Health Information Management Exam Bank
2026/2027: 150 RHIA & RHIT Practice
Questions with Detailed Answers, Case
Scenarios & Calculation Items
Description:
Prepare for RHIA and RHIT certification with 150 HIM exam questions covering HIPAA,
information blocking, OASIS, AI governance, SDOH coding, and HIE. Includes case-based
scenarios, calculations, answer keys, and competency mapping.
Download the 2026/2027 HIM Exam Bank now and walk into your certification exam fully
prepared.
, HIM Exam Bank 2026/2027: 150 Practice Questions & Answers
Section 1: Regulatory Agencies and Reporting Requirements
1. Which federal agency administers the National Program of Cancer Registries and
publishes the Required Status Table specifying data elements for reportable cancers?
A. Centers for Medicare & Medicaid Services (CMS)
B. Centers for Disease Control and Prevention (CDC)
C. National Cancer Institute (NCI)
D. Agency for Healthcare Research and Quality (AHRQ)
Answer: B
Explanation: The CDC administers the National Program of Cancer Registries, which provides
funding and technical support to state cancer registries. The NPCR publishes the Required Status
Table defining data elements that must be collected for reportable cancer cases, ensuring
standardized national cancer surveillance.
2. Which organization maintains a web-based repository that collects and discloses reports
on medical malpractice payments, federal licensure actions, and adverse clinical privileges
actions?
A. The Joint Commission
B. Centers for Medicare & Medicaid Services
C. National Practitioner Data Bank
D. Federation of State Medical Boards
Answer: C
Explanation: The National Practitioner Data Bank is a workforce tool established under federal
law to enhance professional review efforts and prevent healthcare fraud. It collects reports on
medical malpractice payments, adverse licensure actions, clinical privileges actions, and other
adjudicated actions against healthcare practitioners.
,3. A hospital seeks deemed status to participate in Medicare. Which organization
administers the voluntary accreditation programs that grant this status?
A. Centers for Disease Control and Prevention
B. The Joint Commission
C. National Committee for Quality Assurance
D. American Medical Association
Answer: B
Explanation: The Joint Commission administers voluntary accreditation programs for hospitals
and other healthcare organizations. Through a formal agreement with CMS, Joint Commission
accreditation confers deemed status, indicating that the accredited organization meets or exceeds
Medicare Conditions of Participation.
4. Which CMS program utilizes Recovery Audit Contractors to conduct post-payment
reviews and identify improper Medicare payments?
A. Hospital Readmissions Reduction Program
B. Recovery Audit Program
C. Value-Based Purchasing Program
D. Hospital-Acquired Condition Reduction Program
Answer: B
Explanation: The Medicare Fee-for-Service Recovery Audit Program employs Recovery Audit
Contractors to conduct complex and automated post-payment reviews. Their mission is to
identify and correct improper payments—both overpayments and underpayments—across all 50
states.
5. As of January 1, 2027, The Joint Commission will align its Sentinel Events List with
which framework to streamline safety event reporting?
A. CMS Conditions of Participation
B. NQF Serious Reportable Events List
, C. HIPAA Breach Notification Rule
D. Agency for Healthcare Research and Quality Indicators
Answer: B
Explanation: The Joint Commission announced that effective January 1, 2027, it will adopt the
updated National Quality Forum Serious Reportable Events List as part of its Sentinel Events
List. This alignment reduces duplicative reporting burden while retaining three workforce safety
events from the legacy Sentinel Events List.
Section 2: Health Information Exchange and Data Architecture
6. A regional health information exchange allows each participating hospital to maintain its
own clinical data repository, while a master patient index enables queries across facilities.
Requested records are retrieved from the originating facility and sent to the requesting
provider. Which HIE architecture does this describe?
A. Centralized
B. Federated
C. Hybrid
D. Distributed
Answer: B
Explanation: In a federated HIE model, data remains in the source organization's repository. A
record locator service identifies where information is held, and queries retrieve data from the
originating system. This contrasts with the centralized model, where all data resides in a single
shared repository.
2026/2027: 150 RHIA & RHIT Practice
Questions with Detailed Answers, Case
Scenarios & Calculation Items
Description:
Prepare for RHIA and RHIT certification with 150 HIM exam questions covering HIPAA,
information blocking, OASIS, AI governance, SDOH coding, and HIE. Includes case-based
scenarios, calculations, answer keys, and competency mapping.
Download the 2026/2027 HIM Exam Bank now and walk into your certification exam fully
prepared.
, HIM Exam Bank 2026/2027: 150 Practice Questions & Answers
Section 1: Regulatory Agencies and Reporting Requirements
1. Which federal agency administers the National Program of Cancer Registries and
publishes the Required Status Table specifying data elements for reportable cancers?
A. Centers for Medicare & Medicaid Services (CMS)
B. Centers for Disease Control and Prevention (CDC)
C. National Cancer Institute (NCI)
D. Agency for Healthcare Research and Quality (AHRQ)
Answer: B
Explanation: The CDC administers the National Program of Cancer Registries, which provides
funding and technical support to state cancer registries. The NPCR publishes the Required Status
Table defining data elements that must be collected for reportable cancer cases, ensuring
standardized national cancer surveillance.
2. Which organization maintains a web-based repository that collects and discloses reports
on medical malpractice payments, federal licensure actions, and adverse clinical privileges
actions?
A. The Joint Commission
B. Centers for Medicare & Medicaid Services
C. National Practitioner Data Bank
D. Federation of State Medical Boards
Answer: C
Explanation: The National Practitioner Data Bank is a workforce tool established under federal
law to enhance professional review efforts and prevent healthcare fraud. It collects reports on
medical malpractice payments, adverse licensure actions, clinical privileges actions, and other
adjudicated actions against healthcare practitioners.
,3. A hospital seeks deemed status to participate in Medicare. Which organization
administers the voluntary accreditation programs that grant this status?
A. Centers for Disease Control and Prevention
B. The Joint Commission
C. National Committee for Quality Assurance
D. American Medical Association
Answer: B
Explanation: The Joint Commission administers voluntary accreditation programs for hospitals
and other healthcare organizations. Through a formal agreement with CMS, Joint Commission
accreditation confers deemed status, indicating that the accredited organization meets or exceeds
Medicare Conditions of Participation.
4. Which CMS program utilizes Recovery Audit Contractors to conduct post-payment
reviews and identify improper Medicare payments?
A. Hospital Readmissions Reduction Program
B. Recovery Audit Program
C. Value-Based Purchasing Program
D. Hospital-Acquired Condition Reduction Program
Answer: B
Explanation: The Medicare Fee-for-Service Recovery Audit Program employs Recovery Audit
Contractors to conduct complex and automated post-payment reviews. Their mission is to
identify and correct improper payments—both overpayments and underpayments—across all 50
states.
5. As of January 1, 2027, The Joint Commission will align its Sentinel Events List with
which framework to streamline safety event reporting?
A. CMS Conditions of Participation
B. NQF Serious Reportable Events List
, C. HIPAA Breach Notification Rule
D. Agency for Healthcare Research and Quality Indicators
Answer: B
Explanation: The Joint Commission announced that effective January 1, 2027, it will adopt the
updated National Quality Forum Serious Reportable Events List as part of its Sentinel Events
List. This alignment reduces duplicative reporting burden while retaining three workforce safety
events from the legacy Sentinel Events List.
Section 2: Health Information Exchange and Data Architecture
6. A regional health information exchange allows each participating hospital to maintain its
own clinical data repository, while a master patient index enables queries across facilities.
Requested records are retrieved from the originating facility and sent to the requesting
provider. Which HIE architecture does this describe?
A. Centralized
B. Federated
C. Hybrid
D. Distributed
Answer: B
Explanation: In a federated HIE model, data remains in the source organization's repository. A
record locator service identifies where information is held, and queries retrieve data from the
originating system. This contrasts with the centralized model, where all data resides in a single
shared repository.
