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2026 Statistics

Key Facts: CHC Exam

120

Exam Questions (100 scored)

HCCA/CCB

2 hours

Exam Time Limit

HCCA/CCB

$350-$450

Exam Fee

HCCA 2026 fee schedule

~79%

First-Time Pass Rate

HCCA/CCB

7 domains

Exam Content Areas

CHC Detailed Content Outline

2 years

Certification Validity

HCCA/CCB renewal policy

The CHC exam has 120 questions (100 scored) with a 2-hour time limit and costs $350-$450. It is administered by CCB/HCCA and tests healthcare compliance knowledge across seven domains. The heaviest domains are Monitoring, Auditing, and Internal Reporting (22%), Investigations and Remedial Measures (20%), and Compliance Program Administration (19%). Candidates need 1 year of compliance experience and 20 CCB CEUs. The certification is valid for 2 years.

About the CHC Exam

The CHC exam validates expertise in healthcare compliance program development, federal and state healthcare laws, auditing and monitoring, investigations, risk assessment, and training. Offered by the Compliance Certification Board under the Health Care Compliance Association, the CHC is the most recognized credential for healthcare compliance professionals. The exam covers seven domains including compliance program administration, fraud and abuse laws, HIPAA, OIG guidance, and remedial measures.

Assessment

120 multiple-choice questions (100 scored, 20 unscored pretest items)

Time Limit

2 hours

Passing Score

Criterion-referenced (Angoff method)

Exam Fee

$350 (HCCA members) / $450 (non-members) (Compliance Certification Board (CCB) / HCCA)

CHC Exam Content Outline

22%

Monitoring, Auditing, and Internal Reporting

Designing audit work plans, monitoring activities, internal reporting systems, compliance hotlines, data analysis, and evaluating compliance program effectiveness

20%

Investigations and Remedial Measures

Conducting compliance investigations, root cause analysis, corrective action plans, self-disclosure to OIG, voluntary refunds, and remediation strategies

19%

Compliance Program Administration

Seven elements of an effective compliance program, compliance officer role, committee structure, board reporting, resource allocation, and OIG guidance implementation

14%

Laws, Regulations, and Guidance

Anti-Kickback Statute, Stark Law, False Claims Act, HIPAA, EMTALA, Civil Monetary Penalties Law, OIG Advisory Opinions, and state healthcare regulations

11%

Compliance Risk Assessment

Risk identification and prioritization, risk assessment methodologies, compliance risk areas in healthcare, and ongoing risk management and mitigation

8%

Training and Education

Compliance training program development, delivery methods, effectiveness measurement, role-based training, annual compliance education, and new hire orientation

6%

Screening and Registration

OIG LEIE and SAM exclusion screening, due diligence for employees and vendors, credentialing verification, conflict of interest identification, and third-party compliance

How to Pass the CHC Exam

What You Need to Know

  • Passing score: Criterion-referenced (Angoff method)
  • Assessment: 120 multiple-choice questions (100 scored, 20 unscored pretest items)
  • Time limit: 2 hours
  • Exam fee: $350 (HCCA members) / $450 (non-members)

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

CHC Study Tips from Top Performers

1Master the seven elements of an effective compliance program from OIG guidance — they form the foundation for roughly 60% of exam content across multiple domains
2Study the Anti-Kickback Statute safe harbors, Stark Law exceptions, and False Claims Act whistleblower provisions in detail — these are heavily tested in the laws domain
3Practice applying compliance concepts to realistic scenarios rather than memorizing definitions — the exam emphasizes application and analysis questions
4Focus most study time on the three highest-weighted domains: Monitoring/Auditing (22%), Investigations (20%), and Compliance Program Administration (19%)
5Review OIG compliance program guidance documents, Corporate Integrity Agreements, and self-disclosure protocols — these are directly referenced in exam content

Frequently Asked Questions

What is the CHC certification?

The Certified in Healthcare Compliance (CHC) is a professional credential offered by the Compliance Certification Board (CCB) under the Health Care Compliance Association (HCCA). It validates that a professional has the knowledge and skills to develop and manage effective healthcare compliance programs, navigate federal and state regulations, and mitigate compliance-related risks. The CHC is the most widely recognized certification for healthcare compliance professionals.

How many questions are on the CHC exam and how long do I have?

The CHC exam contains 120 multiple-choice questions with a 2-hour time limit. Only 100 questions are scored toward your pass/fail result. The remaining 20 are unscored pretest items used by CCB to evaluate future exam questions. Pretest items are mixed throughout the exam and are not identified, so you should answer every question to the best of your ability.

What are the eligibility requirements for the CHC exam?

You need at least 1 year of full-time compliance experience or 1,500 hours of direct compliance duties within 2 years of your application date. You must also earn 20 CCB-approved continuing education units (CEUs) within 12 months of the exam date, with at least 10 CEUs from live training events. A student pathway is available for graduates of CCB-accredited university certificate programs within the last 2 years, exempting the work experience requirement.

How much does the CHC exam cost?

The CHC exam application fee is $350 for HCCA or SCCE members and $450 for non-members. A $75 non-refundable application fee is included. If you need to retake the exam, a $75 re-exam application fee applies. Rescheduling fees are $75 if changes are made within the allowed window. HCCA membership provides a $100 discount on the exam fee.

What is the CHC exam pass rate?

The CHC exam has an approximate first-time pass rate of 79%. The passing score is determined using the Angoff method, where subject matter experts estimate how a minimally qualified candidate would perform. If you do not pass on the first attempt, you can retake the exam in the next available cycle. After two failed attempts within 180 days, you must wait 180 days before reapplying.