Registered Health Information Administrator Exam
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Exam Code RHIA
Exam Name Registered Health Information Administrator Exam
Questions 1828
Update Date March 20,2023
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Registered Health Information Administrator (RHIA®) Exam Overview

RHIAs are an important link between patients, payers, and healthcare providers. The RHIA is fully aware of all medical, administrative, ethical, and legal rules and regulations pertaining to the provision of healthcare and the confidentiality of protected patient information.

RHIAs work in numerous settings in the healthcare industry, as well as hospitals, multispecialty clinics and doctor of medicine practices, long-term care, mental health, and other ambulatory care settings. They can also work in non-patient care settings such as managed care and insurance firms, software vendors, consulting services, government agencies, education, and pharmaceutical companies.


  • Manage people and working units, participate in administrative committees, and prepare finances.

  • Interact with all levels of a group—clinical, financial, administrative, and information systems—that employ patient figures in decision-making and everyday operations.

  • Manage patient health information and medical records, administer computer information systems, collect and analyze patient data, and use classification systems and medical terminologies.

Eligibility Requirements

Eligibility Requirements: Before applying to take the RHIA exam, you must meet one of the following eligibility requirements:

  • Successfully complete the baccalaureate-level academic requirements of a Health Information Management (HIM) program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM)¹; or

  • Successfully complete the Master’s-level academic requirements of an HIM program accredited by the CAHIIM; or

  • Successfully complete the academic requirements of an HIM Certificate of the Degree (Post-Baccalaureate) program approved by the CAHIIM; or

  • Graduate from an HIM program approved by a foreign association with which AHIMA has a reciprocity agreement²;

¹ Students who are interested in learning more about how to get a Post-Baccalaureate Certificate, Certificate of Completion, or Transfer of Credits should speak with the CAHIIM-accredited programmed they intend to enroll in. For a list of CAHIIM-accredited programmed, please visit the CAHIIM programmed directory.

² AHIMA and the Canadian Health Information Management Association (CHIMA); Korean Medical Record Association (KMRA); and Health Information Management Association of Australia (HIMAA) shall permit a graduate of a program in HIM at the baccalaureate degree level to apply to write the suitable certification examination consistent with the academic level achieved and given independently by the aforementioned associations. The graduate must meet the educational competencies for certification as a technician or administrator established by the association to which the application is made.

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RHIA Real Exam Questions

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Free RHIA Exam Sample Questions

Sample Question: 1

As the Data Security Officer for your institution, you plan to implement a log-on process for electronic signing that is LEAST susceptible to improper delegation of use. The method you will recommend is

A. password assigned by system administrator.
B. password assigned by user.
C. biometrics-based identifier.
D. encryption.

Answer: C

Sample Question: 2

In determining your acute care facility’s degree of compliance with prospective payment requirements for Medicare, the best resource to reference for recent certification standards is the

A. CARF manual.
B. hospital bylaws.
C. Joint Commission accreditation manual.
D. Federal Register.

Answer: D

Sample Question: 3

In an acute care hospital, a complete history and physical may not be dictated for a new admission when

A. the patient is readmitted for a similar problem within 1 year.
B. the patient’s stay is less than 24 hours.
C. the patient has an uneventful course in the hospital.
D. a legible copy of a recent H&P performed in the attending physician’s office is available.

Answer: D

Sample Question: 4

You are developing a complete data dictionary for your facility. Which of the following resources will be most helpful in providing standard definitions for data commonly collected in acute care hospitals?

A. Minimum Data Set
B. Uniform Hospital Discharge Data Set
C. Conditions of Participation
D. Federal Register

Answer: B

Sample Question: 5

Sarasota Community Health Center has an approved cancer registry. A patient is readmitted for further treatment of a previously diagnosed cancer. The CTR should

A. complete a new cancer abstract.
B. assign a new accession number.
C. updated the follow-up file.
D. complete a new master index file.

Answer: C

Sample Question: 6

When developing a data collection system, the most effective approach first considers

A. the end user’s needs.
B. applicable accreditation standards.
C. hardware requirements.
D. facility preference.

Answer: A

Sample Question: 7

A key data item you would expect to find recorded on an ER record, but would probably NOT see in an acute care record is the

A. physical findings.
B. lab and diagnostic test results.
C. time and means of arrival.
D. instructions for follow-up care.

Answer: C

Sample Question: 8

A data item to include on a qualitative review checklist of infant and children inpatient health records which need not be included on adult records would be

A. chief complaint.
B. condition on discharge.
C. time and means of arrival.
D. growth and development record.

Answer: D

Sample Question: 9

For each report of care rendered to a patient, the health record entry should include the date plus the provider’s name and

A. department.
B. discipline.
C. initials.
D. supervising physician.

Answer: B

Sample Question: 10

In creating a new form or computer view, the designer should be most driven by

A. QIO standards.
B. medical staff bylaws.
C. needs of the users.
D. flow of data on the page or screen.

Answer: C

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