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Which organization is responsible for developing and maintaining ICD-10-CM and ICD-10-PCS coding systems in the United States?

American Health Information Management Association (AHIMA)

Centers for Medicare and Medicaid Services (CMS)

National Center for Health Statistics (NCHS) and CMS

World Health Organization (WHO)

to track

2026 Statistics

Key Facts: RHIT Exam

150

Exam Questions

AHIMA format guidance

3.5h

Exam Time

AHIMA format guidance

300

Passing Score (scaled)

AHIMA format guidance

$229/$299

Member/Non-Member Fee

AHIMA pricing page

200

Practice Questions Here

OpenExamPrep RHIT bank

Content Domains

AHIMA content outline

AHIMA's RHIT exam is a 150-question, 3.5-hour exam with a scaled passing score of 300. It covers 6 domains: Data Content, Structure, and Information Governance (24-28%), Access, Disclosure, Privacy, and Security (12-16%), Data Analytics and Use (14-18%), Revenue Cycle Management (14-18%), Compliance (13-17%), and Leadership (11-15%). RHIT is the technical pathway into HIM careers.

Sample RHIT Practice Questions

Try these sample questions to test your RHIT exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 200+ question experience with AI tutoring.

1Which organization is responsible for developing and maintaining ICD-10-CM and ICD-10-PCS coding systems in the United States?

A.American Health Information Management Association (AHIMA)

B.Centers for Medicare and Medicaid Services (CMS)

C.National Center for Health Statistics (NCHS) and CMS

D.World Health Organization (WHO)

Explanation: The National Center for Health Statistics (NCHS) maintains ICD-10-CM diagnosis codes, while CMS maintains ICD-10-PCS procedure codes. AHIMA provides professional guidance but does not maintain the official code sets. WHO created the original ICD but does not maintain the US clinical modifications.

2What is the primary purpose of HIPAA's Privacy Rule?

A.To establish national standards for electronic healthcare transactions

B.To protect the privacy and security of protected health information (PHI)

C.To prevent healthcare fraud and abuse

D.To mandate the use of electronic health records

Explanation: The HIPAA Privacy Rule establishes national standards to protect individuals' medical records and other personal health information (PHI). The Security Rule specifically addresses electronic PHI security, while the Administrative Simplification provisions establish transaction standards.

3According to coding guidelines, when should the present on admission (POA) indicator be reported?

A.Only for diagnoses present at the time of inpatient admission

B.For all diagnoses reported on inpatient claims

C.Only for principal diagnoses

D.Only for complications occurring during the hospital stay

Explanation: The POA indicator is required for all diagnosis codes reported on inpatient claims to Medicare and many other payers. It indicates whether a condition was present at the time of admission (Y), not present (N), clinically undetermined (U), or unable to be determined by the provider (W).

4Which coding system is used primarily for outpatient procedures and physician services?

A.ICD-10-PCS

B.CPT (Current Procedural Terminology)

C.ICD-10-CM

D.HCPCS Level II

Explanation: CPT (Current Procedural Terminology) is maintained by the AMA and is used to report outpatient procedures and physician services. ICD-10-PCS is used for inpatient procedures, ICD-10-CM for diagnoses, and HCPCS Level II for supplies, drugs, and services not in CPT.

5What does the Joint Commission require regarding the medical record completion timeframe?

A.All records must be completed within 24 hours of discharge

B.Records must be completed within 30 days of discharge

C.Records should be completed within a timeframe defined by the hospital's own policy

D.History and physical examinations must be completed within 24 hours of admission

Explanation: The Joint Commission requires that histories and physical examinations be completed within 24 hours of admission. While hospitals must define their own specific medical record completion timeframes in their policies, the Joint Commission focuses on H&P timing as a key standard.

6Which of the following best defines the legal health record?

A.All data stored in the electronic health record system

B.The documentation of patient health information created by healthcare professionals

C.The business record that is disclosed upon valid request

D.Only the information required for billing and reimbursement

Explanation: The legal health record is the subset of all patient-specific data created or received by a healthcare provider that serves as the business record for evidentiary purposes and is disclosed upon valid request. It is defined by the organization and includes documentation from healthcare professionals, not all stored data or billing-only information.

7What is the primary purpose of the Master Patient Index (MPI)?

A.To track patient billing information

B.To maintain a unique identifier for each patient across the healthcare organization

C.To store clinical documentation

D.To manage physician credentials

Explanation: The Master Patient Index (MPI) maintains a unique identifier for each patient registered at a healthcare facility, ensuring that all records for a patient are correctly linked together. This prevents duplicate records and supports accurate patient identification across encounters.

8Under HIPAA, which of the following is NOT considered a covered entity?

A.Healthcare providers who transmit electronic claims

B.Health plans

C.Healthcare clearinghouses

D.Patients accessing their own medical records

Explanation: Covered entities under HIPAA include healthcare providers who conduct electronic transactions, health plans, and healthcare clearinghouses. Patients are not covered entities; they are the individuals whose protected health information is protected by HIPAA.

9What does the acronym UHDDS stand for?

A.Uniform Hospital Discharge Data Set

B.Universal Healthcare Documentation Data Standards

C.United Health Data Documentation System

D.Uniform Healthcare Data Dictionary Standards

Explanation: UHDDS stands for Uniform Hospital Discharge Data Set. It was developed to collect uniform data from inpatient hospital discharges and defines data elements including principal diagnosis, principal procedure, and other patient demographic and clinical information.

10According to ICD-10-CM official coding guidelines, how many characters are required for an ICD-10-CM diagnosis code?

A.Always 7 characters

B.3-7 characters depending on the code

C.Always 5 characters

D.Minimum of 4 characters

Explanation: ICD-10-CM codes can range from 3 to 7 characters. Some codes are complete at 3 characters (category codes), while others require 4th, 5th, 6th, and 7th characters (subcategories, extensions) to fully specify the condition.

About the RHIT Exam

The RHIT is AHIMA credential for health information technicians, validating technical expertise in data content and structure, access and disclosure, data analytics, revenue cycle management, compliance, and leadership in healthcare settings.

Questions

150 scored questions

Time Limit

3.5 hours

Passing Score

300 (scaled)

Exam Fee

$229 member / $299 non-member (AHIMA (Pearson VUE))

RHIT Exam Content Outline

24-28%

Data Content, Structure, and Information Governance

Health record content and documentation standards, data governance principles, data quality management, Master Patient Index (MPI), document control, coding guidelines, CMS regulations, Joint Commission standards, and legal health record definition

12-16%

Access, Disclosure, Privacy, and Security

HIPAA Privacy and Security Rules, patient access rights, PHI disclosure and authorization requirements, release of information procedures, breach notification, minimum necessary standard, and security audit trails

14-18%

Data Analytics and Use

Healthcare statistics, data abstraction, registry reporting, data analysis and visualization, quality metrics, census and productivity calculations, core measures, and secondary health information sources

14-18%

Revenue Cycle Management

ICD-10-CM and ICD-10-PCS coding, CPT coding, clinical documentation integrity, chargemaster management, claims processing, denial management, case mix index, MS-DRGs, and healthcare reimbursement methodologies

13-17%

Compliance

Regulatory compliance monitoring, healthcare compliance programs, quality assessment and performance improvement, risk assessment, False Claims Act, Stark Law, Anti-Kickback Statute, and OIG compliance guidance

11-15%

Leadership

HIM department operations, training and education, process improvement methodologies, policy and procedure development, forms design, disaster recovery planning, and change management

How to Pass the RHIT Exam

What You Need to Know

Passing score: 300 (scaled)
Exam length: 150 questions
Time limit: 3.5 hours
Exam fee: $229 member / $299 non-member

Keys to Passing

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

RHIT Study Tips from Top Performers

1Focus heavily on coding — ICD-10-CM/PCS and CPT guidelines are critical for the Revenue Cycle domain

2Master HIPAA Privacy and Security Rules — know permitted uses and disclosures, patient rights, and safeguards

3Practice healthcare statistics calculations — census, occupancy rates, length of stay, and mortality rates

4Understand documentation requirements — Joint Commission standards and CMS Conditions of Participation

5Review compliance concepts — False Claims Act, Stark Law, Anti-Kickback Statute, and OIG guidance

Frequently Asked Questions

What is the RHIT exam format?

The RHIT exam is 150 questions (130 scored + 20 pretest) administered over 3.5 hours at Pearson VUE testing centers. The exam includes multiple-choice questions covering six domains of health information management and technology.

How is RHIT different from RHIA?

RHIT requires an associate degree and focuses on technical HIM functions including coding, data analysis, and operational tasks. RHIA requires a baccalaureate degree and focuses on management and leadership. RHITs typically work in technical roles while RHIAs hold management positions.

What jobs can I get with RHIT?

RHIT credential holders work as Health Information Technicians, Medical Coders, Coding Specialists, Data Quality Analysts, Cancer Registrars, Release of Information Specialists, and HIM Department Technicians in hospitals, physician practices, long-term care facilities, insurance companies, and government agencies.

What education do I need for RHIT?

You need an associate degree from a CAHIIM-accredited Health Information Technology (HIT) program or equivalent. CAHIIM accreditation ensures the program meets AHIMA educational standards.

How hard is the RHIT exam?

RHIT is considered moderately challenging with estimated pass rates of 70-75%. Success requires knowledge across six domains including coding (ICD-10-CM/PCS, CPT), HIPAA regulations, healthcare statistics, and HIM operations.

What is the salary for RHIT professionals?

According to BLS (May 2024), the median annual wage for medical records specialists is $50,250. RHIT credential holders typically earn $40,000-$65,000 depending on experience, location, and specialization. Certified coders with RHIT can earn higher salaries.