CERTIFIED ASSOCIATE IN HEALTHCARE INFORMATION
AND MANAGEMENT SYSTEMS
CAHIMS EXAM REVIEW TEST BANK 2
UPDATED 500 QUESTIONS AND CORRECT ANSWERS
EXAM PREP 2026-2027| GRADED A+
TABLE OF CONTENTS
SECTION 1: HEALTHCARE SYSTEMS AND ORGANIZATIONAL STRUCTURES
SECTION 2: HEALTH INFORMATION MANAGEMENT (HIM) AND INFORMATICS
SECTION 3: CLINICAL DOCUMENTATION, CODING, AND REVENUE CYCLE
SECTION 4: HEALTHCARE QUALITY, SAFETY, AND PERFORMANCE IMPROVEMENT
SECTION 5: HEALTHCARE LAW, ETHICS, AND REGULATORY COMPLIANCE
SECTION 6: HEALTHCARE DELIVERY MODELS AND CONTINUUM OF CARE
SECTION 7: HEALTHCARE FINANCE, REIMBURSEMENT, AND INSURANCE
SECTION 8: HEALTHCARE TECHNOLOGY AND SYSTEMS
SECTION 9: POPULATION HEALTH AND PUBLIC HEALTH
SECTION 10: HEALTHCARE GOVERNANCE, LEADERSHIP, AND MANAGEMENT
SECTION 11: HEALTHCARE REGULATORY AND GOVERNMENT AGENCIES
SECTION 12: EMERGING TRENDS AND FUTURE DIRECTIONS IN HEALTHCARE
SECTION 13: ADDITIONAL QUESTIONS
SCHOLARSOURCE 1
,SECTION 1: HEALTHCARE SYSTEMS AND ORGANIZATIONAL STRUCTURES
1. What two divisions may be combined to form a single diagnostic and therapeutic
division?
1) Nursing and clinical support
2) Clinical support and ancillary services
3) Clinical support and medical staff
4) Nursing and ancillary services
Correct Answer: 2
Rationale: Clinical support services and ancillary services are both involved in supporting
diagnostic and therapeutic services, and they are often combined into a single division. For
example, the clinical laboratory requires ancillary personnel to collect, submit, and track
specimens, while clinical support personnel perform the actual testing and interpretation.
Nursing and medical staff represent separate functional areas with distinct roles in patient
care delivery.
2. To which of the following types of providers do primary care physicians (PCPs) typically
refer patients?
1) Secondary care providers only
2) Tertiary care providers only
3) Both secondary and tertiary care providers
4) Quaternary care providers only
Correct Answer: 3
Rationale: Primary care physicians may refer patients to both secondary and tertiary care
providers. Secondary care typically involves specialists such as cardiologists,
dermatologists, or orthopedists who provide focused expertise. Tertiary care involves
highly specialized diagnostic and treatment services, such as those provided at academic
medical centers for complex conditions like cancer or neurological disorders. The referral
level depends on the complexity and severity of the patient's condition.
3. True or false? Information has become an important function in healthcare. Some aspects
of patient care involve direct use of information.
1) True
2) False
Correct Answer: 1
Rationale: Information has indeed become a critical function in healthcare. Clinical
decision-making, diagnosis, treatment planning, medication management, and care
coordination all rely heavily on accurate and timely information. The electronic health
SCHOLARSOURCE 2
,record (EHR) is a prime example of how information is directly used in patient care—
providers access patient histories, lab results, imaging reports, and medication lists to
make informed clinical decisions at the point of care.
4. Information and information technology, such as the EHR, have become critical elements
in patient diagnosis and treatment. The EHR contains patient history and captures
treatment at the point of care, and the information is immediately available to the next
provider treating the patient. This information exchange has a significant impact on the
patient's healthcare outcome.
Choose the answer that best identifies a healthcare provider of primary care.
1) Primary care physician (PCP)
2) Hospital
3) Orthopedist
4) Center for advanced medicine specializing in rare cancers
Correct Answer: 1
Rationale: A primary care physician (PCP) is the quintessential provider of primary care
services. PCPs offer comprehensive, first-contact care for patients with undiagnosed health
concerns, manage chronic conditions, provide preventive services, and coordinate referrals
to specialists. Hospitals, orthopedists (specialists), and specialty centers like those for rare
cancers provide secondary or tertiary care rather than primary care.
5. True or false? Coordination of care is essential to the continuum of care.
1) True
2) False
Correct Answer: 1
Rationale: Coordination of care is absolutely essential to the continuum of care. A primary
care physician provides coordination of care even when specialist providers are involved in
a patient's treatment. Effective care coordination ensures seamless transitions between
care settings, reduces duplication of tests, prevents medication errors, and improves
overall patient outcomes. Without coordination, fragmented care can lead to adverse
events and poor health outcomes.
6. Public health is concerned with each except which of the following?
1) Prolonging life
2) Scientific methods
3) Practicing medicine
4) Preventing disease
Correct Answer: 3
Rationale: Public health focuses on preventing disease, prolonging life, and promoting
health through organized community efforts, and it relies heavily on scientific methods to
SCHOLARSOURCE 3
, achieve these goals. However, public health professionals—including epidemiologists—
conduct research and implement population-level interventions; they do not typically
practice medicine on individual patients. Practicing medicine is the domain of clinicians
who provide direct patient care.
7. The most common type of hospital found in the United States is a:
1) Federal hospital
2) Community hospital
3) Long-term care hospital
4) Psychiatric hospital
Correct Answer: 2
Rationale: Community hospitals are the most common type of hospital in the United States,
accounting for the vast majority of all hospital facilities. These hospitals provide a wide
range of acute care services to the general population in their local communities. They are
typically non-profit or for-profit entities, as opposed to federal hospitals (e.g., VA
hospitals), long-term care hospitals, or psychiatric hospitals, which serve more specialized
populations or purposes.
8. If you are not physically ill, you are healthy.
1) True
2) False
Correct Answer: 2
Rationale: Good health encompasses far more than just the absence of physical illness.
According to the World Health Organization, health is a state of complete physical, mental,
and social well-being, not merely the absence of disease or infirmity. Mental health
conditions, social determinants of health, emotional well-being, and functional status are all
critical components of overall health. A person can be physically well but still experience
poor mental or social health.
9. Who is responsible for health information management (HIM) and health informatics at
a hospital?
1) Chief medical information officer
2) Chief medical officer
3) Chief of staff
4) Chief information officer
Correct Answer: 1
Rationale: The chief medical information officer (CMIO) is the executive responsible for
overseeing health information management and health informatics functions within a
hospital. The CMIO bridges the gap between clinical operations and information
technology, ensuring that electronic health records and other clinical systems meet the
SCHOLARSOURCE 4
AND MANAGEMENT SYSTEMS
CAHIMS EXAM REVIEW TEST BANK 2
UPDATED 500 QUESTIONS AND CORRECT ANSWERS
EXAM PREP 2026-2027| GRADED A+
TABLE OF CONTENTS
SECTION 1: HEALTHCARE SYSTEMS AND ORGANIZATIONAL STRUCTURES
SECTION 2: HEALTH INFORMATION MANAGEMENT (HIM) AND INFORMATICS
SECTION 3: CLINICAL DOCUMENTATION, CODING, AND REVENUE CYCLE
SECTION 4: HEALTHCARE QUALITY, SAFETY, AND PERFORMANCE IMPROVEMENT
SECTION 5: HEALTHCARE LAW, ETHICS, AND REGULATORY COMPLIANCE
SECTION 6: HEALTHCARE DELIVERY MODELS AND CONTINUUM OF CARE
SECTION 7: HEALTHCARE FINANCE, REIMBURSEMENT, AND INSURANCE
SECTION 8: HEALTHCARE TECHNOLOGY AND SYSTEMS
SECTION 9: POPULATION HEALTH AND PUBLIC HEALTH
SECTION 10: HEALTHCARE GOVERNANCE, LEADERSHIP, AND MANAGEMENT
SECTION 11: HEALTHCARE REGULATORY AND GOVERNMENT AGENCIES
SECTION 12: EMERGING TRENDS AND FUTURE DIRECTIONS IN HEALTHCARE
SECTION 13: ADDITIONAL QUESTIONS
SCHOLARSOURCE 1
,SECTION 1: HEALTHCARE SYSTEMS AND ORGANIZATIONAL STRUCTURES
1. What two divisions may be combined to form a single diagnostic and therapeutic
division?
1) Nursing and clinical support
2) Clinical support and ancillary services
3) Clinical support and medical staff
4) Nursing and ancillary services
Correct Answer: 2
Rationale: Clinical support services and ancillary services are both involved in supporting
diagnostic and therapeutic services, and they are often combined into a single division. For
example, the clinical laboratory requires ancillary personnel to collect, submit, and track
specimens, while clinical support personnel perform the actual testing and interpretation.
Nursing and medical staff represent separate functional areas with distinct roles in patient
care delivery.
2. To which of the following types of providers do primary care physicians (PCPs) typically
refer patients?
1) Secondary care providers only
2) Tertiary care providers only
3) Both secondary and tertiary care providers
4) Quaternary care providers only
Correct Answer: 3
Rationale: Primary care physicians may refer patients to both secondary and tertiary care
providers. Secondary care typically involves specialists such as cardiologists,
dermatologists, or orthopedists who provide focused expertise. Tertiary care involves
highly specialized diagnostic and treatment services, such as those provided at academic
medical centers for complex conditions like cancer or neurological disorders. The referral
level depends on the complexity and severity of the patient's condition.
3. True or false? Information has become an important function in healthcare. Some aspects
of patient care involve direct use of information.
1) True
2) False
Correct Answer: 1
Rationale: Information has indeed become a critical function in healthcare. Clinical
decision-making, diagnosis, treatment planning, medication management, and care
coordination all rely heavily on accurate and timely information. The electronic health
SCHOLARSOURCE 2
,record (EHR) is a prime example of how information is directly used in patient care—
providers access patient histories, lab results, imaging reports, and medication lists to
make informed clinical decisions at the point of care.
4. Information and information technology, such as the EHR, have become critical elements
in patient diagnosis and treatment. The EHR contains patient history and captures
treatment at the point of care, and the information is immediately available to the next
provider treating the patient. This information exchange has a significant impact on the
patient's healthcare outcome.
Choose the answer that best identifies a healthcare provider of primary care.
1) Primary care physician (PCP)
2) Hospital
3) Orthopedist
4) Center for advanced medicine specializing in rare cancers
Correct Answer: 1
Rationale: A primary care physician (PCP) is the quintessential provider of primary care
services. PCPs offer comprehensive, first-contact care for patients with undiagnosed health
concerns, manage chronic conditions, provide preventive services, and coordinate referrals
to specialists. Hospitals, orthopedists (specialists), and specialty centers like those for rare
cancers provide secondary or tertiary care rather than primary care.
5. True or false? Coordination of care is essential to the continuum of care.
1) True
2) False
Correct Answer: 1
Rationale: Coordination of care is absolutely essential to the continuum of care. A primary
care physician provides coordination of care even when specialist providers are involved in
a patient's treatment. Effective care coordination ensures seamless transitions between
care settings, reduces duplication of tests, prevents medication errors, and improves
overall patient outcomes. Without coordination, fragmented care can lead to adverse
events and poor health outcomes.
6. Public health is concerned with each except which of the following?
1) Prolonging life
2) Scientific methods
3) Practicing medicine
4) Preventing disease
Correct Answer: 3
Rationale: Public health focuses on preventing disease, prolonging life, and promoting
health through organized community efforts, and it relies heavily on scientific methods to
SCHOLARSOURCE 3
, achieve these goals. However, public health professionals—including epidemiologists—
conduct research and implement population-level interventions; they do not typically
practice medicine on individual patients. Practicing medicine is the domain of clinicians
who provide direct patient care.
7. The most common type of hospital found in the United States is a:
1) Federal hospital
2) Community hospital
3) Long-term care hospital
4) Psychiatric hospital
Correct Answer: 2
Rationale: Community hospitals are the most common type of hospital in the United States,
accounting for the vast majority of all hospital facilities. These hospitals provide a wide
range of acute care services to the general population in their local communities. They are
typically non-profit or for-profit entities, as opposed to federal hospitals (e.g., VA
hospitals), long-term care hospitals, or psychiatric hospitals, which serve more specialized
populations or purposes.
8. If you are not physically ill, you are healthy.
1) True
2) False
Correct Answer: 2
Rationale: Good health encompasses far more than just the absence of physical illness.
According to the World Health Organization, health is a state of complete physical, mental,
and social well-being, not merely the absence of disease or infirmity. Mental health
conditions, social determinants of health, emotional well-being, and functional status are all
critical components of overall health. A person can be physically well but still experience
poor mental or social health.
9. Who is responsible for health information management (HIM) and health informatics at
a hospital?
1) Chief medical information officer
2) Chief medical officer
3) Chief of staff
4) Chief information officer
Correct Answer: 1
Rationale: The chief medical information officer (CMIO) is the executive responsible for
overseeing health information management and health informatics functions within a
hospital. The CMIO bridges the gap between clinical operations and information
technology, ensuring that electronic health records and other clinical systems meet the
SCHOLARSOURCE 4
