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Exam Review

Key Facts: RHIT Exam

150

Exam Questions

AHIMA RHIT exam specifications

3.5h

Exam Time

AHIMA RHIT exam specifications

300

Passing Score (scaled)

AHIMA RHIT exam specifications

$229/$299

Member/Non-Member Fee

AHIMA pricing page

217

Practice Questions Here

OpenExamPrep RHIT bank

6

Content Domains

AHIMA content outline

AHIMA's RHIT exam has 150 items (130 scored and 20 pretest), a 3-hour-30-minute total appointment, and a scaled passing score of 300. It covers 6 domains: Data Content, Structure, and Information Governance (19-25%), Access, Disclosure, Privacy, and Security (14-18%), Data Analytics and Use (12-18%), Revenue Cycle Management (19-25%), Compliance (13-17%), and Leadership (9-12%). AHIMA published a 74% RHIT first-time pass rate for 2025.

Sample RHIT Practice Questions

Try these sample questions to review concepts for the RHIT exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 217+ 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 every diagnosis on an inpatient claim, unless the code is on the POA-exempt list
C.Only for principal diagnoses
D.Only for complications occurring during the hospital stay
Explanation: Per the ICD-10-CM Official Guidelines (POA appendix), a POA indicator is assigned to the principal and secondary diagnoses and external cause of injury codes on inpatient claims: Y = present at the time of inpatient admission; N = not present at the time of inpatient admission; U = documentation is insufficient to determine if the condition was present on admission; W = the provider is unable to clinically determine whether the condition was present on admission. The field is left blank only when the code is on the list of codes for which the POA indicator is not applicable. It is not limited to principal diagnoses or to complications.
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.
5Under the CMS Conditions of Participation for hospitals, when must a patient's medical history and physical examination (H&P) be completed and documented?
A.Within 24 hours after the patient is discharged from the hospital
B.Within 30 days after discharge, when the rest of the record is completed
C.Within 7 days after admission, or before discharge if that is sooner
D.No more than 30 days before or 24 hours after admission, and before surgery
Explanation: 42 CFR 482.24(c)(4)(i)(A) requires a medical history and physical examination "completed and documented no more than 30 days before or 24 hours after admission or registration, but prior to surgery or a procedure requiring anesthesia services." An H&P done within the 30 days before admission needs an updated examination documented within 24 hours after admission. The 30-days-after-discharge deadline in the same section applies to completing the medical record as a whole, not to the H&P.
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.

Exam sponsor: AHIMA (Pearson VUE). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

150 questions

Time Limit

3 hours 30 minutes

Passing Score

300 (scaled)

Exam / Certification Fees

$229 member / $299 non-member

Exam sponsor website

Reported exam pass rate: 74% (2025 first-time testers). AHIMA published a 74% RHIT first-time pass rate for 2025 and 78% for 2024 This describes exam candidates, not OpenExamPrep users or results from using our resources. Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

19-25%

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

14-18%

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

12-18%

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

19-25%

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

9-12%

Leadership

Education on health information laws and regulations, review of health information processes, policy and procedure development, standards for health information functions (chart completion, coding accuracy, ROI turnaround time, workflow), collaboration with other departments for interoperability, subject matter expertise, and project management principles

Preparing for the RHIT Exam

What You Need to Know

  • Passing score: 300 (scaled)
  • Exam length: 150 questions
  • Time limit: 3 hours 30 minutes
  • Exam / certification fees: $229 member / $299 non-member Official sources

Using Our Practice Resources

  • Work through all 217 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

RHIT: Suggested Study Strategy

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 must complete the academic requirements, at the associate degree level, of a Health Information Management (HIM) program accredited by CAHIIM, or graduate from an HIM program approved by a foreign association with which AHIMA has a reciprocity agreement. AHIMA does not currently accept health informatics programs for the RHIT.

How hard is the RHIT exam?

AHIMA reports a 74% first-time pass rate for 2025 (1,630 first-time testers) and 78% for 2024. 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?

BLS reports a median annual wage of $51,140 for medical records specialists in May 2025; the lowest 10 percent earned less than $37,000 and the highest 10 percent more than $81,150. BLS does not publish RHIT-specific pay, and earnings vary with role, location, and experience.