Commission on Certification for Health Informatics

and Information Management (CCHIIM)

Candidate Guide

Updated March 3, 2016

ahima.org
Updated March 3, 2016
CONTACT INFORMATION

AHIMA
Customer Relations Phone: (800) 335-5535
Fax: (312) 233-1500

Submit Exam Applications and Fees: Certification Examinations

AHIMA
Dept. 77-3081
Chicago, IL 60678-3081

Submit HIT and HIA Transcripts: Certification Transcripts

AHIMA
233 N. Michigan Ave., 21st Fl.
Chicago, IL 60601

Appeals: Commission on Certification Appeals

AHIMA
233 N. Michigan Ave., 21st Fl.
Chicago, IL 60601

Complaints: Commission on Certification Complaints

AHIMA
233 N. Michigan Ave., 21st Fl.
Chicago, IL 60601

Pearson Vue Scheduling: (888) 524-4622

Updated March 3, 2016

TABLE OF CONTENTS
ABOUT THE CANDIDATE GUIDE Identification Requirements . . . . . . . . . . . . . . . . . . . . . 12
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Test Center Restrictions. . . . . . . . . . . . . . . . . . . . . . . . . 12
About CCHIIM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Security. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
About AHIMA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Misconduct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Cancellation Due to Bad Weather or
VALUE OF CERTIFICATION Other Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
AHIMA-Certified Professionals Deliver the Results Medical or Personal Emergency. . . . . . . . . . . . . . . . . . 13
Your Organization Needs . . . . . . . . . . . . . . . . . . . . . . . . 3
AFTER THE EXAMINATION
Professional Certification through AHIMA. . . . . . . . . 3
Notification of Examination Results. . . . . . . . . . . . . . 13
ABOUT CERTIFICATION . . . . . . . . . . . . . . . . . . . . 4 Confidentiality Procedures. . . . . . . . . . . . . . . . . . . . . . 13
ABOUT AHIMA CREDENTIALS Validation of Scores. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Release of Information. . . . . . . . . . . . . . . . . . . . . . . . . . 14
Registered Health Information
Certificates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Administrator (RHIA) . . . . . . . . . . . . . . . . . . . . . . . . . 4
Examination Complaints. . . . . . . . . . . . . . . . . . . . . . . . 14
Registered Health Information Technician (RHIT) . . 5
Re-taking the Examination and Process. . . . . . . . . . . 14
Certified Coding Associate (CCA). . . . . . . . . . . . . . . . . 5
Use of the Credential. . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Certified Coding Specialist (CCS). . . . . . . . . . . . . . . . . 6
Registry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Certified Coding Specialist
Physician-based (CCS-P). . . . . . . . . . . . . . . . . . . . . . . . 6 Credential Verification. . . . . . . . . . . . . . . . . . . . . . . . . . 14
Certified Health Data Analyst (CHDA) . . . . . . . . . . . . 6 APPENDICES
Certified in Healthcare Privacy and Security (CHPS). . . 7 Appendix A: AHIMA Membership Application. . . . 15
Certified Document Improvement Practitioner (CDIP). . . 7 Appendix B: Authorization to Test Letter . . . . . . 1718
Certified Healthcare Technology Specialist (CHTS). . 7 Appendix C: Sample Pass and Fail
APPLYING FOR THE EXAM Score Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1920
Appendix D: Sample Test Completion Notice . . . . . . 21
Submitting an Application. . . . . . . . . . . . . . . . . . . . . . . . 8
Appendix E: Scale Scoring FAQs . . . . . . . . . . . . . . . . . 22
Incomplete Applications. . . . . . . . . . . . . . . . . . . . . . . . . . 8
Appendix F: AHIMA Accommodations under
Independent Testing Agency. . . . . . . . . . . . . . . . . . . . . . 8
the ADA Policies and Procedures . . . . . . . . . . . . . . . 23
TEST TAKERS RIGHTS AND RESPONSIBILITIES. . . 9 Appendix G: Registered Health Information
Administrator (RHIA) Examination
AHIMA EXAM APPLICATION CHECKLIST. . . . . . . 9 Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . 2426
SCHEDULING THE EXAMINATION Appendix H: Registered Health Information
Technician (RHIT) Examination
Authorization to Test (ATT) Letters . . . . . . . . . . . . . . 10 Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . 2729
Scheduling an Appointment to Test. . . . . . . . . . . . . . . 10 Appendix I: Certified Coding Associate (CCA)
Test Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Examination Content Outline. . . . . . . . . . . . . . . 3031
APPOINTMENT CHANGES Appendix J: Certified Coding Specialist (CCS)
Examination Content Outline. . . . . . . . . . . . . . . 3233
Policy on Cancelling or Rescheduling. . . . . . . . . . . . . 10
Appendix K: Certified Coding Specialist
Refund Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Physician-Based (CCS-P) Examination
Penalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . 3435
ELIGIBILITY EXTENSION FEE AND POLICY. . . . . 11 Appendix L: Certified Health Data Analyst
(CHDA) Examination Content Outline. . . . . . . . . . 36
PREPARING FOR THE EXAM Appendix M: Certified in Healthcare Privacy
Tips for Success. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 and Security (CHPS) Examination
Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . 3738
ON EXAMINATION DAY Appendix N: Certified Documentation Improvement
Examination Procedures. . . . . . . . . . . . . . . . . . . . . . . . 11 Practitioner (CDIP) Examination
Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . 3940

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 1

ABOUT THE CANDIDATE GUIDE

Introduction and relevant body of HIIM competencies (also referred to

as knowledge, skills, and abilities). The subject matter
Congratulations on your decision to earn an American
(also referred to as a body of knowledge, or BoK for short)
Health Information Management Association (AHIMA)
represented by these competencies is further segmented
credential. We commend your commitment to your career
across specific roles and disciplines throughout the HIIM
and the health informatics and information management
profession as a whole by the requisite levels of depth,
(HIIM) profession.
breadth, and experiences necessary for successful job
This guide includes information about: performance, as exemplified by each respective AHIMA
Eligibility qualifications certification.
Guidelines for applying for and scheduling the About CCHIIM Exam Development
examination Committees (EDC)
What to expect at the test center CCHIIM EDCs are comprised of experienced, credential-
What to expect after completing the examination specific subject matter experts, representing HIIM leaders,
practitioners, and other relevant stakeholders. EDCs are
About the Commission on Certification responsible for the specific oversight and performance of
their respective credentials certification examination. EDC
for Health Informatics and Information responsibilities are codified in the CCHIIM operating code,
Management (CCHIIM) and typically include recurring review of content relevancy,
Purpose both item-level and examination-level performance data,
and expertise with respect to establishing the cut score for
CCHIIM serves the public by establishing, implementing, their respective certification examinations.
and enforcing standards and procedures for certification
and recertification of health informatics and information Job Analysis
management (HIIM) professionals. The job analysis process ensures quality control of the
CCHIIM Mission relevancy, currency, and validity of the competencies
assessed by each certification examination. Job analyses
Through certification, the CCHIIM ensures the are typically performed every three to five years; however,
competency of professionals practicing health infomatics CCHIIM plans for and conducts comprehensive job
and information management (HIIM) worldwide. analyses according to the rate and amount of changes
CCHIIM Vision taking place within a given certification examination.
Consistent with best practices, the task of job analysis is
Professional excellence in health infomatics and information
overseen by a diverse and representative sample of
management (HIIM) through certification.
stakeholders, including recently certified professionals
CCHIIM Values and employers/supervisors. These stakeholders assess the
The application of evidence-based best practices for criticality of current workplace practices, skills, tasks, and
certification; responsibilities, with respect to the importance and
frequency of performance. The results of the job analysis
The validation of workforce competence through influence to what extent the competencies are revised for
professional certification; each certification examination.
The commitment to ongoing professional development,
lifelong learning, and workforce excellence; and Examination Blueprints and Specifications
The recognition of CCHIIM-certified professionals role The job analysis serves as the foundation for the exami-
in maintaining and enhancing quality health informa- nation blueprint. First, the individual competencies are
tion for the safety of the public and the improvement of grouped into domains that represent specific and similar
healthcare. areas of content. Next, the percentage weighting of each
content domain is determined, in part, through the indi-
CCHIIM Exam Development Process: vidual competency statement criticality scores, considered
An Overview for Stakeholders collectively, within each domain. This weighting of
AHIMA/CCHIIM certification exams are valid, reliable, domains relative to one another allows the EDCs to deter-
and legally defensible assessment instruments that measure mine how much, or to what extent, each domain is assessed
the competency of potential certificants against a codified (both by the number and difficulty of test items), relative to

2 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

the other domains. For example, domains with competen- settings. Since 1932, AHIMA has certified HIIM profes-
cies with higher criticality scores (that is more important sionals through its rigorous testing standard.
and/or more frequently performed) typically represent a AHIMA currently sponsors the following certification
larger percentage of test items than those domains with examinations:
lower criticality scores for their respective competencies.
Registered Health Information Administrator (RHIA)
The examination specifications are typically established or
Registered Health Information Technician (RHIT)
revised at the same time as the development of the exami-
nation blueprint. The specifications usually include the Certified Coding Associate (CCA)
total number of test items (both scored and non-scored), Certified Coding Specialist (CCS)
test item type(s), such as multiple-choice or other, total test
Certified Coding SpecialistPhysician-based (CCS-P)
duration, and scoring methodology.
Certified Health Data Analyst (CHDA)
For additional information on CCHIIM, please visit
ahima.org/certification/cchiim. Certified in Healthcare Privacy and Security (CHPS)
Certified Documentation Improvement Practitioner
About AHIMA (CDIP)
AHIMA is a professional association composed of 52 Certified Healthcare Technology Specialist (CHTS)
component state associations and more than 103,000 health
information professionals who work in various healthcare

VALUE OF CERTIFICATION

AHIMA-Certified Professionals Deliver Certified for Success

the Results Your Organization Needs Organizations that employ credentialed HIIM
professionals can expect the highest levels of competency.
Setting the standard since 1932 as the leader in The ability to adhere to industry standards and regulations
HIIM certification is demonstrated through attaining credentials. Certified
The AHIMA Commission on Certification is nationally professionals are leaders in healthcare, displaying a
recognized as the most respected HIIM credentialing commitment to the industry, their colleagues, and
agency. AHIMA certifications provide validation of consumers.
professional competency to employers. Healthcare quality,
financial performance, and operational efficiency are Leverage the Benefits and Anticipate Results
strengthened by hiring AHIMA-credentialed professionals. Credentialed professionals offer employers a broad range
of benefits that can be leveraged for immediate application
to HIIM and other operations functions. Because they
Professional Certification through have pursued certification, credentialed professionals are
AHIMA ready to apply their skills and require less training than
Excellence in Operations and Healthcare Delivery noncredentialed peers. Their expertise reduces exposure
to fraud and abuse charges through precise, ethical
AHIMA establishes professional standards of excellence.
management of health information. The accuracy of health
Credentials are issued in HIIM, compliance and data
data is increased, making it more meaningful and positively
quality, coding, privacy and security, and health data
affecting the revenue cycle.
analysis, responding to the demands of the rapidly
changing healthcare environment. These key factors influence the success of healthcare
organizations through improved delivery of quality
Dedication Required, Competency Ensured healthcare and enhanced operational efficiency, producing
Credentials are earned through a combination of education, results that impact the bottom line.
experience, and performance on certification exams.
Following initial certification, credentials must be main-
tained through rigorous continuing education, ensuring the
highest level of competency for employers and consumers.

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 3

ABOUT CERTIFICATION
Certification is a means for showing that a certified Other benefits include:
professional possesses the knowledge and skills necessary Credentialed professionals receive better compensation
for optimal performance of his or her job. Through from their employers
credentialing, the practitioners employer, peers, and the
Employers know theyve hired productive and
public are reassured the certified individual is both
knowledgeable individuals
competent and well-informed in the daily and accurate
administration of his or her professional duties. Certain Certification marks a professional as an exceptional
professions (for example, doctors, lawyers, technicians, individual in his or her field
and others) require that the individuals performing their Greater chance for advancement in ones chosen career
duties be certified, owing to legal or safety reasons or high
Certification gives greater insight on potential
professional standards. Whatever the reason, credentialing
employees during the hiring process
makes a professional a likelier candidate for gainful
employment and career advancement. Consumers are protected from the threat of
incompetent or unfit practitioners
A certified professionals work reflects the best practices
and high professional standards of his or her field.

ABOUT AHIMA CREDENTIALS

Registered Health Information care and insurance companies, software vendors,

consulting services, government agencies, education,
Administrator (RHIA)
and pharmaceutical companies.
Working as a critical link between care providers, payers, and
patients, the RHIA is an expert in managing patient health Eligibility Requirements
information and medical records, administering computer RHIA applicants must meet one of the following eligibility
information systems, collecting and analyzing patient data, requirements:
and using classification systems and medical terminologies.
Underlying this expertise is a comprehensive knowledge of Successfully complete the academic requirements, at the
medical, administrative, ethical, and legal requirements and baccalaureate level, of an HIM program accredited by
standards related to healthcare delivery and the privacy of the Commission on Accreditation of Health Informatics
protected patient information. RHIAs often manage people and Information Management Education (CAHIIM)1
and operational units, participate in administrative OR
committees, and prepare budgets. RHIAs interact with all Graduate from an HIM program approved by a foreign
levels of an organizationclinical, financial, administrative, association with which AHIMA has a reciprocity
and information systemsthat employ patient data in agreement 2
decision making and everyday operations.
The academic qualifications of each candidate will be
Job opportunities for RHIAs exist in a multitude of verified before a candidate is deemed eligible to take the
settings throughout the healthcare industry. These include examination. All first-time applicants must submit an
the continuum of care delivery organizations, including official transcript from their college or university.1
hospitals, multi-specialty clinics and physician practices,
long-term care, mental health, and other ambulatory care
settings. The profession has seen significant expansion
in non-patient care settings, with careers in managed

1. Students in CAHIIM-accredited programs for RHIT or RHIA, enrolled 2. A

 HIMA and the Canadian Health Information Management Associa-
in their final term of study, are now eligible to apply for and take their tion (CHIMA); Korean Medical Record Association (KMRA); and
respective certification exam early. Eligible Health Information Management Association of Australia (HIMAA)
students include the following: shall permit a graduate of a program in HIM at the baccalaureate
Students currently enrolled and in their last term of study degree level to apply to write the appropriate certification examination
consistent with the academic level achieved and given independently
Students who have completed their coursework but have not yet by the aforementioned associations. The graduate must meet the edu-
graduated cational competencies for certification as a technician or administrator
Graduates currently waiting for their official transcripts established by the association to which the application is made.

4 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

Registered Health Information Certified Coding Associate (CCA)
Technician (RHIT) The CCA credential distinguishes coders by exhibiting
Professionals holding the RHIT credential are health commitment and demonstrating coding competencies
information technicians who ensure the quality of across all settings, including both hospitals and
medical records by verifying their completeness, accuracy, physician practices. Becoming a CCA positions you as a
and proper entry into computer systems. They may also use leader in an exciting and growing market. CCAs also:
computer applications to assemble and analyze patient data Exhibit a level of commitment, competency, and
for the purpose of improving patient care or controlling professional capability that attracts employers
costs. RHITs often specialize in coding diagnoses and Demonstrate a commitment to the coding profession
procedures in patient records for reimbursement and
research. An additional role for RHITs is cancer Distinguish themselves from noncredentialed coders
registrarscompiling and maintaining data on cancer and those holding credentials from organizations less
patients. With experience, the RHIT credential holds solid demanding of the higher level of expertise required to
potential for advancement to management positions, earn AHIMA certification
especially when combined with a bachelors degree. Based upon job analysis standards and state-of-the-art
Although most RHITs work in hospitals, they are also test construction, the CCA designation has been a
found in other healthcare settings including office-based nationally accepted standard of achievement since 2002.
physician practices, nursing homes, home health agencies, More than 8,000 people have attained the certification
mental health facilities, and public health agencies. In fact, since its inception. The CCA is the only HIIM credential
employment opportunities exist for RHITs in any worldwide currently accredited by the National
organization that uses patient data or health information, Commission for Certifying Agencies (NCCA).
such as pharmaceutical companies, law and insurance
firms, and health product vendors. Eligibility Requirements
High school diploma or equivalent (no change)
Eligibility Requirements
Training and Recommendationsexpanded
RHIT applicants must meet one of the following eligibility recommendations (not required):
requirements:
Six months coding experience directly applying codes;
Successfully complete the academic requirements,
OR
at an associates degree level, of an HIM program
accredited by the Commission on Accreditation of Completion of an AHIMA-approved coding program;
Health Informatics and Information Management OR
Education (CAHIIM)1&3 Completion of other coding training program to
OR include anatomy and physiology, medical terminology,
Graduate from an HIM program approved by a Basic ICD diagnostic/procedural and Basic CPT coding.
foreign association with which AHIMA has a
reciprocity agreement4
The academic qualifications of each candidate will be
verified before a candidate is deemed eligible to take the
examination. All first-time applicants must submit an
official transcript from their college or university

3. Students interested in obtaining a Post-Baccalaureate Certificate, a 4. AHIMA and the Canadian Health Information Management Association
Certificate of Completion, or Transfer of Credits information must (CHIMA) shall permit a graduate of a program in HIM at the associate
contact the CAHIIM-accredited program in which they wish to enroll or baccalaureate degree level to apply to write the appropriate certifica-
regarding their institutional policies. Please visit the program directory tion examination consistent with the academic level achieved and given
website at cahiim.org/accredpgms.asp to access the list of CAHIIM- independently by the two associations. The graduate must meet the edu-
accredited programs. cational competencies for certification as a technician or administrator
established by the association to which the application is made.

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 5

Certified Coding Specialist (CCS) Certified Coding Specialist
CCSs are professionals skilled in classifying medical data Physician-based (CCS-P)
from patient records, generally in the hospital setting. The CCS-P is a coding practitioner with expertise in
These coding practitioners review patients records and physician-based settings such as physician offices, group
assign numeric codes for each diagnosis and procedure. practices, multi-specialty clinics, and specialty centers. He
To perform this task, they must possess expertise in the or she reviews patients records and assigns numeric codes
ICD-10-CM and CPT coding systems. In addition, the CCS for each diagnosis and procedure. To perform this task, the
is knowledgeable in medical terminology, disease processes, individual must possess in-depth knowledge of the CPT
and pharmacology. Hospitals and medical providers report coding system and familiarity with the ICD-10-CM and
coded data to insurance companies, or to the government HCPCS Level II coding systems. The CCS-P is also
in the case of Medicare and Medicaid recipients, for reim- an expert in health information documentation, data
bursement of expenses. integrity, and quality. Because patients coded data is
submitted to insurance companies or the government for
Researchers and public health officials also use coded expense reimbursement, the CCS-P plays a critical role in
medical data to monitor patterns and explore new the health providers business operation. With the growth
interventions. Coding accuracy is thus highly important to of managed care and the movement of health services
healthcare organizations because of its impact on revenues delivery beyond the hospital, the employment outlook for
and describing health outcomes, and in fact, certification this coding specialty looks highly favorable. The CCS-P
is becoming an implicit industry standard. Accordingly, certification exam assesses mastery-level proficiency in
the CCS credential demonstrates tested data quality and coding rather than entry-level skills. Professionals
integrity skills in a coding practitioner. The CCS performing coding in a doctors office, clinic, or similar
certification exam assesses mastery proficiency in coding setting should consider obtaining the CCS-P certification to
rather than entry-level skills. Professionals experienced in attest to their capabilities.
coding inpatient and outpatient records should consider
obtaining this certification.

CCS and CCS-P Eligibility Requirements

Candidates must meet one of the following eligibility requirements:
By Credential: RHIA, RHIT, or CCS/CCS-P;
OR
By Education: Completion of a coding training program that includes anatomy and physiology, pathophysiology,
pharmacology, medical terminology, reimbursement methodology, intermediate/advanced ICD
diagnostic/procedural and CPT coding;
OR
By Experience: Minimum of two (2) years of related coding experience directly applying codes;
OR
By Credential
with Experience: CCA plus one (1) year of coding experience directly applying codes;
OR
Other: Coding credential from other certifying organization plus one (1) year coding experience directly
applying codes.

Certified Health Data Analyst (CHDA) Eligibility Requirements

Individuals who earn the CHDA designation will achieve recogni- Effective February 1, 2016, candidates must meet one of the
tion of their expertise in health data analysis and validation of their following eligibility requirements for the Certified Health
mastery of this domain. This prestigious certification provides Data Analyst examination:
practitioners with the knowledge to acquire, manage, analyze, Healthcare information management credential (RHIT) and
interpret, and transform data into accurate, consistent, and timely minimum of three (3) years of healthcare data experience
information, while balancing the big picture strategic vision with Baccalaureate degree and a minimum of three (3) years
day-to-day details. CHDA-certified professionals will exhibit broad of healthcare data experience
organizational knowledge and the ability to communicate with in-
dividuals and groups at multiple levels, both internal and external. Healthcare information management credential (RHIA)
Masters in Heath Information Management (HIM) or
Health Informatics from an accredited school

6 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

 Masters or higher degree and one (1) year of healthcare Baccalaureate degree and a minimum of four (4) years
data experience experience in healthcare privacy or security management
All candidates who have applied to sit for the exam prior to Healthcare information management credential
February 1, 2016 based on the previous eligibility require- (RHIA) and minimum of two (2) years of experience in
ments below will be able to proceed in sitting for the exam healthcare privacy or security management
Associates degree and minimum of five (5) years of Masters or related degree (JD, MD, or PhD) and two
healthcare data experience (2) years of experience in healthcare privacy or security
Healthcare information management credential (RHIT) and management
minimum of three (3) years of healthcare data experience
Baccalaureate degree and a minimum of three (3) years Certified Documentation
of healthcare data experience Improvement Practitioner (CDIP)
Healthcare information management credential (RHIA) The CDIP certification will confirm the commitment
and minimum of one (1) year of healthcare data experience of AHIMA to globally improve and maintain quality
Masters or related degree (JD, MD, or PhD) and one (1) information for those involved in healthcare and support
year of healthcare data experience the integrity of the patients health record.
AHIMAs Commission on Certification reserves the right The certification will distinguish those professionals
to verify the information supplied by, or on behalf of, a serving as clinical documentation specialists as
candidate. If selected for an audit, the candidate may be asked knowledgeable and competent to provide guidance relative
to submit additional documentation supporting eligibility. to clinical documentation in the patients health record,
thus promoting the HIM profession overall.
Taking the certification examination is voluntary. AHIMA
strictly adheres to the eligibility requirements for certification. Eligibility Requirements
It is the responsibility of the candidate to comply with all An RHIA, RHIT, CCS, CCS-P, RN, MD, or DO and two (2)
procedures and deadlines in order to establish eligibility for the years experience in clinical documentation improvement
examination. For questions about eligibility, pleasecontact:
An associates degree or higher and three (3) years
Attn: Certification Department of experience in clinical documentation improvement
AHIMA (candidates must also have completed coursework in
233 N. Michigan Ave., 21st Fl. Medical Terminology and Anatomy and Physiology)
Chicago, IL 60601
Telephone: (800) 335-5535
Web: ahima.org/contact Certified Healthcare Technology
Specialist (CHTS) Exams
Certified in Healthcare Privacy and As the nation moves toward industry-wide adoption of elec-
tronic health records (EHRs), the Bureau of Labor Statistics
Security (CHPS) expects a shortage of about 50,000 qualified health IT work-
The CHPS credential denotes competence in designing, ers to meet the needs of hospitals and healthcare affiliates.
implementing, and administering comprehensive privacy The Certified Healthcare Technology Specialist (CHTS)
and security protection programs in all types of healthcare competency exams allow professionals and employers to
organizations. Becoming certified in healthcare privacy capitalize on new technologies, procedures and careers.
and security demonstrates a choice to focus and advance by
The CHTS exams assess the competency of individuals
specializing in privacy and security dimensions of HIIM.
seeking to demonstrate proficiency in certain health IT
Being distinguished with this special expertise signifies workforce roles integral to the implementation and manage-
a commitment to advancing privacy and security ment of electronic health information. The CHTS exams
management practices and lifelong learning and assess the competency of health IT professionals to:
professional development.
Assess workflows
Eligibility Requirements Select hardware and software
CHPS applicants must meet one of the following eligibility Work with vendors
requirements for the CHPS examination:
Install and test systems
Associates degree and six (6) years experience in
Diagnose IT problems
healthcare privacy or security management
Train practice staff on systems
Healthcare information management credential (RHIT)
and minimum of four (4) years of experience in For additional information, please visit ahima.org/certifica-
healthcare data experience tion/chts

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 7

APPLYING FOR THE EXAM

Submitting an Application Checks for insufficient funds (NSF) will not be

re-deposited. If the bank does not clear your check, a fee of
Before submitting an application, carefully review the informa-
$25 will be incurred. Visa, MasterCard, American Express, or
tion contained in this guide. It is the candidates responsibility to
Discover transactions declined or not approved will also be
ensure eligibility before submitting the application. Applicants
subject to a $25 handling fee. A certified check or money order
who are determined to be ineligible, and submit an ineligible
for the amount due, including the NSF fee, must be submitted
application or request withdrawal of their application, will re-
to AHIMA to cover returned checks or credit card transactions.
ceive a refund of the application fee minus a $75 processing fee.
Postdated checks are not an acceptable form of payment.
Applicants may register online at ahima.org/certification or
Once an application is complete, the application will be processed
by submitting a paper application, which can also be found
and Pearson VUE will send an Authorization to Test (ATT) letter.
at ahima.org/certification.
When completing the application be sure to:
Independent Testing Agency
Ensure the name on the application matches the name
on the identification (ID) to be used for admission to the Pearson VUE has been contracted by AHIMA to help
test center (see section on Identification Requirements). administer AHIMAs certification examinations in the United
States and internationally. Pearson VUE delivers millions of high-
Indicate if an acknowledgment letter should be sent to stakes tests every year across the globe for clients in the licensure,
your employer after certification is achieved. certification, academic admissions, regulatory, and government
Include the education program code (EPC) on the testing service markets. It boasts the worlds leading test center
application (for RHIA, RHIT, and CCA applicants only). network, with more than 5,000 test centers in 165 countries, 230
Submit verification of eligibility, if applicable. (Official of which are fully owned and operated Pearson Professional
transcript for RHIA and RHIT only) Centers. Pearson Professional Centers utilize a patent-winning
design, which was created specifically for high-stakes testing and
Sign and date the application in ink (if using a paper
offers a carefully controlled, consistent testing environment.
application).
For more information about Pearson VUE, please visit
Make copies for your records.
pearsonvue.com/ahima.
Include the correct application fee by referring to the
AHIMA website for current exam pricing.
Mail a paper application, using a traceable method, to:
Attn: Certification Examinations
AHIMA
Dept. 77-3081
Chicago, IL 60678-3081
Nondiscrimination Policy
AHIMA and Pearson VUE do not discriminate against
any candidate on the basis of race, color, creed, age, gender,
national origin, religion, disability, marital status, parental status,
ancestry, sexual orientation, military discharge status, or source
of income. All examination applicants will be judged solely on
the criteria established by the Commission on Certification.

Incomplete Applications
An application may be considered incomplete for the
following reasons:
Insufficient fee included, declined credit card, or
returned check
Application is not signed
Missing official transcript
Missing Request for Accommodations form and
documentation form (if applicable)

8 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

TEST TAKERS RIGHTS AND RESPONSIBILITIES
As a test taker, you have the right to: As a test taker, you have the responsibility to:
Be informed of your rights and responsibilities as a test Read or listen to your rights and responsibilities as a test
taker. taker.
Be treated with courtesy, respect, and impartiality, Treat others with courtesy and respect during the
regardless of your age, disability, ethnicity, gender, testing process.
national origin, religion, sexual orientation, or other Ask questions prior to testing if you are uncertain about
personal characteristics. why the test is being given, how it will be given, what
Be tested with measures that meet professional you will be asked to do, and what will be done with the
standards and are appropriate, given the manner in results.
which the test results will be used. Read or listen to descriptive information in advance of
Receive a written explanation prior to testing about the testing and listen carefully to all test instructions. You
purpose(s) for testing, the kind(s) of tests to be used, if should inform AHIMA before scheduling your test if
the results will be reported to you or to others, and the you wish to receive a testing accommodation, or if you
planned use(s) of the results. If you have a disability, you have a physical condition or illness that may interfere
have the right to inquire and receive information about with your performance on the test.
testing accommodations. Know when and where the test will be given, pay for the
Know in advance of testing when the test will be test if required, appear on time with any required mate-
administered, if and when test results will be available rials (for example, valid identification and
to you, and if you are expected to pay a fee for testing codebooks, if allowed), and be ready to be tested.
services. Follow the test instructions you are given and represent
Have your test administered and your test results yourself honestly during the testing.
interpreted by appropriately trained individuals who Be familiar with and accept the consequences of not
follow a professional code of ethics. taking the test, should you choose not to take the test.
Know the consequences of taking or not taking the test, Inform appropriate person(s) (as specified to you by the
fully completing the test, or canceling the scores. You organization responsible for testing) if you believe that
may need to ask questions to learn these consequences. testing conditions affected your results.
Receive a written explanation of your test results Ask about the confidentiality of your test results, if this
within a reasonable amount of time after testing and aspect concerns you.
in commonly understood terms.
Present concerns, if you have any, about the testing pro-
Have your test results kept confidential to the extent cess or results immediately after the test.
allowed by law.
Present concerns about the testing process or your
results, and receive information about procedures that Adopted from the American Psychological Association Test
will be used to address such concerns. Takers Rights and Responsibilities

AHIMA EXAM APPLICATION CHECKLIST

Read Candidate Guide

Apply for exam
Submit all paperwork necessary (transcripts, resume, and other documentation)
Upon receipt of authorization to test (ATT), read it completely
Schedule exam with Pearson VUE
Verify what materials are needed at the testing center
Verify time and date of exam

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 9

SCHEDULING THE EXAMINATION
Authorization to Test (ATT) Letters For fast and easy scheduling, testing appointments may be
scheduled by logging in at pearsonvue.com/ahima. You may
After eligibility for the examination is approved, Pearson VUE
also call Pearson VUEs customer service number at (888)
will send the candidate an Authorization to Test (ATT) letter
by e-mail for those candidates with a valid e-mail address (see 5AHIMA2 (524-4622) (wait time may vary depending on
Appendix B). Letters will be mailed to those candidates without candidate volume). When scheduling an exam, candidates
a valid e-mail address. Candidates with an approved applica- should be prepared to provide the authorization number
tion will receive the ATT letter within five (5) business days. located in the ATT letter. After the exam is scheduled,
The ATT letter contains an authorization number, the eligibility candidates will receive information about the time and
period for testing, and instructions for scheduling an appoint- date of the exam, and a confirmation number. Candidates
ment. Candidates may only schedule their appointment within should keep a copy of this information for future reference.
their four-month eligibility window. The eligibility start date Directions to the testing center may be obtained by logging
and end date are provided in the ATT letter. on to pearsonvue.com. ATT letters are not required at the
testing center.
Scheduling an Appointment to Test
The testing appointment should be scheduled soon after receiv- Test Centers
ing the ATT letter. Scheduling an appointment early in the eligi- Test centers are available throughout the United States and
bility period increases the likelihood that the candidate can sit for internationally. A complete listing of test center locations in the
the exam at his or her optimal date and time. Space at the Pearson US, including addresses and driving directions may be found
VUE testing centers is limited and the availability of a testing on Pearson VUEs website: pearsonvue.com/ahima. Global test
seat is not guaranteed. Therefore, candidates who schedule their centers locations can be found by going to ahima.org/certifica-
exams in the latter part of their eligibility period run the risk of tion and click on the corresponding certification exam.
not sitting for the exam and forfeiting the exam fee. Before the day of the examination, please be sure the address
Before scheduling a testing appointment, be sure the name and directions to the test center are correct. If a candidate
on the eligibility letter is identical to the name on all forms of goes to the wrong test center on the day of the examination
identification being used. In the event of any errors or a name and cannot test, their exam fee will be forfeited and candidate
change, please contact Pearson VUE at (888) 524-4622. must re-apply and re-submit another application and fee.

APPOINTMENT CHANGES

Policy on Cancelling or Rescheduling Deadline Rescheduling Fee

AHIMAs policies about changing a testing appointment are Up to 15 business days before No charge
as follows: exam date
Candidates may cancel and reschedule the examination up to Between 14 business days and $30
15 days prior to the scheduled examination date at no charge. 24 hours prior to exam date
Any candidate who reschedules or cancels his or her No-shows Forfeit application fee
appointment between 14 days and 24 hours prior to the
exam date will be charged a penalty of $30 by Pearson
VUE. Rescheduling and payment must be completed
Refund Policy
using a valid credit card through pearsonvue.com/ Candidates can request a refund for their exam application up
ahima or by calling the Pearson VUE Call Center at to fourteen (14) business days prior to their scheduled test date
(888) 524-4622. or eligibility end date.
Candidates may not reschedule the examination less All appointments must be canceled through Pearson VUE
prior to the request for a refund.
than 24 hours prior to the examination appointment.
There is a $75 processing fee for all refund requests. Refunds
Candidates who do not arrive or who arrive late to their
will be credited back to the card that was used for payment.
scheduled exam appointment time will be considered
If payment was made with a check; a check will be issued and
no-shows and will forfeit their application fee. sent to the mailing address on file.
Candidates failing to appear for the scheduled Please allow two to four weeks for processing if paid with a
appointment or who are over 15 minutes late will not be credit card and up to six weeks if paid with a check.
allowed to test. A new application and the full
application fee must be submitted in order to test. Refunds will not be granted if requested after eligibility end date.

10 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

Penalties Any candidate that arrives to the testing center 15 min-
utes late after his or her scheduled appointment will not
Any candidate who reschedules or cancels his or her
be allowed to test and the exam fee will be forfeited.
appointment between 14 days and 24 hours prior to the
exam date will be charged a penalty of $30 by Pearson VUE. Any candidate who has requested a refund but has not
canceled his or her schedule appointment before the end of
Any candidate who does not bring the correct code
their eligibility end date will not be eligible for a refund.
books to the testing site will not be allowed to test and
the exam fee will be forfeited. Any candidate who shows up to the wrong testing location
will not be allowed to test and the exam fee will be forfeited.
Any candidate who does not bring the proper identifica-
tion to the testing site will not be allowed to test and the Any candidate who forfeited his/her exam and is still
exam fee will be forfeited. seeking to test will have to submit a new exam application
along with payment.

ELIGIBILITY EXTENSION FEE AND POLICY

Candidates may request an extension for their eligibility Phone: (800) 335-5535
period by following the policy outlined below: Fax: (312) 233-1413
1. First Request for an Extension$75
Note: Requests for an extension must be received no
(valid for 45 days)
later than 14 business days prior to the scheduled exam
2. Second and Final Request for an Extension$150 date or eligibility end date.
(valid for an additional 30 days)
2. If you already scheduled your exam date with Pearson
Note: No additional extension will be authorized. VUE, you must contact Pearson VUE at (888) 524-4622
Steps for Requesting an Extension: directly and cancel your exam appointment prior to
requesting an extension.
1. Complete and submit the Eligibility Extension Request
Form (form available on ahima.org/certification) along 3. You will be notified via e-mail (e-mail address required
with the required fee by: on form) once your request has been processed and
approved.
Mail:
Attn: Certification Department/Extensions
AHIMA
233 N. Michigan Ave., 21st Fl.
Chicago, IL 60601

PREPARING FOR THE EXAM

Tips for Success Know when and where the test will be given, appear on
time with any required materials (for example, valid
Read through the entire candidate guide.
identification and codebooks if allowed), and be ready
Visit AHIMAs exam preparation page at to be tested.
ahima.org/certification. You will be able to:
Please ensure that both forms of your identification
-- Review exam specifications meet the requirements posted on pearsonvue.com/
-- Review content outline ahima under On Examination Day.
-- Allow enough time to prepare for the exam.
Cramming is discouraged.

ON EXAMINATION DAY

Examination Procedures scheduled appointment. Candidates arriving at the test

center 15 minutes after the scheduled appointment will not
The Pearson VUE staff adheres to approved procedures to
be allowed to test and will forfeit the testing fee.
ensure the test center meets AHIMAs testing criteria. Please
review the following information prior to the testing date to When arriving at the test center, candidates will:
ensure familiarity with the procedures. Receive the Professional Examination Rules Agreement
Plan to arrive at the test center 30 minutes before the Submit two valid, correct forms of identification (ID)
AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 11
 Have their digital signature captured to verify that Public aid card
signatures match Temporary drivers license without proper paperwork
Have their palm vein pattern captured and photo identification
Have a photograph taken Temporary Social Security card without signature
Store belongings Video club membership card
Show reference materials for approval (when applicable) Traffic citation (arrest ticket)
Fishing or hunting license
A dry erase board will be provided to all candidates for use
during the examination. No scratch paper is allowed. AHIMA membership card
Without acceptable forms of ID, candidates will not be
Identification Requirements allowed to test and will forfeit the application fee. Pearson
To be allowed to test, candidates must present a primary VUE reserves the right to deny a candidate from taking
form of ID containing his or her signature and picture, and the exam if there is a question in regards to the validity of
a second form of ID showing their signature. The name on the ID(s).
the primary and secondary forms of ID must match the
To review the list of acceptable primary and secondary forms
name appearing on the ATT letter. of identification, please refer to pearsonvue.com/ahima.
Acceptable forms of primary ID must be valid and
nonexpired, and feature the candidates photograph and
Test Center Restrictions
signature. These include:
To ensure examination results for all candidates are earned under
Government-issued drivers licenses, including comparable conditions, it is necessary to maintain a standardized
temporary licenses with all required elements (refer to testing environment. Candidates must adhere to the following:
Unacceptable forms of Candidate Identification for an
exception when presented with a Texas drivers license For CCA, CCS, and CCS-P exams, candidates are required
that carries two expiration dates) to bring codebooks as indicated on the list of allowable
code books. (The list of allowable code for the CCA,
US Dept of State drivers license
CCS, and CCS-P are located on the AHIMA website).
US learners permit (plastic card only with photo and
signature) No reference or study materials may be brought into the
examination room.
National/state/country identification card
Code books with handmade tabs will not be allowed. Post-
Passport
It Notes and/or any loose materials are also not allowed.
Passport card Code books are for use on CCA, CCS, CCS-P exams only.
Military ID Documents or notes of any kind may not be removed
Military ID for spouses and dependents from the examination room. All computer screens,
Alien registration card paper, and written materials are the copyrighted
(green card, permanent resident visa) property of Pearson VUE and may not be reproduced
Government-issued local language ID in any form.
(plastic card with photo and signature) Candidates will not be allowed to take anything into the
examination room other than those items given to them
Acceptable forms of secondary ID must be valid and
by the administrator and their identification documents.
nonexpired, and feature the candidates signature.
These include: Prohibited items will not be allowed in the examina-
tion room. Prohibited items include, but are not lim-
Social Security card
ited to, the following: calculators, pagers, cell phones,
Debit/ATM card electronic digital devices (PDAs, watches, and the
Credit cards (must have a visible expiration date) like), recording or photographic devices, weapons,
Any form of ID on the primary list briefcases, computers or computer bags, and hand-
bags or purses. Candidates cannot bring in drinks or
The following are examples of unacceptable forms of ID: snacks of any kind.
Expired drivers license or expired passport Eating, drinking, and smoking are prohibited in the test
Library card center.
Marriage certificate Questions regarding the content of the examination may
Voters registration card not be asked of the test center administrator during the
Club membership card examination.

12 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

Security being suspected of doing so
All proprietary rights in the examinations, including copyrights Attempting to take the examination for someone else
and trade secrets, are held by AHIMA. In order to protect the Using notes, books, or other aids
integrity of the examinations and to ensure the validity of the
Removing or attempting to remove note paper from the
scores reported, candidates must adhere to strict guidelines
test center
regarding proper conduct in handling copyrighted proprietary
examinations. Any attempt to reproduce all or part of the Creating a disturbance or behaving in an abusive or
examinations, including, but not limited to, removing materials otherwise uncooperative manner
from the examination room, aiding others by any means
in reconstructing any portion of the examinations, selling, Cancellation Due to Bad Weather or
distributing, receiving or having unauthorized possession of any Other Emergencies
portion of the examinations, is strictly prohibited by law. Alleged
In the event of bad weather, a natural disaster, or another
copyright violations will be investigated and, if warranted,
emergency (for example, a test center power outage),
prosecuted to the fullest extent of the law. It should be noted that
Pearson VUE will determine whether circumstances
all examination scores may be invalidated in the event of this
warrant cancellation and rescheduling of examinations
type of suspected breach.
at a particular test center.
Candidates may not write on any examination materials
distributed by or belonging to AHIMA. Examinations will not be cancelled and rescheduled if
A candidate can be disqualified from taking or continuing to sit the test center administrator can open the test center.
for an examination, or from receiving examination results, Every attempt will be made to administer all
or the candidates scores might be cancelled, if Pearson VUE examinations as scheduled.
determines through proctor observation, statistical analysis, However, should examinations at a test center be cancelled,
and other evidence that the candidates score may not be all affected candidates will be contacted by Pearson VUE
valid or that the candidate was engaged in collaborative, about rescheduling their examinations.
disruptive, or other unacceptable behavior during the
administration of the examination. Medical or Personal Emergency
Test centers are continuously monitored by audio and video A medical or personal emergency is an unplanned event
surveillance equipment for security purposes. within three (3) days of the examination appointment that
prevents you from taking the exam will be taken into consid-
Misconduct eration. A medical or personal emergency may apply to you
or one of your immediate family member; spouse, child, or
Individuals who engage in the following conduct may be
parent as defined by the Family Medical Leave Act. Documen-
dismissed from the test center and their scores will not
tation (i.e. doctors note, emergency room forms, obituary)
be reported. Examples of misconduct include, but are not
showing why you could not take your exam will be required.
limited to:
Once all documentation is reviewed the candidate will be
Using electronic devices such as calculators, pagers, cell notified via e-mail with a decision. Please note, without the
phones, and tablets submission of proper documentation, refunds or extensions
Giving or receiving help during the examination or will not be granted and all exam fees will be forfeited.

AFTER THE EXAMINATION

Notification of Examination Results their exam. Once the passing mark has been determined,
exam results will be sent to candidates via regular mail.
After completing the examination and evaluation,
Newly credentialed professionals (if authorized) will ap-
candidates will be asked to report to the test center staff
pear on AHIMAs website at secure.ahima.org/certification/
to receive their score report.
newly_credentialed.aspx.
The score report will not include performance on pretest
questions, and these questions will not be used to
determine passing or failing. Candidates will receive their Confidentiality Procedures
results immediately upon completion of their exam. AHIMA and Pearson VUE have adopted policies and proce-
In the event a new exam format is introduced and the dures to protect the confidentiality of examination candidates.
passing mark has not been pre-established, exam candidates [AHIMA and Pearson VUE staff members will not discuss
will receive a test completion notice upon completion of pending examination applications with anyone but the candi-
date] and will not report scores by telephone, e-mail, or fax.

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 13

AHIMA and Pearson VUE will not release exam results to ADA application along paperwork will have to be resubmitted.
educational institutions unless authorized by the candidate. Candidates who are currently in their retest waiting period
are not authorized to schedule until a new authorization to
Validation of Scores test letter has been issued.
AHIMA and Pearson VUE are responsible for the validity AHIMA is not authorized to waive retest periods due to test
and integrity of the scores reported. Occasionally, computer security policies.
malfunctions or candidate misconduct may cause a score report For more information please visit ahima.org/certification.
to be suspect. AHIMA and Pearson VUE reserve the right to void
or withhold examination results if, upon investigation, violation
of AHIMAs regulations is discovered. Candidates are expected to Use of the Credential
fully cooperate with any investigation. Candidates who pass the examination will be authorized to
use RHIA, RHIT, CCA, CCS, CCS-P, CHDA, CHPS, CDIP, or
CHTS as applicable, following their name. AHIMA suggests
Release of Information the following guidelines when using credentials:
All individuals who successfully complete an examination
Academic degrees (for example, PhD, JD, and MBA) are
may be recognized for this achievement on AHIMAs website
listed closest to the last name.
(authorization by the candidate is required.) AHIMA and
Pearson VUE will not release scores to any other third party. General credentials (for example, RHIA and RHIT) follow
the academic degree. If there is no academic degree listed,
the certification credential follows the last name.
Certificates
The RHIT credential will be superseded once a
Candidates who pass the examination will receive a
candidate passes the RHIA exam.
certificate specifying the credential has been awarded.
AHIMAs certificate vendor will send the official certificate Specialty credentials and coding credentials (for example,
within two (2) months of passing the examination. The CHDA, CHP, CHS, CHPS, CCS, CCS-P, CCA, CDIP,
candidates name will appear on the certificate exactly as it and CHTS) follow the general credential.
appears on the candidates AHIMA profile. The CCA credential will be superseded once a candidate
Individuals seeking a replacement certificate because the origi- passes the CCS or CCS-P exam
nal was lost, stolen, destroyed, or the name on the certificate has Fellowship credentials (for example, FAHIMA) follow
changed, are required to complete the certificate replacement the specialty credential.
form. A form is available at ahima.org/certification/contact. Early testing candidates are not authorized to use their
If candidates do not receive their initial certificate, new credential until all requirements have been met and
certificates are free of charge only when requested within nine verified through AHIMA.
months. Once nine months have passed since the certification
date, candidates must pay the $35 fee for the certificate.
Registry
Once certified, candidates are added to the AHIMA
Examination Complaints registry. Certification status may be verified by employers,
Candidates are required to report any complaints at the test government agencies, and accrediting agencies. In addition,
center on the day of their examination. newly credentialed individuals are listed at: secure.ahima.
org/certification/newly_credentialed.aspx.
Because of the secure nature of the examination, neither
AHIMA nor Pearson VUE will disclose examination
questions or candidates responses to individual questions. Credential Verification
Certification status may be verified by employers,
Re-taking the Examination and Process government agencies, and accrediting agencies by
submitting a request by fax at (312) 233-1500, or e-mail at:
Candidates who have taken and failed an examination must
[email protected] and are processed within
wait a minimum of 90 days before your application will be
two to three business days. Requests must be submitted on
processed for the CDIP, CHDA, CHPS, and CCS-P, and 45
the company letterhead with the following information:
days for the CCA, CCS, CHTS, RHIA, and RHIT. To re-take
an examination, a candidate must resubmit a new application Requestors name and title
with the appropriate examination fee. Transcripts are kept on Certified professionals name
file and do not need to be resubmitted. Credential
ADA paperwork is also kept on file for three years from the Certified professionals current residence (city and state)
time of submission. Once the three years has passed a new

14 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX A
AHIMA Membership Application

qY
 es, please activate my AHIMA membership. By submitting my application I agree to abide by AHIMAs Code of Ethics.
To review the Code of Ethics, visit ahima.org/ethics

Last Name First Name Middle Initial Credential

Employer

Address q Home q Work

City State Zip Code Country

Home Phone

E-mail Address

Birthdate Last 4 digits of SSN

Membership Categories Payment Methods

Active MembershipIndividuals interested in the AHIMA q Check/Money Order Make checks payable to AHIMA.
purpose and willing to abide by the Code of Ethics. Active q Visa q MasterCard q American Express q Discover
members in good standing shall be entitled to all membership
privileges including the right to vote.
Card # Exp. Date
Student MembershipTo apply for student membership,
please visit ahima.org/join.
EmeritusMembershipIn recognition of service to the Signature Date

profession, current AHIMA members 65 and over are eligible

Component State Association (CSA)
for this member type.
Twenty percent (20%) of membership dues are reimbursed to the
Membership Categories CSA of your choice. CSA will be assigned based on your address
on this form. Please contact AHIMA if you would like to change
q Active . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $175 your assigned CSA. Some CSAs charge an additional assessment for
(plus the additional credential maintenance fee listed below when applicable)
membership.
q Emeritus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $60
There are 52 state associations, representing the 50 US states, the
District of Columbia, and Puerto Rico. For details on how to contact
Recertification Fees
your state association, visit ahima.org/csa.
q CCA, CCS, CCS-P, CDIP, CHDA, CHP, CHPS, CHS, CHTS,
PCS, RHIT, RHIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10 Dues Information
(any combination of these credentials only) Dues are not refundable and membership is not transferable. A
q Voluntary AHIMAFoundation Contribution . . . . . . . . . . . . $10 portion of your dues is allocated to a Journal of AHIMA subscription,
$10 for student members and $22 for all others. The Journal
Total
subscription rate is $100 per year. Members may not deduct the
subscription price from dues.
Membership dues prices are guaranteed through May 31, 2016. AHIMA dues are not deductible as a charitable contribution for
federal income tax purposes, but may be partially deductible as a
Are you interested in group membership options? Please contact business expense. AHIMA estimates that 5% of your dues payment
Erin Duvic at (312) 233-1123. is not deductible because of AHIMAs lobbying activities on behalf
of its members.

Remit to: AHIMA, Dept. 77-3081

Chicago, IL 60678-3081, or
Fax to: (312) 233-1500

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 15

 This page was intentionally left blank

16 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX B
Authorization to Test Letter

**PLEASE DO NOT RESPOND TO THIS E-MAIL**

Authorization to Test
You have been authorized to take a certification exam at a Pearson VUE testing center. Information on the
certification exam, the testing rules, and how to schedule your certification exam follows:

Authorized Candidate: John Doe

AHIMA Candidate ID: 1234567

Client Authorization ID: 891011 Pearson VUE Authorization ID: 223344556

Exam: CCS - Certified Coding Specialist

Number of Attempts Authorized: 1

Authorized Dates: 29 January 2013 29 May 2013

If any details of your authorization to test are incorrect, please contact AHIMA immediately at (800) 335-5535 or
Pearson VUE at 888-524-4622 prior to scheduling your examination. Please note that the name on both your primary
and secondary forms of identification must exactly match your name as printed on this ATT letter.

ADA APPLICANTS
If you were approved for ADA accommodations you will receive a confirmation email from AHIMA within 48 hours.
The confirmation email will provide the phone number you must use to schedule your AHIMA exam. ADA candidates
who do not schedule their exam through the proper channels will not receive their approved accommodations.

EXAMINATION DAY
You must be prepared to show two (2) valid, non-expired forms of personal identification. For more information on the
acceptable forms of identification, please visit www.pearsonvue.com/ahima. In addition, we ask that you arrive at the
testing center 30 minutes before your scheduled appointment time. This will provide adequate time to complete the
necessary sign-in procedures. If you arrive more than 15 minutes late for an examination you will be considered a no-
show and forfeit your exam fee.

CODE BOOK INFORMATION (FOR CCA, CCS, AND CCS-P EXAMS ONLY)
Please visit AHIMA's Certification website at www.ahima.org/certification prior to your testing date. Click "Exam
Name" for information for the exam that you are taking, then click Exam Preparation for the versions of the coding
books you're required to bring to the testing center for the exam.

RESCHEDULE AND CANCEL POLICY

If you wish to reschedule or cancel your exam appointment, you must do so at least one full business day (24 hours)
before the appointment via the Pearson VUE website or call center. Appointments must be rescheduled within the
authorized exam delivery period. All registrations with accommodations must be rescheduled or canceled through the
call center. If you cancel your exam appointment, you must also inform AHIMA and contact AHIMA regarding
refund policies. If you cancel or reschedule your appointment between 14 days and one full business day (24 hours)

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 17

APPENDIX B (continued)
Authorization to Test Letter

prior to your appointment time, you will be charged $30. If your request is made less than one full business day (24
hours) before your scheduled appointment time, or you fail to arrive for your appointment, you will be considered a
no-show and you will forfeit your exam fee.

REFUND POLICY
All refunds must be sent through AHIMA; Pearson VUE cannot process refunds for candidates. A cancellation of an
exam appointment does not constitute an exam refund. Please contact AHIMA at www.ahima.org/customersupport
for refunds.

To schedule this examination, follow the instructions below. Schedule early to obtain the date, time, and location of
your choice. Have your AHIMA candidate ID ready.

AFTER THE EXAM

After completing the examination and evaluation, candidates will be asked to report to the test center staff to receive
their score report or test completion notice. Candidates who pass the examination will receive a certificate specifying
that the credential has been awarded. The certificate will be mailed out within four (4) months of the examination.

INSTRUCTIONS FOR SCHEDULING YOUR APPOINTMENT

You may schedule the certification exam at a Pearson VUE testing center through the Pearson VUE Web site or by
calling the Pearson VUE Contact Center.

To schedule your certification exam on the Pearson VUE Website, go to this address:
http://www.pearsonvue.com/ahima
This Web site provides more information about certification exams, programs, and testing center locations.

To schedule your certification exam, first obtain a Pearson VUE Web account, username, and password. Follow
instructions on the Web site to create an account and register for the certification exam.

Once you set up your account, you can use it to review your exam information and also schedule, reschedule, and
cancel certification exams.

To schedule your certification exam or to get more information, you may contact the Pearson VUE Contact Center.
For a full listing of contact numbers please visit: http://www.pearsonvue.com/contact

You will be able to select a date and time within the authorized testing dates listed above, at a testing center of your
choice. Do not call the testing center directly. We encourage you to make an appointment soon, before all seats are
taken.

After scheduling the certification exam, you will be given instructions and sent a confirmation that includes
certification exam and appointment information, directions to the testing center, instructions on what to bring, and
other pertinent information.

www.pearsonvue.com

http://www.pearsonvue.com/legal/privacy/

18 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX C
Sample Pass Score Report

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 19

APPENDIX C (continued)
Sample Fail Score Report

20 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX D
Sample Test Completion Notice

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 21

APPENDIX E
Scale Scoring FAQs
1. What is a scaled score? 3. Does the use of scaled scoring change the number of
A scaled score is a conversion of a candidates raw score candidates who will pass the exam?
based on a scale of 100 to 400. The Commission on No. The change of scoring will not affect the rate of
Certification for Health Informatics and Information those who pass the exam. If a raw score would have
Management (CCHIIM) will administer the CCA, RHIA, passed or failed using the cold score reporting method,
and RHIT exams using multiple test forms. As such, each it will pass or fail using the scaled scoring method.
test form may have a different passing score to ensure the
difficulty level of each form is the same. To simplify the 4. What information will appear on my score report?
process of reporting scores, the CCA, RHIA, and RHIT Your score report will identify the passing score, your
exam will be calibrated on a scale of 100 to 400, and will score, and the results.
have a passing score of 300. Content categories will be listed by domain
Scaled scoring is a commonly used method for reporting along with the percentage of correct answers in
test scores among major allied health professional each domain.
organizations and is the currently adopted scoring If a candidate passes, the following information is
method for the SAT and GMAT. provided on the web:
2. How can I interpret my score? -- Certificate information
Candidates scores are converted to scaled scores so that -- Recertification information
a particular score corresponds to the same level of -- Membership information
achievement regardless of the form the examination takes. -- Exam scoring information
In other words, a score of 300 on a specific examination If a candidate fails, he or she will receive informa-
has the same meaning as a score of 300 on any form of tion on reapplying for the exam and exam scoring
the examination. This means the candidate will not be information.
penalized if the form of the examination taken is harder
than one given to another candidate.
Each domain of the exam is weighted differently, as shown
on the content outline available on the Certification
exams website and therefore cannot be average for a score.
Additionally, although it would appear that the passing
score of 300/400 equates to 75%, the passing score is
actually 300/400 based on our confidential scoring scale.

22 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX F
AHIMA Accommodations under the Americans with Disabilities Act (ADA)
Policies and Procedures
How to Request Test Accommodations for the What to Do:
Certification Examinations Read the AHIMA Disability Documentation Guidelines
The applicant must personally submit a written carefully and share them with the qualified professional
request. who will be providing supporting documentation for
Requests by a third party (such as an evaluator, employ- your request.
er, etc.) will not be considered. Complete the AHIMA Test Accommodation Request
If an applicant has a documented disability covered form
under the Americans with Disabilities Act (ADA) and Attach documentation of the disability and your need
ADA Amendments Act (ADAAA) and requires test for accommodation.
accommodations, he or she must notify AHIMA in Incomplete documentation will delay processing of
writing each time he or she requests accommodations. your request and exam application.
The request should indicate the nature of the disability
and the specific test accommodations needed.
A qualified professional must provide documentation
verifying the disability and explaining the test
accommodations that are needed.
Applicants will be notified in writing whether their
accommodation request has been approved.

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 23

APPENDIX G
Registered Health Information Administrator (RHIA) Examination
Content Outline
Number of Questions on Exam: B. Data Privacy, Confidentiality, and Security
180 multiple choice (160 scored/20 pretest) B1. Design policies and implement privacy practices to
Exam Time: 4 hoursAny breaks taken will count safeguard Protected Health Information
against your exam time B2. Design policies and implement security practices to
safeguard Protected Health Information
DOMAIN 1 B3. Investigate and resolve healthcare privacy and
Data Content, Structure & Standards security issues/breaches
(Information Governance) (1822%) C. Release of Information
Tasks: C1. Manage access, disclosure, and use of Protected
A. Classification Systems Health Information to ensure confidentiality
A1. Code diagnosis and procedures according to C2. Develop policies and procedures for uses and
established guidelines disclosures/redisclosures of Protected Health
Information
B. Health Record Content & Documentation
B1. Ensure accuracy and integrity of health data and
health record documentation (paper or electronic) DOMAIN 3
Informatics, Analytics & Data Use (2226%)
B2. Manage the contents of the legal health record
(structured and unstructured) Tasks:
B3. Manage the retention and destruction of the legal A. Health Information Technologies
health record A1. Implement and manage use of, and access to,
C. Data Governance technology applications
C1. Maintain data in accordance with regulatory A2. Evaluate and recommend clinical, administrative,
requirements and specialty service applications (e.g., financial
systems, electronic record, clinical coding)
C2. Develop and maintain organizational policies,
procedures, and guidelines for management of B. Information Management Strategic Planning
health information B1. Present data for organizational use (e.g.,
D. Data Management & Secondary Data Sources summarize, synthesize, and condense information)
D1. Manage health data elements and/or data sets C. Analytics & Decision Support
D2. Assist in the maintenance of the data dictionary C1. Filter and/or interpret information for the end
and data models for database design customer
D3. Manage and maintain databases (e.g., data C2. Analyze and present information to organizational
migration, updates) stakeholders
C3. Use data mining techniques to query and report
DOMAIN 2 from databases
Information Protection: Access, Disclosure, D. Healthcare Statistics
Archival, Privacy & Security (2327%) D1. Calculate healthcare statistics for organizational
Tasks: stakeholders
A. Health Law D2. Critically analyze and interpret healthcare statistics
A1. Maintain healthcare privacy and security training for organizational stakeholders (e.g., CMI)
programs E. Research Methods
A2. Enforce and monitor organizational compliance E1. Identify appropriate data sources for research
with healthcare information laws, regulations and F. Consumer Informatics
standards (e.g., audit, report and/or inform)

24 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX G (continued)
Registered Health Information Administrator (RHIA) Examination
Content Outline
F1. Identify and/or respond to the information needs of E1. Query physicians for appropriate documentation to
internal and external healthcare customers support reimbursement
F2. Provide support for end-user portals and personal E2. Educate and train clinical staff regarding
health records supporting documentation requirements
G. Health Information Exchange
G1. Apply data and functional standards to achieve DOMAIN 5
interoperability of healthcare information systems Leadership (1216%)
G2. Manage the health information exchange process Tasks:
entity-wide A. Leadership Roles
H. Information Integrity and Data Quality A1. Develop, motivate, and support work teams and/or
H1. Apply data/record storage principles and individuals (e.g., coaching, mentoring)
techniques associated with the medium (e.g., A2. Organize and facilitate meetings
paper-based, hybrid, electronic)
A3. Advocate for department, organization and/or
H2. Manage master person index (e.g., patient profession
record integration, customer/client relationship
B. Change Management
management)
B1. Participate in the implementation of new processes
H3. Manage merge process for duplicates and other
(e.g., systems, EHR, CAC)
errors entity-wide (e.g., validate data sources)
B2. Support changes in the organization (e.g., culture
changes, HIM consolidations, outsourcing)
DOMAIN 4
Revenue Management (1216%) C. Work Design & Process Improvement
C1. Establish and monitor productivity standards
Tasks:
C2. Analyze and design workflow processes
A. Revenue Cycle & Reimbursement
C3. Participate in the development and monitoring of
A1. Manage the use of clinical data required in
process improvement plans
reimbursement systems and prospective payment
systems (PPS) D. Human Resources Management
A2. Optimize reimbursement through management of D1. Perform human resource management activities
the revenue cycle (e.g., chargemaster maintenance, (e.g., recruiting staff, creating job descriptions,
DNFB, and AR days) resolving personnel issues)
B. Regulatory E. Training & Development
B1. Prepare for accreditation and licensing processes E1. Conduct training and educational activities (e.g.
[e.g. Joint Commission, Det Norske Veritas (DNV), HIM systems, coding, medical and institutional
Medicare, state regulators] terminology, documentation and regulatory
requirements)
B2. Process audit requests (e.g., RACs or other payors,
chart review) F. Strategic & Organizational Management
B3. Perform audits (e.g., chart review, POC) F1. Monitor industry trends and organizational needs
to anticipate changes
C. Coding
F2. Determine resource needs by performing analyses
C1. Manage and/or validate coding accuracy
(e.g., costbenefit, business planning)
D. Fraud Surveillance
F3. Assist with preparation of capital budget
D1. Participate in investigating incidences of medical
G. Financial Management
identity theft
G1. Assist in preparation and management of operating
E. Clinical Documentation Improvement

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 25

APPENDIX G (continued)
Registered Health Information Administrator (RHIA) Examination
Content Outline
and personnel budgets
G2. Assist in the analysis and reporting on budget
variances
H. Ethics
H1. Adhere to the AHIMA code of ethics
I. Project Management
I1. Utilize appropriate project management
methodologies
J. Vendor/Contract Management
J1. Evaluate and manage contracts (e.g., vendor,
contract personnel, maintenance)
K. Enterprise Information Management
K1. Develop and support strategic and operational
plans for entity-wide health information
management

26 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX H
Registered Health Information Technician (RHIT) Examination Content Outline

Number of Questions on Exam: DOMAIN 2

150 multiple-choice questions (130 scored/20 pretest) Coding (1620%)
Exam Time: 3.5 hoursAny breaks taken will count Tasks:
against your exam time 1. Apply all official current coding guidelines
2. Assign diagnostic and procedure codes based on
DOMAIN 1 health record documentation
Data Analysis and Management (1822%)
3. Ensure physician documentation supports coding
Tasks: 4. Validate code assignment
1. Abstract information found in health records (i.e.,
5. Abstract data from health record
coding, research, physician deficiencies, etc.)
6. Sequence codes
2. Analyze data (i.e., productivity reports, quality mea-
sures, health record documentation, case mix index, 7. Query physician when additional clinical
documentation is needed
3. M
 aintain filing and retrieval systems for health
records 8. Review and resolve coding edits (i.e. correct coding
initiative, outpatient code editor, NCD, LCD, etc.)
4. Identify anomalies in data
9. Review the accuracy of abstracted data
5. Resolve risks and/or anomalies of data findings
10. Assign POA (present on admission) indicators
6. M
 aintain the master patient index (i.e., enterprise
systems, merge/unmerge medical record numbers, etc.) 11. Provide educational updates to coders
7. Eliminate duplicate documentation 12. Validate grouper assignment (i.e. MS-DRG, APC, etc.)
8. Organize data into a useable format 13. Identify HAC (hospital acquired condition)
9. Review trends in data 14. Develop and manage a query process
10. Gather/compile data from multiple sources 15. Create standards for coding productivity and quality
11. Generate reports or spreadsheets (i.e., customize, 16. Develop educational guidelines for provider
create, etc.) documentation
12. Present data findings (i.e., study results, delinquencies, 17. Perform concurrent audits
conclusion/summaries, gap analysis, graphical
13. Implement workload distribution DOMAIN 3
14. Design workload distribution
Compliance (1418%)
15. Participate
 in the data management plan (i.e., Tasks:
determine data elements, assemble components, 1. Ensure patient record documentation meets state and
set time-frame) federal regulations
16. Input and/or submit data to registries 2. Ensure compliance with privacy and security guide-
17. Summarize findings from data research/analysis lines (HIPAA, state, hospital, etc.)
18. Follow data archive and backup policies 3. Control access to health information
19. Develop data management plan 4. Monitor documentation for completeness
20. Calculate healthcare statistics (i.e., occupancy rates, 5. Develop a coding compliance plan (i.e., current coding
length of stay, delinquency rates, etc) guidelines)
21. Determine validation process for data mapping 6. Manage release of information
22. Maintain data dictionaries 7. Perform continual updates to policies and procedures
8. Implement internal and external audit guidelines
9. Evaluate medical necessity (CDMPclinical
documentation management program)

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 27

APPENDIX H (continued)
Registered Health Information Technician (RHIT) Examination Content Outline

10. Collaborate with staff to prepare the organization for DOMAIN 5

accreditation, licensing, and/or certification surveys Quality (1014%)
11. Evaluate medical necessity (Outpatient services) Tasks:
12. Evaluate medical necessity (Data management) 1. Audit health records for content, completeness,
13. Responding to fraud and abuse accuracy, and timeliness
14. Evaluate medical necessity (ISSI (utilization review)) 2. Apply standards, guidelines, and/or regulations to
15. Develop forms (i.e., chart review, documentation, health records
EMR, etc.) 3. I mplement corrective actions as determined by audit
16. Evaluate medical necessity (Case management) findings (internal and external)
17. Analyze access audit trails 4. Design efficient workflow processes
18. Ensure valid healthcare provider credentials 5. Comply with national patient safety goals
6. Analyze standards, guidelines, and/or regulations to
DOMAIN 4 build criteria for audits
Information Technology (10-14%) 7. Apply process improvement techniques

Tasks: 8. Provide consultation to internal and external users of

health information on HIM subject matter
1. Train users on software
9. Develop reports on audit findings
2. Maintain database
10. Perform data collection for quality reporting (core
3. Set up secure access measures, PQRI, medical necessity, etc.)
4. Evaluate the functionality of applications 11. Use trended data to participate in performance im-
5. Create user accounts provement plans/initiatives
6. Trouble-shoot HIM software or support systems 12. Develop a tool for collecting statistically valid data
7. Create database 13. Conduct clinical pertinence reviews
8. Perform end user audits 14. Monitor physician credentials to practice in the facility
9. Participate in vendor selection
10. Perform end user needs analysis
11. Design data archive and backup policies
12. Perform system maintenance of software and systems
13. Create data dictionaries

28 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX H (continued)
Registered Health Information Technician (RHIT) Examination Content Outline

DOMAIN 6 DOMAIN 7
Legal (913%) Revenue Cycle (913%)
Tasks: Tasks:
1. Ensure confidentiality of the health records (paper 1. Communicate with providers to discuss documenta-
and electronic) tion deficiencies (i.e., queries)
2. Adhere to disclosure standards and regulations 2. Participate in clinical documentation improvement
(HIPAA privacy, HITECH Act, breach notifications, programs to ensure proper documentation of health
etc.) at both state and federal levels records
3. Demonstrate and promote legal and ethical standards 3. Collaborate with other departments on monitoring
of practice accounts receivable (i.e., unbilled, uncoded)
4. Maintain integrity of legal health record according to 4. Provide ongoing education to healthcare providers
organizational bylaws, rules and regulations (i.e., regulatory changes, new guidelines, payment
5. Follow state mandated and/or organizational record standards, best practices, etc)
retention and destruction policies 5. Identify fraud and abuse
6. Serve as the custodian of the health records (paper or 6. Assist with appeal letters in response to claim denials
electronic) 7. Monitor claim denials/over-payments to identify
7. Respond to Release of Information (ROI) requests potential revenue impact
from internal and external requestors 8. Prioritize the work according to accounts receivable,
8. Work with risk management department to provide patient type, etc.
requested documentation 9. Distribute the work according to accounts receivable,
9. Identify potential health record related risk manage- patient type, etc.
ment issues through auditing 10. Maintain the chargemaster
10. Respond to and process patient amendment requests 11. Ensure physicians are credentialed with different
to the health record payers for reimbursement
11. Facilitate basic education regarding the use of con-
sents, healthcare Power of Attorney, Advanced Direc-
tives, DNRs, etc.
12. Represent the facility in court related matters as it
applies to the health record (subpoenas, depositions,
court orders, warrants)

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 29

APPENDIX I
Certified Coding Associate (CCA) Examination Content Outline

Number of questions on exam: DOMAIN 3

100 multiple-choice questions (90 scored/10 pretest) Health Records and Data Content (1317%)
Exam Time: 2 hoursAny breaks taken will count Tasks:
against your exam time 1. Retrieve medical records
DOMAIN 1 2. Assemble medical records according to healthcare
Clinical Classification Systems (3034%) setting
Tasks: 3. Analyze medical records quantitatively for complete-
ness
1. Interpret healthcare data for code assignment
4. Analyze medical records qualitatively for deficiencies
2. Incorporate clinical vocabularies and terminologies
used in health information systems 5. Perform data abstraction
3. Abstract pertinent information from medical records 6. Request patient-specific documentation from other
sources (ancillary depts., physicians office, etc)
4. Consult reference materials to facilitate code assignment
7. Retrieve patient information from master patient
5. Apply inpatient coding guidelines
index
6. Apply outpatient coding guidelines
8. Educate providers in regards to health data standards
7. Apply physician coding guidelines
9. Generate reports for data analysis
8. Assign inpatient codes
9. Assign outpatient codes DOMAIN 4
10. Assign physician codes Compliance (1216%)
11. Sequence codes according to healthcare setting Tasks:
1. Identify discrepancies between coded data and
DOMAIN 2 supporting documentation
Reimbursement Methodologies (2125%) 2. Validate that codes assigned by provider or electronic
Tasks: systems are supported by proper documentation
1. Sequence codes for optimal reimbursement 3. Perform ethical coding
2. Link diagnoses and CPT codes according to payer 4. Clarify documentation through physician query
specific guidelines 5. Research latest coding changes
3. Assign correct DRG 6. Implement latest coding changes
4. Assign correct APC 7. Update fee/charge ticket based on latest coding
5. Evaluate NCCI edits changes
6. Reconcile NCCI edits 8. Educate providers on compliant coding
7. Validate medical necessity using LCD and NCD 9. Assist in preparing the organization for external
8. Submit claim forms audits
9. Communicate with financial departments
10. Evaluate claim denials
11. Respond to claim denials
12. Resubmit denied claim to the payer source
13. Communicate with the physician to clarify
documentation

30 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX I (continued)
Certified Coding Associate (CCA) Examination Content Outline

DOMAIN 5
Information Technologies (610%)
Tasks:
1. Navigate throughout the EHR
2. Utilize encoding and grouping software
3. Utilize practice management and HIM systems
4. Utilize CAC software that automatically assigns codes
based on electronic text
5. Validate the codes assigned by CAC software

DOMAIN 6
Confidentiality & Privacy (610%)
Tasks:
1. Ensure patient confidentiality
2. Educate healthcare staff on privacy and confidentiality
issues
3. Recognize and report privacy issues/violations
4. Maintain a secure work environment
5. Utilize pass codes
6. Access only minimal necessary documents/
information
7. Release patient-specific data to authorized individuals
8. Protect electronic documents through encryption
9. Transfer electronic documents through secure sites
10. Retain confidential records appropriately
11. Destroy confidential records appropriately

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 31

APPENDIX J
Certified Coding Specialist (CCS) Examination Content Outline
Number of Questions on exam: Procedure:
97 multiple-choice questions (79 scored/18 pretest) 1. Select the procedures that require coding according to
8 medical scenarios (6 scored/2 pretest) current coding and reporting requirements for acute
care (inpatient) services
Exam Time: 4 hoursAny breaks taken will count
against your exam time 2. Select the procedures that require coding according to
current coding and reporting requirements for outpa-
tient services
DOMAIN 1
Health Information Documentation (810%) 3. Interpret conventions, formats, instructional
notations, and definitions of the classification system
Tasks: and/or nomenclature to select procedures/services that
1. Interpret health record documentation using knowl- require coding
edge of anatomy, physiology, clinical indicators and 4. Sequence procedures according to notations and con-
disease processes, pharmacology and medical termi- ventions of the classification system/nomenclature and
nology to identify codeable diagnoses and/or proce- standard data set definitions (such as UHDDS)
dures
5. Apply the official ICD-10 procedure coding guidelines
2. Determine when additional clinical documentation is
6. Apply the official CPT/HCPCS Level II coding
needed to assign the diagnosis and/or procedure code(s)
guidelines
3. Consult with physicians and other healthcare provid-
ers to obtain further clinical documentation to assist
with code assignment DOMAIN 3
Regulatory Guidelines and Reporting
4. Compose a compliant physician query Requirements for Acute Care (Inpatient)
5. C
 onsult reference materials to facilitate code Service (68%)
assignment
Tasks:
6. Identify patient encounter type
1. Select the principal diagnosis, principal procedure,
7. Identify and post charges for healthcare services based complications, comorbid conditions, other diagno-
on documentation ses and procedures that require coding according to
UHDDS definitions and Coding Clinic
DOMAIN 2 2. Assign the present on admission (POA) indicators
Diagnosis & Procedure Coding (6468%)
3. Evaluate the impact of code selection on Diagnosis
Tasks: Related Group (DRG) assignment

Diagnosis: 4. Verify DRG assignment based on Inpatient Prospec-

tive Payment System (IPPS) definitions
1. Select the diagnoses that require coding according to
current coding and reporting requirements for acute 5. Assign and/or validate the discharge disposition
care (inpatient) services
2. Select the diagnoses that require coding according to
current coding and reporting requirements for outpa-
tient services
3. Interpret conventions, formats, instructional
notations, tables, and definitions of the classification
system to select diagnoses, conditions, problems, or
other reasons for the encounter that require coding
4. Sequence diagnoses and other reasons for encounter
according to notations and conventions of the classifi-
cation system and standard data set definitions (such
as Uniform Hospital Discharge Data Set [UHDDS])
5. Apply the official ICD-10-CM/PCS coding guidelines

32 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX J (continued)
Certified Coding Specialist (CCS) Examination Content Outline
DOMAIN 4 DOMAIN 6
Regulatory Guidelines and Reporting Information and Communication Technologies
Requirements for Outpatient Services (68%) (13%)
Tasks: Tasks:
1. Select the reason for encounter, pertinent secondary 1. Use computer to ensure data collection, storage,
conditions, primary procedure, and other procedures analysis, and reporting of information.
that require coding according to UHDDS definitions, 2. Use common software applications (for example, word
CPT Assistant, Coding Clinic, and HCPCS processing, spreadsheets, and e-mail) in the execution
2. Apply Outpatient Prospective Payment System (OPPS) of work processes
reporting requirements: 3. Use specialized software in the completion of
a. Modifiers HIM processes
b. CPT/HCPCS Level II
c. Medical necessity DOMAIN 7
d. Evaluation and Management code assignment Privacy, Confidentiality, Legal, and Ethical
(facility reporting) Issues (24%)
3. Apply clinical laboratory service requirements Tasks:
1. Apply policies and procedures for access and
DOMAIN 5 disclosure of personal health information
Data Quality and Management (24%) 2. Apply AHIMA Code of Ethics/Standards of
Ethical Coding
Tasks:
1. Assess the quality of coded data 3. Recognize and report privacy and/or security
concerns
2. Communicate with healthcare providers regarding
reimbursement methodologies, documentation rules, 4. Protect data integrity and validity using software or
and regulations related to coding hardware technology
3. Analyze health record documentation for quality and
completeness of coding DOMAIN 8
Compliance (24%)
4. Review the accuracy of abstracted data elements for
database integrity and claims processing Tasks:
5. Review and resolve coding edits such as Correct 1. Evaluate the accuracy and completeness of the patient
Coding Initiative (CCI), Medicare Code Editor (MCE) record as defined by organizational policy and exter-
and Outpatient Code Editor (OCE) nal regulations and standards
2. Monitor compliance with organization-wide health
record documentation and coding guidelines
3. Recognize and report compliance concerns

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 33

APPENDIX K
Certified Coding SpecialistPhysician-Based (CCS-P) Examination Content Outline
Number of Questions on Exam: Procedure:
97 multiple-choice questions (79 scored/18 pretest) 1. Interpret conventions, formats, instructional nota-
8 medical scenarios (6 scored/2 pretest) tions, and definitions of the classification system and/
Exam Time: 4 hoursAny breaks taken will count or nomenclature to select procedures/services that
against your exam time require coding
2. Select the procedures that require coding according
DOMAIN 1 to current reporting requirements for professional
Health Information Documentation (812%) services in any setting
3. Sequence procedures according to notations and
Tasks: conventions of the classification system/nomenclature
1. Interpret health record documentation using and standard data set definitions
knowledge of anatomy, physiology, clinical indicators
4. Apply the official CPT/HCPCS Level II coding
and disease processes, pharmacology and medical
guidelines
terminology to identify codeable diagnoses and/or
procedures
DOMAIN 3
2. Determine when additional clinical documentation
Regulatory Guidelines and Reporting
is needed to assign the diagnosis and/or procedure
Requirements for Outpatient Services (812%)
code(s)
3. Consult with physicians and other healthcare provid- Tasks:
ers to obtain further clinical documentation to assist 1. Select the reason for encounter, pertinent secondary
with code assignment conditions, primary procedure, and other procedures
4. C
 onsult reference materials to facilitate code that require coding according to CPT Assistant, Cod-
assignment ing Clinic, and HCPCS
5. Identify patient encounter type 2. Apply appropriate reporting requirements:
6. Identify and post charges for healthcare services based a. Modifiers
on documentation b. CPT/ HCPCS Level II
c. Evaluation and Management code assignment
DOMAIN 2 3. Validate medical necessity for appropriate
Diagnosis and/or Procedure Coding (6064%) relationships between diagnosis and coded
procedures/services
Tasks:
Diagnosis: DOMAIN 4
1. Interpret conventions, formats, instructional nota- Data Quality and Management (57%)
tions, tables, and definitions of the classification sys-
tem to select diagnoses, conditions, problems, or other Tasks:
reasons for the encounter that require coding 1. Review the results of aggregate coded data as required
2. Select the diagnoses that require coding according to 2. Communicate with healthcare providers regarding
current coding and reporting requirements for outpa- reimbursement methodologies, documentation rules,
tient services and regulations related to coding
3. Sequence diagnoses and other reasons for encounter 3. Analyze health record documentation for quality and
according to notations and conventions of the classifi- completeness of coding
cation system and standard data set definitions 4. Review the accuracy of abstracted data elements for
4. Apply the official ICD-10-CM coding guidelines database integrity and claims processing
5. Resolve coding edits such as National Correct Coding
Initiative (NCCI)

34 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX K (continued)
Certified Coding SpecialistPhysician-Based (CCS-P) Examination Content Outline
DOMAIN 5
Information and Communication Technologies
(24%)
Tasks:
1. Use computer and mobile devices (tablet, hand-held,
etc.) to ensure data collection, storage, analysis, and
reporting of information
2. Use common software and web-based applications in
the execution of work processes
3. Use specialized software in the completion of HIM
processes

DOMAIN 6
Privacy, Confidentiality, Legal, and Ethical
Issues (46%)
Tasks:
1. Apply policies and procedures for access and
disclosure of protected health information
2. Apply AHIMA Code of Ethics/Standards of Ethical
Coding
3. Report privacy and/or security concerns
4. Protect data integrity and validity using software or
hardware technology

DOMAIN 7
Compliance (35%)
Tasks:
1. Evaluate the accuracy and completeness of the patient
record as defined by organizational policy and exter-
nal regulations and standards
2. Monitor compliance with organization-wide coding
guidelines
3. Report compliance concerns

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 35

APPENDIX L
Certified Health Data Analyst (CHDA) Examination Content Outline
Number of Questions on Exam: DOMAIN 3
150 multiple-choice (130 scored/20 pretest) Data Reporting (2933%)
Exam Time: 3.5 hoursAny breaks taken will count Tasks:
against your exam time 1. Design metrics and criteria to meet the end users needs
through the collection and interpretation of data
DOMAIN 1 2. Generate routine and ad-hoc reports using internal
Data Management (3034%) and external data sources to complete data requests
Tasks: 3. Present information in a concise, user-friendly format
1. Assist in the development and maintenance of the by determining target audience needs to support deci-
data architecture and model to provide a foundation sion processes
for database design that supports the business needs 4. Provide recommendations based on analytical results
2. E
 stablish uniform definitions of data captured in to improve business processes or outcomes
source systems to create a reference tool (data diction-
ary)
3. Formulate validation strategies and methods (i.e.,
system edits, reports, and audits) to ensure accurate
and reliable data
4. E
 valuate existing data structures using data tables and
field mapping to develop specifications that produce
accurate and properly reported data
5. I ntegrate data from internal or external sources in
order to provide data for analysis and/or reporting
6. Facilitate the update and maintenance of tables for
organizations information systems in order to ensure
the quality and accuracy of the data

DOMAIN 2
Data Analytics (3539%)
Tasks:
1. Analyze health data using appropriate testing meth-
ods to generate findings for interpretation
2. I nterpret analytical findings by formulating recom-
mendations for clinical, financial, and operational
processes
3. Validate results through qualitative and quantitative
analyses to confirm findings

36 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX M
Certified in Healthcare Privacy and Security (CHPS) Examination Content Outline
Number of Questions on Exam: 8. Establish a preventative program to detect, prevent
150 multiple-choice (125 scored/25 pretest) and mitigate privacy/security breaches
Exam Time: 3.5 hoursAny breaks taken will count 9. Recommend appropriate de-identification
against your exam time methodologies
10. Verify that requesters of protected information are
DOMAIN 1 authorized and permitted to receive the protected
Ethical, Legal, and Regulatory Issues/ information (subpoena, court orders, search warrants)
Environmental Assessment (2327%) 11. Define HIPAA-designated record sets for the organi-
zation in order to appropriately respond to a request
Tasks: for release of information
1. Serve as a resource (provide guidance) to your orga-
12. Identify information and record sets requiring special
nization regarding privacy and security laws, regula-
privacy protections
tions, and standards of accreditation agencies to help
interpret and apply the standards 13. Recommend, review and approve protocols to verify
identity and access rights of recipients/users of health
2. Demonstrate privacy and security compliance with
information
documentation, production, and retention as required
by State and Federal law as well as accrediting agencies 14. Establish, maintain, and ensure the distribution pro-
cess of the organizations Notice of Privacy Practices
3. Identify responsibilities as a privacy officer and/or
security officer 15. Establish and maintain operational systems to receive,
process, and document requests for patients rights as
outlined in the Notice of Privacy Practices
DOMAIN 2
Program Management and Administration
(2327%) DOMAIN 3
Information Technology/Physical and Technical
Tasks: Safeguards (2327%)
1. Create, document, and communicate information to in-
clude but not limited to minimum necessary protocols Tasks:
1. Participate in the development and verify mainte-
2. Manage contracts and business associate relationships
nance of the inventory of software, hardware, and all
and secure appropriate agreements related to privacy
information assets to protect information assets and
and security (e.g., BAA, SLA, etc.)
to facilitate risk analysis
3. Evaluate and monitor facility security plan to safe-
2. Participate in business continuity planning for
guard unauthorized physical access to information
planned downtime and contingency planning for
and prevent theft or tampering
emergencies and disaster recovery
4. Develop, deliver, evaluate and document training and
3. P
 articipate in evaluation, selection, and implementa-
awareness on information privacy and security to
tion of information privacy and security solutions
provide an informed workforce
4. I mplement a systematic process to evaluate risk to and
5. W
 ork with appropriate organization officials to verify
criticalities of information systems which contain PHI
that information used or disclosed for research com-
plies with organizational policies and procedures and 5. Participate in media control practices that govern
applicable privacy regulations the receipt, removal, re-use, or disposal (internal and
external destruction) of any media or devices contain-
6. Assess, recommend, revise, and communicate changes
ing sensitive data
to organizational policies, procedures, and practices
related to privacy and security 6. Assess and monitor physical security mechanisms to
limit the access of unauthorized personnel to facilities,
7. A
 ssess and communicate risks and ramifications of
equipment and information
privacy and security incidents, including those by
business associates 7. Establish reasonable safeguards to reduce incidental
disclosures and prevent privacy breaches

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 37

APPENDIX M (continued)
Certified in Healthcare Privacy and Security (CHPS) Examination Content Outline
8. Participate in the development and management of 7. Coordinate mitigation efforts
the organizations information security plan 8. D
 evelop policy and procedure for breach notification
9. Participate in the organizational risk analysis plan to (federal)
identify threats and vulnerabilities 9. Educate workforce on reporting requirements for
10. Monitor compliance with the security policies and breach notification (federal)
ensure compliance with technical, physical, and 10. Perform risk assessment for breach notification
administrative safeguards (federal)
11. Establish internal policies, procedures and rules to 11. Notify appropriate individuals/agencies/media within
protect information and participate in development time frame for breach notification (federal)
of guidelines, procedures and controls to ensure the
12. Maintain the appropriate documentation for breach
integrity, availability and confidentiality of communi-
notification (federal)
cation across networks
12. Ensure appropriate technologies are used to protect
information received from or transmitted to external
users
13. Advocate the use of event triggering to identify abnor-
mal conditions within a system (e.g. intrusion detec-
tion, denial of service, and invalid log-on attempts).
14. Establish and manage facilitate process for verifying
and controlling access authorizations, authentication
mechanisms, and privileges including emergency access
15. Evaluate the use of encryption for protected health
information and other sensitive data

DOMAIN 4
Investigation, Compliance, and Enforcement
(2327%)
Tasks:
1. Monitor and assess compliance with state and federal
laws and regulations related to privacy and security to
update organizational practices, policies, procedures
and training of workforce
2. Coordinate the organizations response to inquiries
and investigations from external entities relating to
privacy and security to provide response consistent
with organizational policies and procedures
3. Develop performance measures and reports to moni-
tor and improve organizational performance and
report to appropriate organizational body
4. Enforce privacy and security policies, procedures, and
guidelines to facilitate compliance with federal, state,
and other regulatory or accrediting bodies
5. Monitor access to protected health information
6. Establish an incident/complaint investigation
response, develop response plan, and identify team
members to respond to a privacy or security incident

38 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

APPENDIX N
Certified Documentation Improvement Practitioner (CDIP) Examination
Content Outline
Number of questions on exam: DOMAIN 3
140 multiple-choice (106 scored/34 pretest) Record Review & Document Clarification
(2428%)
Exam Time: 3 hoursAny breaks taken will count
against your exam time Tasks:
1. Identify opportunities for documentation improve-
DOMAIN 1 ment by ensuring that diagnoses and procedures are
Clinical Coding Practice (2226%) documented to the highest level of specificity
Tasks: 2. Query providers in an ethical manner to avoid poten-
tial fraud and/or compliance issues
1. Use reference resources for code assignment
3. Formulate queries to providers to clarify conflicting
2. Identify the principal and secondary diagnoses in
diagnoses
order to accurately reflect the patients hospital course
4. Ensure provider query response is documented in the
3. Use coding software
medical record
4. Assign and sequence ICD-10-CM/PCS codes
5. Formulate queries to providers to clarify the clinical
5. Use coding conventions significance of abnormal findings identified in the
6. Display knowledge of Payer requirements for record
appropriate code assignment (e.g., CMS, APR, APG) 6. Track responses to queries and interact with providers
7. Assign appropriate DRG codes to obtain query responses
8. Communicate with the coding/HIM staff to resolve 7. Interact with providers to clarify POA
discrepancies between the working and final DRGs 8. I dentify post-discharge query opportunities that will
9. Participate in educational sessions with staff to discuss affect SOI, ROM and ultimately, case weight
infrequently encountered 9. Collaborate with the case management and utilization
10. Assign CPT and/or HCPCS codes review staff to affect change in documentation
11. Communicate with coding/HIM staff to resolve 10. Interact with providers to clarify HAC
discrepancies in documentation for CPT assignment 11. I nteract with providers to clarify the documentation
of core measures
DOMAIN 2 12. Interact with providers to clarify PSI
Leadership (1722%)
13. Determine facility requirements for documentation
Tasks: of query responses in the record to establish official
1. Maintain affiliation with professional organizations policy and procedures related to CDI query activities
devoted to the accuracy of diagnosis coding and reporting 14. Develop policies regarding various stages of the query
2. Promote CDI efforts throughout the organization process and time frames to avoid compliance risk
3. Foster working relationship with CDI team members
for reconciliation of queries
4. Establish a chain of command for resolving unan-
swered queries
5. Develop documentation improvement projects
6. Collaborate with physician champions to promote
CDI initiatives
7. Establish consequences for noncompliance to queries or
lack of responses to queries in collaboration with providers
8. D
 evelop CDI policies & procedures in accordance
with AHIMA practice briefs

AHIMA CERTIFICATION CANDIDATE GUIDE Updated March 3, 2016 39

APPENDIX N (continued)
Certified Documentation Improvement Practitioner (CDIP) Examination
Content Outline
DOMAIN 4 6. Develop educational materials to facilitate documen-
CDI Metrics & Statistics (1418%) tation that supports severity of illness, risk of mortal-
ity, and utilization of resources
Tasks:
7. Research and adapts successful best practices within
1. Track denials and documentation practices to avoid the CDI specialty that could be utilized at ones own
future denials organization
2. Trend and track physician query response
3. Track working DRG (CDS) and coder final code DOMAIN 6
4. Perform quality audits of CDI content to ensure Compliance (48%)
compliance with institutional policies and procedures
Tasks:
or national guidelines
1. Apply AHIMA best practices related to CDI activities
5. Trend and track physician query content
2. Apply regulations pertaining to CDI activities
6. Trend and track physician and query provider
3. Consult with compliance and HIM department re-
7. Trend and track physician query volume
garding legal issues surrounding CDI efforts
8. M
 easure the success of the CDI program through
4. Monitor changes in the external regulatory environ-
dashboard metrics
ment in order to maintain compliance with all ap-
9. Track data for physician benchmarking and trending plicable agencies
10. Compare institution with external institutional 5. Educate the appropriate staff on the clinical documen-
benchmarks tation improvement program including accurate and
11. Track data for CDI benchmarking and trending ethical documentation practices
12. Track data for specialty benchmarking and trending 6. Develop educational materials to facilitate documen-
13. Use CDI data to adjust departmental workflow tation that supports severity of illness, risk of mortal-
ity, and utilization of resources
7. Research and adapt successful best practices within
DOMAIN 5
the CDI specialty that could be utilized at ones own
Research & Education (1115%)
organization
Tasks:
1. Articulate the implications of accurate coding
2. Educate providers and other members of the health-
care team about the importance of the documentation
improvement program and the need to assign diag-
noses and procedures when indicated, to their highest
level of specificity
3. A
 rticulate the implications of accurate coding with
respect to research, public health reporting, case man-
agement, and reimbursement
4. Monitor changes in the external regulatory
environment in order to maintain compliance with all
applicable agencies
5. Educate the appropriate staff on the clinical documen-
tation improvement program including accurate and
ethical documentation practices

40 Updated March 3, 2016 AHIMA CERTIFICATION CANDIDATE GUIDE

Change History
Date Change
3/2/2016 Corrected pagination, grammatical errors, cosmetic updates, fixed broken links, created revision date footers,
changed 91 day waiting period to 45 days for CCA and CCS exams.

Updated March 3, 2016

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Updated March 3, 2016 Updated March 3, 2016