CPHIMS HEALTHCARE INFORMATION
MANAGEMENT EXAMINATION PREP 2026
COMPLETE REVIEW AND SOLUTIONS
◉ Role of Government (3)
Answer: -Provider of care (Veterans Affairs)
-Payor
National Health Insurance
1) Medicare
2) ontario health insurance plan OHIP
-Regulator
1) Licensure
2) HIPAA and EMTALA.. emergency med treatment and active labor
act
3) UK Data protection act of 1998
4) European Union Data Protect Directive EUDPD
◉ Standardization (2)
,Answer: ACCREDITATION: Joint Comission & Intl PRIVATE NON-
PROFIT
ICD-10
-world health organization
-international standard diagnostic classification for all general
epidemiological and many health management purposes
◉ ICD-10 (vs. ICD-9)
Answer: 1) Three volume set
2) Alphanumeric categories rather than numeric
3) changes in chapters, titles, conditions
4) Twice as may categories
5) Changes in coding rules
◉ Future of Healthcare IT (6)
Answer: -Need for greater productivity (nursing shortage!)
-Medical errors/variations in care patterns
-Cost-shifting/consumerization of medicine
-Pay for performance medicine
-Advances in IT (internet... wireless)
-Genetic revolution
, ◉ Types of structural changes (4)
Answer: MERGER = Assets integrated under contract
JOINT VENTURE= two orgs assets pooled
ALLIANCE=shared, but not jointly owned
NETWORK=ambition alliance of several providers
VIRTUAL ORG=geographically dispersed but loosely structured for
specific/limited purpose such as referals/shared overhead
◉ Care level services (4)
Answer: primary care (PCP, ob/gyn, general internish)
secondary care (specialized... surgical.. intensive care)
tertiary (HIGHLY specialized and tech advanced transplants)
sub-acute:patients needing a slightly longer stay "transitional"
◉ teaching hospital vs. academic medical center
Answer: Teaching Hospital=Affiliated with med school
Academic Medical Center=tertiary level medical center and in-house
medical school
◉ Joint Commissions Sentinel Event Policy
MANAGEMENT EXAMINATION PREP 2026
COMPLETE REVIEW AND SOLUTIONS
◉ Role of Government (3)
Answer: -Provider of care (Veterans Affairs)
-Payor
National Health Insurance
1) Medicare
2) ontario health insurance plan OHIP
-Regulator
1) Licensure
2) HIPAA and EMTALA.. emergency med treatment and active labor
act
3) UK Data protection act of 1998
4) European Union Data Protect Directive EUDPD
◉ Standardization (2)
,Answer: ACCREDITATION: Joint Comission & Intl PRIVATE NON-
PROFIT
ICD-10
-world health organization
-international standard diagnostic classification for all general
epidemiological and many health management purposes
◉ ICD-10 (vs. ICD-9)
Answer: 1) Three volume set
2) Alphanumeric categories rather than numeric
3) changes in chapters, titles, conditions
4) Twice as may categories
5) Changes in coding rules
◉ Future of Healthcare IT (6)
Answer: -Need for greater productivity (nursing shortage!)
-Medical errors/variations in care patterns
-Cost-shifting/consumerization of medicine
-Pay for performance medicine
-Advances in IT (internet... wireless)
-Genetic revolution
, ◉ Types of structural changes (4)
Answer: MERGER = Assets integrated under contract
JOINT VENTURE= two orgs assets pooled
ALLIANCE=shared, but not jointly owned
NETWORK=ambition alliance of several providers
VIRTUAL ORG=geographically dispersed but loosely structured for
specific/limited purpose such as referals/shared overhead
◉ Care level services (4)
Answer: primary care (PCP, ob/gyn, general internish)
secondary care (specialized... surgical.. intensive care)
tertiary (HIGHLY specialized and tech advanced transplants)
sub-acute:patients needing a slightly longer stay "transitional"
◉ teaching hospital vs. academic medical center
Answer: Teaching Hospital=Affiliated with med school
Academic Medical Center=tertiary level medical center and in-house
medical school
◉ Joint Commissions Sentinel Event Policy
