RHIA/RHIT Scenario-Based Study Guide
Exam (Latest 2025–2026 Edition) | 1000 +
Scenario Q&A | 100%
The RHIA/RHIT Scenario-Based Study Guide Exam (2025–2026 Edition) is a comprehensive, real-world preparation
resource developed to help candidates master the applied competencies required for AHIMA’s RHIA and RHIT
certifications. This updated edition features expertly designed, scenario-based questions that reflect current
healthcare data environments and practical decision-making challenges faced by health information professionals.
Each question emphasizes application, analysis, and problem-solving across AHIMA’s five key domains, ensuring
candidates gain the skills needed to interpret data, apply compliance standards, and manage information systems
effectively. Key Features: scenario-based questions with complete, verified answer key solutions. Real-world
calculations for key performance metrics, including: Mortality rates Admission and readmission rates Discharge rates
Average length of stay Bed occupancy and utilization statistics Fully aligned with AHIMA’s 2025–2026 competency
framework, covering: Data and Information Governance Compliance with Access, Use, and Disclosure of Health
Information Data Analytics and Informatics Revenue Cycle Management Management and Leadership This scenario-
based exam guide strengthens analytical, technical, and compliance-oriented thinking—preparing students and
professionals for success in real-world HIM environments and AHIMA certification exams.
,Where can you find guidelines for the retention and destruction of
healthcare information?
a. Institute of Medicine
b. Municipal regulations
c. HIPAA
d. Accreditation standards - ,,,,answer,,..d. Accreditation standards
This functionality can result in confusion from incessant repetition of
irrelevant clinical data.
a. Change
b. Amendment
c. Copy and paste
d. Deletion - ,,,,answer,,..c. Copy and paste
Which of the following indexes would be used to compare the number and
quality of treatments for patients who underwent the same operation with
different surgeons?
a. Physician
b. Master patient
c. Procedure
d. Disease and operation - ,,,,answer,,..a. Physician
A diagnosis described as "possible," "probable," "likely," or "rule out" is
reported as if present for which type of patient records?
a. Outpatient
b. Emergency room
c. Physician office
d. Inpatient - ,,,,answer,,..d. Inpatient
,Who is responsible for ensuring the quality of health record
documentation?
a. Board of directors
b. Administrator
c. Provider
d. Health information management professional - ,,,,answer,,..c. Provider
Which of the following represents data flow for a hospital inpatient
admission?
a. Registration > diagnostic and procedure codes assigned > services
performed > charges recorded
b. Registration > services performed > charges recorded > diagnostic and
procedure codes assigned
c. Services performed > charges recorded > registration > diagnostic and
procedure codes assigned
d. Diagnostic and procedure codes assigned > registration > services
performed > charges recorded - ,,,,answer,,..b. Registration > services
performed > charges recorded > diagnostic and procedure codes
assigned
Which of the following is the goal of quantitative analysis performed by
health information management (HIM) professionals?
a. Ensuring the record is legible
b. Identifying deficiencies early so they can be corrected
c. Verifying that health professionals are providing appropriate care
d. Checking to ensure bills are correct - ,,,,answer,,..b. Identifying
deficiencies early so they can be corrected
The process of providing proof of the authorship of health record
documentation is called:
, a. Identification
b. Standardization of data capture
c. Standardization of abbreviations
d. Authentication - ,,,,answer,,..d. Authentication
Which of the following data sets would be most useful in developing a
matrix for identification of components of the legal health record?
a. Document name, media type, source system, electronic storage start
date, stop printing start date
b. Document name, media type
c. Document name, medical record number, source system
d. Document name, source system - ,,,,answer,,..a. Document name,
media type, source system, electronic storage start date, stop printing
start date
According to the UHDDS definition, ethnicity should be recorded on a
patient record as:
a. Race of mother
b. Race of father
c. Hispanic, non-Hispanic
d. Free-text descriptor as reported by patient - ,,,,answer,,..c. Hispanic,
non-Hispanic
Which of the following is a graphical display of the relationships between
tables in a database?
a. RDMS
b. SQL
c. ERD
d. SAS - ,,,,answer,,..c. ERD
Exam (Latest 2025–2026 Edition) | 1000 +
Scenario Q&A | 100%
The RHIA/RHIT Scenario-Based Study Guide Exam (2025–2026 Edition) is a comprehensive, real-world preparation
resource developed to help candidates master the applied competencies required for AHIMA’s RHIA and RHIT
certifications. This updated edition features expertly designed, scenario-based questions that reflect current
healthcare data environments and practical decision-making challenges faced by health information professionals.
Each question emphasizes application, analysis, and problem-solving across AHIMA’s five key domains, ensuring
candidates gain the skills needed to interpret data, apply compliance standards, and manage information systems
effectively. Key Features: scenario-based questions with complete, verified answer key solutions. Real-world
calculations for key performance metrics, including: Mortality rates Admission and readmission rates Discharge rates
Average length of stay Bed occupancy and utilization statistics Fully aligned with AHIMA’s 2025–2026 competency
framework, covering: Data and Information Governance Compliance with Access, Use, and Disclosure of Health
Information Data Analytics and Informatics Revenue Cycle Management Management and Leadership This scenario-
based exam guide strengthens analytical, technical, and compliance-oriented thinking—preparing students and
professionals for success in real-world HIM environments and AHIMA certification exams.
,Where can you find guidelines for the retention and destruction of
healthcare information?
a. Institute of Medicine
b. Municipal regulations
c. HIPAA
d. Accreditation standards - ,,,,answer,,..d. Accreditation standards
This functionality can result in confusion from incessant repetition of
irrelevant clinical data.
a. Change
b. Amendment
c. Copy and paste
d. Deletion - ,,,,answer,,..c. Copy and paste
Which of the following indexes would be used to compare the number and
quality of treatments for patients who underwent the same operation with
different surgeons?
a. Physician
b. Master patient
c. Procedure
d. Disease and operation - ,,,,answer,,..a. Physician
A diagnosis described as "possible," "probable," "likely," or "rule out" is
reported as if present for which type of patient records?
a. Outpatient
b. Emergency room
c. Physician office
d. Inpatient - ,,,,answer,,..d. Inpatient
,Who is responsible for ensuring the quality of health record
documentation?
a. Board of directors
b. Administrator
c. Provider
d. Health information management professional - ,,,,answer,,..c. Provider
Which of the following represents data flow for a hospital inpatient
admission?
a. Registration > diagnostic and procedure codes assigned > services
performed > charges recorded
b. Registration > services performed > charges recorded > diagnostic and
procedure codes assigned
c. Services performed > charges recorded > registration > diagnostic and
procedure codes assigned
d. Diagnostic and procedure codes assigned > registration > services
performed > charges recorded - ,,,,answer,,..b. Registration > services
performed > charges recorded > diagnostic and procedure codes
assigned
Which of the following is the goal of quantitative analysis performed by
health information management (HIM) professionals?
a. Ensuring the record is legible
b. Identifying deficiencies early so they can be corrected
c. Verifying that health professionals are providing appropriate care
d. Checking to ensure bills are correct - ,,,,answer,,..b. Identifying
deficiencies early so they can be corrected
The process of providing proof of the authorship of health record
documentation is called:
, a. Identification
b. Standardization of data capture
c. Standardization of abbreviations
d. Authentication - ,,,,answer,,..d. Authentication
Which of the following data sets would be most useful in developing a
matrix for identification of components of the legal health record?
a. Document name, media type, source system, electronic storage start
date, stop printing start date
b. Document name, media type
c. Document name, medical record number, source system
d. Document name, source system - ,,,,answer,,..a. Document name,
media type, source system, electronic storage start date, stop printing
start date
According to the UHDDS definition, ethnicity should be recorded on a
patient record as:
a. Race of mother
b. Race of father
c. Hispanic, non-Hispanic
d. Free-text descriptor as reported by patient - ,,,,answer,,..c. Hispanic,
non-Hispanic
Which of the following is a graphical display of the relationships between
tables in a database?
a. RDMS
b. SQL
c. ERD
d. SAS - ,,,,answer,,..c. ERD
