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YOUR RHIA STUDY COMPANION
RHIA Study Center & Exam Guide
Prepare for the Registered Health Information Administrator exam with an outline-led review of health-information governance, privacy, analytics, revenue, and leadership.
MEET THE EXAM
What the RHIA exam measures
AHIMA’s RHIA certification assesses administrator-level competencies for managing health information across clinical, operational, financial, technology, and compliance settings.
Use AHIMA’s current outline. The posted outline is effective October 1, 2023; verify current exam details before applying.
CURRENT AHIMA EXAM INFORMATION
How the RHIA exam is structured
Scored and pretest items
There are 150 items total: 130 scored and 20 pretest. Pretest items are randomly distributed and do not count toward the candidate’s score.
Computer-based testing
Schedule through AHIMA for a Pearson VUE testing-center appointment. Candidates may move between answered items, flag items, and return to them before submitting if time allows.
Time and passing score
Candidates have 3 hours and 30 minutes. AHIMA lists 300 as the passing score. Check its current exam page and candidate guide for application and test-day rules.
The RHIA administrator credential has distinct competencies and eligibility from RHIT. Fees, dates, and application steps can change.
BEFORE YOU APPLY
Check RHIA eligibility and application steps
Baccalaureate-level HIM
AHIMA accepts completion of the academic requirements of a baccalaureate-level Health Information Management program accredited by CAHIIM.
Graduate or post-baccalaureate HIM
AHIMA also lists qualifying CAHIIM-accredited master’s-level HIM programs and approved post-baccalaureate HIM certificate programs.
Foreign HIM education
Graduates of approved foreign HIM programs with an AHIMA reciprocity agreement may qualify. AHIMA says health informatics alone is not currently supported.
Review the current AHIMA eligibility page and candidate guide, submit the required transcript or early-testing documentation, then schedule within the eligibility window.
YOUR CONTENT MAP · AHIMA OUTLINE
Plan review across the five RHIA domains
Use each official domain range to balance study time, then practice connecting policy choices to their effects on people, systems, and organizational performance.
| Domain | Exam weight | Study focus |
|---|---|---|
| Data and Information Governance | 17–20% | Record integrity, data standards, documentation, retention, information governance, and master patient index quality. |
| Compliance with Access, Use, and Disclosure of Health Information | 15–18% | Patient access, requests, disclosure workflows, privacy, security, breach response, and health information exchange. |
| Data Analytics and Informatics | 23–26% | EHR support, reporting, database tools, data visualization, technology workflows, and validation of health statistics. |
| Revenue Cycle Management | 20–23% | Reimbursement models, coding accuracy, claims, documentation integrity, revenue integrity, and denials. |
| Management and Leadership | 23–26% | Strategy, change management, staffing, process improvement, training, budgets, and organizational compliance. |
Weights are from the AHIMA RHIA outline effective October 1, 2023. Domain ranges are percentage specifications, not exact item counts.
PICK A DIRECTION
Choose a study route that fits your gaps
Start with a diagnostic. Tag missed, guessed, and slow items by domain and by the management decision or health-information workflow being tested.
Map the blueprint
Rate each domain against the current AHIMA outline, then mark the tasks you need to revisit.
Connect policy to practice
Trace how governance and access policies affect data quality, disclosure, technology, and operations.
Follow the revenue cycle
Practice linking documentation, coding, claims, denials, and reimbursement integrity.
Review the leadership choice
For each miss, explain the decision, rule, or measure that makes the best response fit.
Balance review across all five domains. Give time to the three largest outline ranges while keeping compliance and governance in the rotation.
A ROUTINE YOU CAN ADAPT
A four-week RHIA study plan
Choose a pace you can sustain and reserve time to revisit every missed, guessed, or slow question.
Week 1 · Baseline
Confirm eligibility and the current outline. Take a diagnostic and sort gaps into the five domains.
Week 2 · Governance and compliance
Review documentation standards, record integrity, patient access, disclosure, privacy, security, and breach workflows.
Week 3 · Analytics and revenue
Practice reporting, EHR support, data validation, coding accuracy, claims, denials, and reimbursement workflows.
Week 4 · Leadership and pacing
Review change management, process improvement, staffing, budgets, and compliance; finish with timed mixed practice.
Use authorized study materials. Do not copy or share secure AHIMA exam items.
OFFICIAL EXAM INFORMATION · INDEPENDENT STUDY TOOLS
RHIA practice tests and study resources
Use AHIMA for eligibility, specifications, and the content outline. Independent materials can help you find gaps; compare their coverage with the current official blueprint.
AHIMA RHIA certification page
Review current eligibility, exam format, scoring, application steps, and optional preparation.
Official content outline
Read the five domains, percentage ranges, and tasks in the outline effective October 1, 2023.
AHIMA exam preparation
Explore AHIMA’s optional preparation resources and current competency-based practice.
Mometrix practice test
Try an independent diagnostic, then compare the subjects with AHIMA’s current outline.
Mometrix study guide
Check the edition and coverage details when choosing a review guide.
Candidate guide
Use AHIMA’s guide for candidate procedures and confirm details with the live exam page.
RHIA® and AHIMA® are marks of the American Health Information Management Association. This independent study center is not affiliated with or endorsed by AHIMA or Pearson VUE.
QUICK ANSWERS
RHIA exam questions, answered
How many questions are on the RHIA exam?
AHIMA lists 150 items total: 130 scored items and 20 pretest items.
How long is the RHIA exam?
AHIMA allows 3 hours and 30 minutes.
What score do I need to pass?
AHIMA lists a passing scaled score of 300.
What are the RHIA exam domains?
The five domains are Data and Information Governance; Compliance with Access, Use, and Disclosure of Health Information; Data Analytics and Informatics; Revenue Cycle Management; and Management and Leadership.
Who is eligible for the RHIA?
AHIMA lists qualifying CAHIIM-accredited baccalaureate or master’s HIM education, an approved post-baccalaureate HIM certificate, or eligible foreign HIM education through a reciprocity agreement.
Can health informatics graduates take the RHIA?
AHIMA currently says health informatics programs alone are not supported for RHIA eligibility. Review the current eligibility page for your situation.
Can I flag questions and return to them?
AHIMA says candidates may flag items and return to answered questions before submitting, if time allows.
Is this an official AHIMA website?
No. This is an independent educational study center. AHIMA is the source for official eligibility, exam specifications, and candidate procedures.
CHECK THE SOURCE
Official sources and update notes
Exam facts use AHIMA’s current RHIA certification page and its linked content outline. Confirm the live requirements and appointment instructions before applying or testing.
- AHIMA RHIA certification page — eligibility, current format, scoring, application steps, and prep options.
- AHIMA RHIA Content Outline — five domains, weights, and tasks; effective October 1, 2023.
- AHIMA Candidate Guide — general application and candidate procedures; verify details against the current exam page.
- Mometrix RHIA practice test and study guide — independent practice and provider product information.
Reviewed October 15, 2026. This independent study center is educational material, does not provide health-care or coding advice, and does not guarantee exam results.