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AHIMA RHIA Certification Exam Study Guide: Health Information Management, Coding Systems, Data Governance, Privacy, and Healthcare Compliance

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This study guide is designed to help candidates prepare for the AHIMA Registered Health Information Administrator (RHIA) certification exam. It covers key domains including healthcare data management, medical coding systems (ICD-10-CM/PCS, CPT), health information systems, privacy and security regulations (HIPAA), revenue cycle management, healthcare statistics, and legal/ethical standards. The material is structured to strengthen analytical skills, improve health data management understanding, and support exam readiness for certification success.

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AHIMA RHIA EXAM QUESTIONS AND CORRECT
ANSWERS (100% VERIFIED ANSWERS) Q&A 2026
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1. What is the primary role of a Registered Health Information Administrator
(RHIA)?
A. Providing direct patient care
B. Managing health information systems and data
C. Prescribing medications
D. Performing surgical procedures
Answer: B
Rationale: RHIA professionals specialize in managing health data, ensuring
accuracy, accessibility, security, and compliance with regulations.


2. Which organization administers the RHIA credential?
A. American Medical Association (AMA)
B. American Nurses Association (ANA)
C. American Health Information Management Association (AHIMA)
D. Centers for Medicare & Medicaid Services (CMS)
Answer: C
Rationale: The RHIA credential is awarded by AHIMA, the governing body for
health information professionals.


3. What is the primary purpose of the Electronic Health Record (EHR)?

,A. Replace all healthcare staff
B. Store and manage patient health information digitally
C. Eliminate billing systems
D. Provide entertainment to patients
Answer: B
Rationale: EHRs are designed to digitally collect, store, and manage patient health
information for improved care and efficiency.


4. Which law protects patient health information privacy in the United States?
A. OSHA
B. HIPAA
C. EMTALA
D. HITECH
Answer: B
Rationale: HIPAA establishes national standards for protecting sensitive patient
health information.


5. What does ICD-10-CM stand for?
A. International Classification of Diseases, 10th Revision, Clinical Modification
B. Internal Coding Data System
C. Integrated Clinical Documentation Model
D. International Care Documentation Method
Answer: A
Rationale: ICD-10-CM is used in the U.S. for coding diagnoses and classifying
diseases.


6. Which coding system is primarily used for hospital inpatient procedures?

,A. CPT
B. HCPCS Level II
C. ICD-10-PCS
D. SNOMED CT
Answer: C
Rationale: ICD-10-PCS is specifically designed for coding inpatient procedures in
hospitals.


7. What is the purpose of a Master Patient Index (MPI)?
A. Track hospital finances
B. Identify unique patients across systems
C. Store employee records
D. Manage pharmacy inventory
Answer: B
Rationale: MPI ensures each patient is uniquely identified, avoiding duplicate or
fragmented records.


8. Which of the following is an example of protected health information (PHI)?
A. Weather report
B. Patient’s diagnosis linked to their name
C. Hospital cafeteria menu
D. Public health statistics without identifiers
Answer: B
Rationale: PHI includes identifiable health information tied to an individual.


9. What is data governance in healthcare?
A. Managing building maintenance
B. Overseeing data quality, integrity, and security

, C. Hiring hospital staff
D. Scheduling appointments
Answer: B
Rationale: Data governance ensures data accuracy, privacy, and proper usage
across healthcare systems.


10. Which reimbursement system is used for inpatient hospital services?
A. Fee-for-service
B. DRGs (Diagnosis-Related Groups)
C. Capitation
D. Bundled payments
Answer: B
Rationale: DRGs classify hospital cases for payment under Medicare’s inpatient
prospective payment system.


11. What is the main goal of clinical documentation improvement (CDI)?
A. Increase hospital marketing
B. Improve accuracy and completeness of medical records
C. Reduce staffing
D. Eliminate coding
Answer: B
Rationale: CDI ensures documentation reflects the true clinical picture for quality
care and proper reimbursement.


12. Which term refers to the unauthorized access of patient information?
A. Data integrity
B. Privacy breach

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