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2026 Statistics

Key Facts: CHFP Exam

65%

Passing Score (Module II)

HFMA

$465

Annual Membership Fee

HFMA (professional tier)

131

Total Exam Questions

75 MCQ + 56 case-study

4.5 hrs

Total Exam Time

90 min + 3 hours

14 CPEs

CPE Credits Earned

HFMA

$87.5K

Avg CHFP Salary

ZipRecruiter 2026

The CHFP certification demonstrates expertise across four pillars: business acumen, collaboration, financial strategy, and future trends. HFMA membership is required ($465/year professional) and includes access to both modules. Healthcare finance professionals with CHFP certification earn an average salary of $87,500 (ZipRecruiter 2026). The credential requires 60 CPE hours every 3 years to maintain and is a prerequisite for the Fellow of HFMA (FHFMA) designation.

About the CHFP Exam

The CHFP is HFMA's flagship certification for healthcare financial professionals. It is earned through two modules: Module I (Business of Health Care) covers 6 content areas with 75 multiple-choice questions in 90 minutes, and Module II (Operational Excellence) tests application through 8 case studies with 56 questions in 3 hours.

Questions

131 scored questions

Time Limit

4.5 hours (90 min Module I + 3 hrs Module II)

Passing Score

65%

Exam Fee

Included with HFMA membership ($465/yr) (HFMA)

CHFP Exam Content Outline

17%

The Big Picture

Healthcare environment, reform, payment systems, and financial management roles

17%

Financial Accounting Concepts

Accounting principles, financial statements, management reports, and ratio analysis

17%

Cost Accounting Principles

Cost management, cost-finding methods, pricing strategies, and profit analysis

17%

Strategic Financial Issues

Strategic planning, budgeting, variance analysis, and benchmarking

17%

Managing Financial Resources

Revenue cycle, working capital, metrics and data, long-term financing

15%

Looking to the Future

Evolving reimbursement, business intelligence, population health, clinician alignment

How to Pass the CHFP Exam

What You Need to Know

  • Passing score: 65%
  • Exam length: 131 questions
  • Time limit: 4.5 hours (90 min Module I + 3 hrs Module II)
  • Exam fee: Included with HFMA membership ($465/yr)

Keys to Passing

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

CHFP Study Tips from Top Performers

1Complete all Module I coursework thoroughly — Module II case studies directly test your application of Module I concepts
2Focus on the 3 highest-weight areas: Accounting Principles, Revenue Cycle/Working Capital, and Strategic Planning/Budgeting
3Practice case-study reasoning by connecting financial concepts to real healthcare scenarios involving payers, providers, and patients
4Master Medicare payment systems (DRGs for inpatient, APCs for outpatient, RVUs for physician) as they appear across multiple domains
5Use the Module II key concepts guide as your primary study resource — it identifies the exact business challenges tested in the case studies

Frequently Asked Questions

What is the CHFP exam?

The Certified Healthcare Financial Professional (CHFP) is HFMA's flagship certification for healthcare finance professionals. It consists of two modules: Module I (Business of Health Care) with 75 multiple-choice questions in 90 minutes, and Module II (Operational Excellence) with 56 case-study questions in 3 hours. Both are administered online through HFMA's learning management system.

How hard is the CHFP exam?

The CHFP is considered moderately difficult. Module I tests foundational knowledge across 6 healthcare finance domains. Module II is more challenging, requiring you to apply Module I knowledge through 8 real-world case studies. The passing score is 65% for Module II. HFMA recommends 14-20 hours of study for Module I coursework. Success rates are not publicly disclosed.

What is the CHFP pass rate?

HFMA does not publicly disclose CHFP pass rates. However, the program provides extensive coursework in Module I to prepare candidates, and a key concepts guide is available for Module II. If you do not pass, there is a mandatory 30-day waiting period before retaking. The 65% passing score for Module II is achievable with thorough preparation.

How many questions are on the CHFP exam?

The CHFP has 131 total questions across both modules. Module I has 75 multiple-choice questions to be completed in 90 minutes. Module II has 56 questions presented as 8 case studies with 7 questions each, to be completed in 3 hours. You must pass both modules to earn the CHFP designation.

What salary can CHFP holders expect?

According to ZipRecruiter (2026), the average salary for CHFP holders is approximately $87,500 per year ($42/hour). Robert Half's 2026 Healthcare Salary Guide identifies CHFP as an in-demand certification that can command higher starting salaries. Roles range from finance directors and controllers to revenue cycle managers and consultants, with senior positions earning $100,000-$150,000+.