CAHIMS - CERTIFIED ASSOCIATE IN HEALTHCARE INFORMATION & MANAGEMENT
SYSTEMS VERIFIED EXAM SOLUTIONS - COMPREHENSIVE QUESTIONS AND ANSWERS -
CURRENT VERSION (2026/2027)
1. Q: What does HIPAA stand for? ANSWER Health Insurance Portability
and Accountability Act
2. Q: What year was HIPAA enacted? ANSWER 1996
3. Q: What are the three main rules under HIPAA? ANSWER Privacy
Rule, Security Rule, and Breach Notification Rule
4. Q: What is PHI? ANSWER Protected Health Information - any
individually identifiable health information
5. Q: What is the maximum civil penalty per HIPAA violation under the
HITECH Act? ANSWER $1.5 million per year for each violation
6. Q: What does EHR stand for? ANSWER Electronic Health Record
7. Q: What is the difference between an EHR and an EMR? ANSWER
EHR is designed to be shared across organizations; EMR is used within a single
organization
8. Q: What does HIE stand for? ANSWER Health Information Exchange
9. Q: What are the three main types of HIE architectures? ANSWER
Centralized/consolidated, federated/decentralized, and hybrid
10. Q: What is the purpose of a Notice of Privacy Practices? ANSWER To
inform patients how their health information may be used and disclosed
11. Q: What is the minimum necessary standard? ANSWER Using or
disclosing only the minimum PHI necessary to accomplish the intended purpose
12. Q: What constitutes a HIPAA breach? ANSWER Unauthorized
acquisition, access, use, or disclosure of PHI that compromises security or
privacy
,13. Q: What is a Business Associate Agreement (BAA)? ANSWER A
contract ensuring business associates protect PHI according to HIPAA
requirements
14. Q: What does CMS stand for? ANSWER Centers for Medicare &
Medicaid Services
15. Q: What is the purpose of The Joint Commission? ANSWER To
accredit and certify healthcare organizations and programs
16. Q: What does ICD stand for? ANSWER International Classification of
Diseases
17. Q: What is the current version of ICD used in the U.S.? ANSWER
ICD-10-CM (Clinical Modification) and ICD-10-PCS (Procedure Coding
System)
18. Q: What does CPT stand for? ANSWER Current Procedural
Terminology
19. Q: Who maintains the CPT code set? ANSWER American Medical
Association (AMA)
20. Q: What is SNOMED CT? ANSWER Systematized Nomenclature of
Medicine - Clinical Terms, a comprehensive clinical terminology
21. Q: What does LOINC stand for? ANSWER Logical Observation
Identifiers Names and Codes
22. Q: What is LOINC primarily used for? ANSWER Identifying
laboratory and clinical observations
23. Q: What is RxNorm? ANSWER A standardized nomenclature for clinical
drugs
24. Q: What does ACO stand for? ANSWER Accountable Care
Organization
25. Q: What is the primary goal of an ACO? ANSWER To coordinate care
and improve quality while reducing costs
26. Q: What does PCMH stand for? ANSWER Patient-Centered Medical
Home
27. Q: What is value-based care? ANSWER Healthcare delivery model
where providers are paid based on patient health outcomes
, 28. Q: What does MACRA stand for? ANSWER Medicare Access and
CHIP Reauthorization Act
29. Q: What are the two MACRA payment tracks? ANSWER MIPS
(Merit-based Incentive Payment System) and Advanced APMs (Alternative
Payment Models)
30. Q: What is a bundled payment? ANSWER A single payment for all
services related to a treatment or condition over a period
31. Q: What does DRG stand for? ANSWER Diagnosis-Related Group
32. Q: What is the purpose of DRGs? ANSWER To classify hospital cases
for payment purposes under Medicare
33. Q: What is meaningful use? ANSWER The use of certified EHR
technology to improve quality, safety, and efficiency
34. Q: How many stages of Meaningful Use were there? ANSWER Three
stages
35. Q: What replaced Meaningful Use? ANSWER Promoting
Interoperability (part of MIPS)
36. Q: What does ONC stand for? ANSWER Office of the National
Coordinator for Health Information Technology
37. Q: What is the role of ONC? ANSWER To coordinate nationwide efforts
to implement health IT and health information exchange
38. Q: What is a Regional Health Information Organization (RHIO)?
ANSWER An organization that facilitates health information exchange among
stakeholders in a region
39. Q: What does CCDA stand for? ANSWER Consolidated Clinical
Document Architecture
40. Q: What is the purpose of CCDA? ANSWER To provide a standard for
exchanging clinical documents
41. Q: What is telehealth? ANSWER The use of electronic communications
to provide healthcare services remotely
42. Q: What is the difference between telehealth and telemedicine?
ANSWER Telehealth is broader, including education and administration;
telemedicine focuses on clinical services
SYSTEMS VERIFIED EXAM SOLUTIONS - COMPREHENSIVE QUESTIONS AND ANSWERS -
CURRENT VERSION (2026/2027)
1. Q: What does HIPAA stand for? ANSWER Health Insurance Portability
and Accountability Act
2. Q: What year was HIPAA enacted? ANSWER 1996
3. Q: What are the three main rules under HIPAA? ANSWER Privacy
Rule, Security Rule, and Breach Notification Rule
4. Q: What is PHI? ANSWER Protected Health Information - any
individually identifiable health information
5. Q: What is the maximum civil penalty per HIPAA violation under the
HITECH Act? ANSWER $1.5 million per year for each violation
6. Q: What does EHR stand for? ANSWER Electronic Health Record
7. Q: What is the difference between an EHR and an EMR? ANSWER
EHR is designed to be shared across organizations; EMR is used within a single
organization
8. Q: What does HIE stand for? ANSWER Health Information Exchange
9. Q: What are the three main types of HIE architectures? ANSWER
Centralized/consolidated, federated/decentralized, and hybrid
10. Q: What is the purpose of a Notice of Privacy Practices? ANSWER To
inform patients how their health information may be used and disclosed
11. Q: What is the minimum necessary standard? ANSWER Using or
disclosing only the minimum PHI necessary to accomplish the intended purpose
12. Q: What constitutes a HIPAA breach? ANSWER Unauthorized
acquisition, access, use, or disclosure of PHI that compromises security or
privacy
,13. Q: What is a Business Associate Agreement (BAA)? ANSWER A
contract ensuring business associates protect PHI according to HIPAA
requirements
14. Q: What does CMS stand for? ANSWER Centers for Medicare &
Medicaid Services
15. Q: What is the purpose of The Joint Commission? ANSWER To
accredit and certify healthcare organizations and programs
16. Q: What does ICD stand for? ANSWER International Classification of
Diseases
17. Q: What is the current version of ICD used in the U.S.? ANSWER
ICD-10-CM (Clinical Modification) and ICD-10-PCS (Procedure Coding
System)
18. Q: What does CPT stand for? ANSWER Current Procedural
Terminology
19. Q: Who maintains the CPT code set? ANSWER American Medical
Association (AMA)
20. Q: What is SNOMED CT? ANSWER Systematized Nomenclature of
Medicine - Clinical Terms, a comprehensive clinical terminology
21. Q: What does LOINC stand for? ANSWER Logical Observation
Identifiers Names and Codes
22. Q: What is LOINC primarily used for? ANSWER Identifying
laboratory and clinical observations
23. Q: What is RxNorm? ANSWER A standardized nomenclature for clinical
drugs
24. Q: What does ACO stand for? ANSWER Accountable Care
Organization
25. Q: What is the primary goal of an ACO? ANSWER To coordinate care
and improve quality while reducing costs
26. Q: What does PCMH stand for? ANSWER Patient-Centered Medical
Home
27. Q: What is value-based care? ANSWER Healthcare delivery model
where providers are paid based on patient health outcomes
, 28. Q: What does MACRA stand for? ANSWER Medicare Access and
CHIP Reauthorization Act
29. Q: What are the two MACRA payment tracks? ANSWER MIPS
(Merit-based Incentive Payment System) and Advanced APMs (Alternative
Payment Models)
30. Q: What is a bundled payment? ANSWER A single payment for all
services related to a treatment or condition over a period
31. Q: What does DRG stand for? ANSWER Diagnosis-Related Group
32. Q: What is the purpose of DRGs? ANSWER To classify hospital cases
for payment purposes under Medicare
33. Q: What is meaningful use? ANSWER The use of certified EHR
technology to improve quality, safety, and efficiency
34. Q: How many stages of Meaningful Use were there? ANSWER Three
stages
35. Q: What replaced Meaningful Use? ANSWER Promoting
Interoperability (part of MIPS)
36. Q: What does ONC stand for? ANSWER Office of the National
Coordinator for Health Information Technology
37. Q: What is the role of ONC? ANSWER To coordinate nationwide efforts
to implement health IT and health information exchange
38. Q: What is a Regional Health Information Organization (RHIO)?
ANSWER An organization that facilitates health information exchange among
stakeholders in a region
39. Q: What does CCDA stand for? ANSWER Consolidated Clinical
Document Architecture
40. Q: What is the purpose of CCDA? ANSWER To provide a standard for
exchanging clinical documents
41. Q: What is telehealth? ANSWER The use of electronic communications
to provide healthcare services remotely
42. Q: What is the difference between telehealth and telemedicine?
ANSWER Telehealth is broader, including education and administration;
telemedicine focuses on clinical services
