned document are examples of what? Wikipedia, "Metadata", introduction
  • Under the hospital QAPI condition of participation, which of these does the rule name among the quality indicators a hospital must measure, analyze and track? 42 CFR 482.21, paragraph (a)(2)
  • Under the Medicare conditions of participation, a hospital discharge summary gives the outcome of hospitalization, provisions for follow-up care and what else? 42 CFR 482.24, paragraph (c)(4)(vii)
  • What does an enterprise master patient index do for a health system with several departments and facilities? Wikipedia, "Enterprise master patient index", introduction
  • What is data integrity? Wikipedia, "Data integrity", introduction
  • Which standard is a normalized naming system for generic and branded drugs? National Library of Medicine, RxNorm Overview, section "What is RxNorm?"
  • Which term names the principles, policies and processes that guide the effective and responsible use of data in an organization? Wikipedia, "Data governance", section "Data governance (Data Management)"
  • Who owns and maintains the SNOMED CT clinical terminology? National Library of Medicine, SNOMED CT

Access, use and disclosure 9

  • A billing company serves a substance use disorder treatment program under a written agreement that binds it to 42 CFR Part 2. What is the company called? 42 CFR 2.11, definition of "Qualified service organization"
  • A breach of unsecured protected health information affects 800 patients. When must the covered entity notify the Secretary of HHS? 45 CFR 164.408, paragraph (b)
  • A patient is denied access on a reviewable ground and asks for a review. Who must review the denial? 45 CFR 164.524, paragraph (a)(4)
  • A subpoena for records arrives without a court order. Before disclosing, the covered entity must receive satisfactory assurance of what? 45 CFR 164.512, paragraph (e)(1)(ii)
  • An emergency physician searches for records that other providers hold on an unconscious patient. Which form of health information exchange is this? HealthIT.gov, What is HIE?, section "Types of Health Information Exchange"
  • Under the federal rule, what is information blocking? 45 CFR 171.103, paragraph (a)
  • Under the Security Rule's contingency plan standard, which required plan sets procedures to restore any loss of data? 45 CFR 164.308, paragraph (a)(7)(ii)(B)
  • Which of these is one of the four factors in the risk assessment that decides whether an impermissible disclosure must be treated as a breach? 45 CFR 164.402, definition of "Breach"
  • Which technical safeguard standard requires mechanisms that record and examine activity in systems holding electronic protected health information? 45 CFR 164.312, paragraph (b)

Data analytics and informatics 14

  • A drug-allergy alert that appears while a physician enters an order is an example of what? Wikipedia, "Clinical decision support system", introduction
  • A registry reports the number of new cases of a disease that developed during 2025. Which measure is this? Wikipedia, "Prevalence", section "Difference between prevalence and incidence"
  • An auditor draws 50 records so that every record in the frame has an equal chance of selection, and the frame is not divided into subgroups. Which sampling method is this? Wikipedia, "Sampling (statistics)", section "Simple random sampling"
  • An EHR gives every coder the same set of screens and every nurse another set, according to job. Which access method is this? Wikipedia, "Role-based access control", introduction
  • An encounter table holds each patient's medical record number, which is the primary key of the patient table. What is that column in the encounter table? Wikipedia, "Foreign key", introduction
  • The cancer program wants its own subset of the enterprise data warehouse, limited to its subject area. What is that subset called? Wikipedia, "Data mart", introduction
  • In the FHIR standard for exchanging health records, what are the data formats and elements called? Wikipedia, "Fast Healthcare Interoperability Resources", introduction
  • Lengths of stay for seven discharges are 2, 3, 3, 4, 5, 6 and 12 days. What is the mode? Wikipedia, "Mode (statistics)", introduction
  • What is the purpose of normalizing a relational database? Wikipedia, "Database normalization", introduction
  • Which chart is divided into slices to show each payer's share of total revenue as a proportion of the whole? Wikipedia, "Pie chart", introduction
  • Which chart shows the distribution of a quantitative variable, such as length of stay, by counting the values that fall in consecutive intervals? Wikipedia, "Histogram", introduction
  • Which graph displays a data set through its quartiles and may plot outliers as individual points? Wikipedia, "Box plot", introduction
  • Which of these is excluded from "electronic health information" under the information blocking rule? 45 CFR 171.102, definition of "Electronic health information"
  • Which process extracts and finds patterns in massive data sets? Wikipedia, "Data mining", introduction

Revenue cycle management 12

  • A coding audit asks whether a secondary condition was reportable. Under the UHDDS, "other diagnoses" include conditions that coexist at admission, develop later, or do what? ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section III, Reporting Additional Diagnoses
  • A health plan pays a medical group a set amount each month for every enrolled member, whether or not the member seeks care. Which payment model is this? Wikipedia, "Capitation (healthcare)", introduction
  • A hospital has $9,000,000 in accounts receivable and average daily revenue of $200,000. How many days of revenue are outstanding in accounts receivable? Wikipedia, "Days sales outstanding", introduction
  • After an unfavorable Medicare redetermination, how long does a party have to request a reconsideration, the second level of appeal? 42 CFR 405.962, paragraph (a)
  • Before hiring a coder, a hospital checks the LEIE. What is the LEIE? HHS Office of Inspector General, General Compliance Program Guidance (November 2023), section "Exclusion Authorities"
  • For which three components does CMS establish relative value units under the physician fee schedule? 42 CFR 414.22
  • Under the Medicare inpatient prospective payment system, hospitals are paid a predetermined amount per what? 42 CFR 412.2, paragraph (a)
  • What does a clinical documentation integrity (CDI) program work toward in provider documentation? Wikipedia, "Clinical documentation improvement", introduction
  • Which of these is a common cause of claim denials? Wikipedia, "Revenue cycle management", section "Overview"
  • Which of these is one of the four performance categories on which MIPS eligible clinicians are scored? 42 CFR 414.1380, paragraph (a)
  • Which payment model reimburses providers on the basis of expected costs for a clinically defined episode of care? Wikipedia, "Bundled payment", introduction
  • Which payment model, also known as value-based purchasing, offers providers financial incentives for meeting certain performance measures? Wikipedia, "Pay for performance (healthcare)", introduction

Management and leadership 14

  • A coding unit has 3 full-time coders and 4 coders who each work half time. How many full-time equivalents is that? Wikipedia, "Full-time equivalent", introduction
  • A contract with a coding vendor defines the quality, availability and responsibilities of the service. Which agreement sets these terms? Wikipedia, "Service-level agreement", introduction
  • A director wants vendors to submit business proposals for an outsourced release-of-information service. Which document does she issue? Wikipedia, "Request for proposal", introduction
  • How much FMLA leave may an eligible employee take in a single 12-month period to care for a covered servicemember with a serious injury or illness? 29 CFR 825.200, paragraph (f)
  • In project scheduling, what is the critical path? Wikipedia, "Critical path method", introduction
  • In the DMAIC improvement cycle used in Six Sigma projects, which step comes after Measure? Wikipedia, "DMAIC", introduction
  • To be eligible for FMLA leave, an employee must have at least how many hours of service in the 12 months before the leave? 29 CFR 825.110, paragraph (a)
  • The transcription budget for March was $40,000 and actual spending was $46,000. What is the budget variance? Wikipedia, "Variance analysis (accounting)", introduction
  • Under the ADA regulations, an employer need not provide an accommodation that would impose an undue hardship. What does undue hardship mean? 29 CFR 1630.2, paragraph (p)(1)
  • Which appraisal method gathers feedback from subordinates, peers and supervisors as well as a self-evaluation? Wikipedia, "360-degree feedback", introduction
  • Which budgeting method requires every expense to be justified and approved in each new budget period? Wikipedia, "Zero-based budgeting", introduction
  • Which document formally authorizes a project and defines the authority of the project manager? Wikipedia, "Project charter", introduction
  • Which human resource activity is done to prepare job descriptions and job specifications? Wikipedia, "Job analysis", section "Purpose"
  • Which of these is one of the seven elements of a compliance program in OIG's General Compliance Program Guidance? HHS Office of Inspector General, General Compliance Program Guidance (November 2023), section III, "Compliance Program Infrastructure: The Seven Elements"

How it works

These free RHIA exam questions are 60 practice questions of our own in the five domains of the Registered Health Information Administrator exam. They are unofficial, and this site is not affiliated with or endorsed by the American Health Information Management Association (AHIMA).

Read the full guide

What the exam covers

AHIMA's RHIA Exam Content Outline, effective October 1, 2023 and read October 15, 2026, has five domains: data and information governance (17 to 20%); access, use and disclosure of health information (15 to 18%); data analytics and informatics (23 to 26%); revenue cycle management (20 to 23%); and management and leadership (23 to 26%).

Where the answers come from

Each answer names its public source: federal rules on ecfr.gov (HIPAA privacy, security and breach rules, the information blocking rule, Medicare payment and hospital rules, FMLA and ADA rules), the Inspector General's compliance guidance, the National Library of Medicine and Wikipedia.

Timing

Exam mode asks 50 questions in 70 minutes, the pace of the real exam: 150 questions in three and a half hours.

  • No books or other resources are required on the day of the exam, by AHIMA's exam specifications.

Questions and answers

How many questions are on the RHIA exam?

150: 130 scored items and 20 pretest items that do not count, mixed through the exam. Candidates have three hours and thirty minutes, by AHIMA's RHIA page.

What is the passing score for the RHIA exam?

AHIMA's RHIA page gives it as 300. That is a score on AHIMA's own scale, not a count of questions, so a result here does not forecast it.

Is there a free RHIA practice exam?

Yes. This bank is free and needs no sign-up, and each answer comes with a short reason and the section of the public source it was read in.

Is this the AHIMA study guide for the RHIA exam?

No. AHIMA offers its own RHIA exam preparation with practice exams. This is a separate question bank, not a study guide, and no question in it was taken or reworded from AHIMA's exam or its preparation products.

Who can take the RHIA certification exam?

AHIMA lists graduates of a health information management program accredited by CAHIIM at the baccalaureate or master's level, among other routes. Read the eligibility requirements on AHIMA's RHIA page as part of your exam prep, before you apply.

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