CAHIMS - CERTIFIED ASSOCIATE IN HEALTHCARE INFORMATION & MANAGEMENT
SYSTEMS EXAM READY - VERIFIED QUESTIONS AND ANSWERS - COMPREHENSIVE LATEST
VERSION (2026/2027)
1. What is the primary purpose of HIPAA?
• A) To reduce healthcare costs
• B) To protect patient health information privacy and security
• C) To standardize medical procedures
• D) To regulate insurance companies
ANSWER : B - HIPAA (Health Insurance Portability and Accountability Act)
primarily aims to protect the privacy and security of patient health information.
2. Which organization accredits hospitals in the United States?
• A) CMS
• B) FDA
• C) The Joint Commission
• D) AHRQ
ANSWER : C - The Joint Commission is the primary accrediting body for
hospitals and healthcare organizations in the U.S.
3. What does ACO stand for?
• A) Accountable Care Organization
• B) Acute Care Operations
• C) Advanced Clinical Outcomes
• D) Associated Clinical Officers
ANSWER : A - Accountable Care Organization is a group of healthcare
providers who work together to provide coordinated care.
4. The Stark Law primarily addresses:
• A) Patient privacy
, • B) Physician self-referral
• C) Medical malpractice
• D) Drug pricing
ANSWER : B - The Stark Law prohibits physician self-referral for certain
designated health services.
5. What is the purpose of a Health Information Exchange (HIE)?
• A) To sell patient data
• B) To facilitate secure sharing of patient information across organizations
• C) To replace EHR systems
• D) To manage hospital billing
ANSWER : B - HIEs enable secure electronic sharing of health information
across different healthcare organizations.
6. Which reimbursement model pays providers based on quality rather
than quantity?
• A) Fee-for-service
• B) Capitation
• C) Value-based care
• D) Per diem
ANSWER : C - Value-based care compensates providers based on patient
health outcomes and quality metrics.
7. What does MACRA stand for?
• A) Medical Access and Care Reform Act
• B) Medicare Access and CHIP Reauthorization Act
• C) Managed Acute Care Regulation Act
• D) Medical Accountability and Compliance Reform Act
ANSWER : B - Medicare Access and CHIP Reauthorization Act reformed
Medicare payment systems.
8. The Triple Aim framework focuses on:
• A) Cost, quality, and access
, • B) Population health, patient experience, and cost
• C) Prevention, treatment, and recovery
• D) Diagnosis, treatment, and follow-up
ANSWER : B - The Triple Aim focuses on improving population health,
enhancing patient experience, and reducing costs.
9. What is the primary function of CMS?
• A) Certifying medical professionals
• B) Administering Medicare and Medicaid programs
• C) Accrediting hospitals
• D) Developing medical devices
ANSWER : B - Centers for Medicare & Medicaid Services administers federal
healthcare programs.
10. Which type of healthcare organization operates on a prepaid basis?
• A) PPO
• B) HMO
• C) ACO
• D) MSO
ANSWER : B - Health Maintenance Organizations operate on a prepaid,
managed care basis.
11. What is the primary goal of care coordination?
• A) Reducing administrative costs
• B) Organizing patient care activities and information sharing
• C) Eliminating specialist referrals
• D) Standardizing treatment protocols
ANSWER : B - Care coordination ensures proper organization of patient care
activities and information sharing among providers.
12. HITECH Act primarily promoted:
• A) Telemedicine services
• B) Electronic health record adoption
, • C) Drug safety
• D) Medical device regulation
ANSWER : B - The HITECH Act incentivized the adoption and meaningful
use of electronic health records.
13. What does ICD-10 classify?
• A) Medical procedures
• B) Diseases and health conditions
• C) Medications
• D) Medical devices
ANSWER : B - ICD-10 (International Classification of Diseases) is used to
code and classify diseases and health conditions.
14. Patient-centered medical home (PCMH) emphasizes:
• A) Hospital-based care only
• B) Coordinated, comprehensive primary care
• C) Specialist-driven treatment
• D) Emergency services
ANSWER : B - PCMH focuses on coordinated, comprehensive, patient-
centered primary care.
15. What is a bundled payment?
• A) Payment for individual services
• B) Single payment for all services related to a treatment or condition
• C) Monthly subscription fee
• D) Payment based on hospital days
ANSWER : B - Bundled payments provide a single payment covering all
services for a specific treatment or condition.
16. Which act requires hospitals to treat emergency patients regardless of
ability to pay?
• A) HIPAA
• B) EMTALA
SYSTEMS EXAM READY - VERIFIED QUESTIONS AND ANSWERS - COMPREHENSIVE LATEST
VERSION (2026/2027)
1. What is the primary purpose of HIPAA?
• A) To reduce healthcare costs
• B) To protect patient health information privacy and security
• C) To standardize medical procedures
• D) To regulate insurance companies
ANSWER : B - HIPAA (Health Insurance Portability and Accountability Act)
primarily aims to protect the privacy and security of patient health information.
2. Which organization accredits hospitals in the United States?
• A) CMS
• B) FDA
• C) The Joint Commission
• D) AHRQ
ANSWER : C - The Joint Commission is the primary accrediting body for
hospitals and healthcare organizations in the U.S.
3. What does ACO stand for?
• A) Accountable Care Organization
• B) Acute Care Operations
• C) Advanced Clinical Outcomes
• D) Associated Clinical Officers
ANSWER : A - Accountable Care Organization is a group of healthcare
providers who work together to provide coordinated care.
4. The Stark Law primarily addresses:
• A) Patient privacy
, • B) Physician self-referral
• C) Medical malpractice
• D) Drug pricing
ANSWER : B - The Stark Law prohibits physician self-referral for certain
designated health services.
5. What is the purpose of a Health Information Exchange (HIE)?
• A) To sell patient data
• B) To facilitate secure sharing of patient information across organizations
• C) To replace EHR systems
• D) To manage hospital billing
ANSWER : B - HIEs enable secure electronic sharing of health information
across different healthcare organizations.
6. Which reimbursement model pays providers based on quality rather
than quantity?
• A) Fee-for-service
• B) Capitation
• C) Value-based care
• D) Per diem
ANSWER : C - Value-based care compensates providers based on patient
health outcomes and quality metrics.
7. What does MACRA stand for?
• A) Medical Access and Care Reform Act
• B) Medicare Access and CHIP Reauthorization Act
• C) Managed Acute Care Regulation Act
• D) Medical Accountability and Compliance Reform Act
ANSWER : B - Medicare Access and CHIP Reauthorization Act reformed
Medicare payment systems.
8. The Triple Aim framework focuses on:
• A) Cost, quality, and access
, • B) Population health, patient experience, and cost
• C) Prevention, treatment, and recovery
• D) Diagnosis, treatment, and follow-up
ANSWER : B - The Triple Aim focuses on improving population health,
enhancing patient experience, and reducing costs.
9. What is the primary function of CMS?
• A) Certifying medical professionals
• B) Administering Medicare and Medicaid programs
• C) Accrediting hospitals
• D) Developing medical devices
ANSWER : B - Centers for Medicare & Medicaid Services administers federal
healthcare programs.
10. Which type of healthcare organization operates on a prepaid basis?
• A) PPO
• B) HMO
• C) ACO
• D) MSO
ANSWER : B - Health Maintenance Organizations operate on a prepaid,
managed care basis.
11. What is the primary goal of care coordination?
• A) Reducing administrative costs
• B) Organizing patient care activities and information sharing
• C) Eliminating specialist referrals
• D) Standardizing treatment protocols
ANSWER : B - Care coordination ensures proper organization of patient care
activities and information sharing among providers.
12. HITECH Act primarily promoted:
• A) Telemedicine services
• B) Electronic health record adoption
, • C) Drug safety
• D) Medical device regulation
ANSWER : B - The HITECH Act incentivized the adoption and meaningful
use of electronic health records.
13. What does ICD-10 classify?
• A) Medical procedures
• B) Diseases and health conditions
• C) Medications
• D) Medical devices
ANSWER : B - ICD-10 (International Classification of Diseases) is used to
code and classify diseases and health conditions.
14. Patient-centered medical home (PCMH) emphasizes:
• A) Hospital-based care only
• B) Coordinated, comprehensive primary care
• C) Specialist-driven treatment
• D) Emergency services
ANSWER : B - PCMH focuses on coordinated, comprehensive, patient-
centered primary care.
15. What is a bundled payment?
• A) Payment for individual services
• B) Single payment for all services related to a treatment or condition
• C) Monthly subscription fee
• D) Payment based on hospital days
ANSWER : B - Bundled payments provide a single payment covering all
services for a specific treatment or condition.
16. Which act requires hospitals to treat emergency patients regardless of
ability to pay?
• A) HIPAA
• B) EMTALA
