RHIT Practice Test

The Registered Health Information Technician (RHIT) exam is available for health information professionals who would like to earn their Registered Health Information Technician certification. The RHIT certification is administered by the American Health Information Management Association (AHIMA), which is a nationwide organization dedicated to maintaining and improving health information management practices and standards.

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Health Information Technicians who are interested in taking the RHIT exam must meet one of the following eligibility requirements:

  • Have at least an associate’s degree, completing the academic requirements of a Health Information Management (HIM) program. The HIM program must have Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) accreditation.
  • Complete an HIM program approved by a foreign association. AHIMA must have a reciprocity agreement with the association.

For verification, you may be required to provide supporting documentation, such as official school transcripts or a letter of attestation.

Early Testing

If you are enrolled in your final term in a CAHIIM-accredited program, you are eligible to take the exam early. To do so, you must meet one of the following requirements:

  • You have graduated from the program but are waiting for official transcripts
  • You have completed the coursework but have not yet graduated
  • You are currently enrolled in your last term

Exam Outline Review

The RHIT is a computer-based exam that contains between 130 and 160 questions and is timed at 3.5 hours.

Each question on the exam will be further categorized into one of three levels of complexity:

  1. Recall (RE): The ability to recall or recognize specific information
  2. Application (AP): The ability to comprehend, relate or apply knowledge to new or changing situations (the majority of the exam is comprised of application-level questions)
  3. Analysis (AN): The ability to analyze and synthesize information, determine solutions, and/or evaluate the usefulness of a solution

The questions are split into six domains.

1. Data Content, Structure, and Information Governance (19%-25%)
  • Create and maintain EHR reports
  • Create and maintain functionalities of the EHR
  • Apply healthcare standards
  • Coordinate document control
  • Navigate patient portals
  • Provide patient education and support
  • Identify and maintain a designated record set
  • Apply health information guidelines
  • Educate clinicians on content and documentation
  • Understand and maintain the data workflow
  • Audit the content and completion of the health record
  • Maintain the integrity of the health record
  • Assess and maintain the integrity of the Master Patient Index (MPI)
2. Access, Disclosure, Privacy, and Security (14%-18%)
  • Apply guidelines for record retention
  • Use laws, guidelines, and regulations to manage PHI
  • Mitigate privacy and security risks
  • Determine the right of access to the health record
  • Identify and correct identity issues within the EHR
  • Educate customers on privacy, disclosure, and access
3. Data Analytics and Use (12%-18%)
  • Extract, analyze, and report patient data
  • Analyze common data metrics that evaluate Health Information functions
  • Identify common data sources
  • Compile healthcare statistics using reports, charts, and graphs
4. Revenue Cycle Management (19%-25%)
  • Identify common inpatient and outpatient billing issues
  • Code medical record documentation
  • Collaborate with CDI staff
  • Recall utilization review processes and objectives
  • Describe various payment methodologies
  • Ask clinicians to clarify documentation
  • Analyze the case mix
  • Describe various types of health insurance plans
  • Manage denials
  • Improve the integrity of coded data by demonstrating the proper use of clinical indicators
  • Review and maintain a CDM
  • Understand payer requirements and guidelines
  • Monitor DNFB
  • Conduct documentation and coding audits
  • Provide documentation and coding education
5. Compliance (13%-17%)
  • Monitor regulatory changes for accurate and timely implementation
  • Monitor Health Information compliance
  • Report any Health Information non-compliance
  • Perform quality assessments
  • Maintain Health Information standards
6. Leadership (9%-12%)
  • Collaborate with other departments
  • Develop and revise procedures and policies
  • Provide Health Information education regarding regulations and laws
  • Establish Health Information standards
  • Provide Health Information expertise
  • Understand the guidelines and principles of project management
  • Review Health Information processes

exam outline for the RHIT exam, which contains between 130 and 150 questions and has a time limit of 3.5 hours

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You can submit an application on the AHIMA website or mail in a paper application. The application fees are as follows:

  • AHIMA Member Price: $229
  • Non-member Price: $299
  • AHIMA Premier Member Price: $217.55

If you are ineligible for the exam or request to withdraw your application, you will receive a refund of your application fees minus a $75 processing fee.

After your application is approved, you will receive an Authorization to Test letter (ATT). The ATT states that you have a four-month window to schedule your exam appointment. If you fail to schedule your exam within the four-month window, you will forfeit your exam fee.

Test Day

The RHIT exam is offered at qualifying Pearson VUE testing locations. You should arrive 30 minutes prior to your scheduled appointment time, and be ready to present two valid forms of identification. The first ID must have a photograph and your signature, while the second ID is only required to have your signature.

Before you can enter the testing room, you will be asked to leave behind all personal items, including your cell phone, jacket, books, bags, pencils, paper, and watch. There will be a secure locker outside the testing room to place these items in.

Once the proctor has determined you are ready, you will be led into the testing room, and the exam will begin shortly after.

As you take the exam, remember that there is no penalty for guessing! No points are taken away for choosing incorrect answers.

How the Exam is Scored

The passing score is determined through a process known as “standard setting.” A panel of subject matter experts provides feedback on how a candidate who is minimally qualified would perform on the exam. The experts then utilize the standard-setting methodology to determine the passing scores.

The score is reported on a range of 100 to 400, with a score of 300 being required to pass the exam.

As of December 1, 2022, you will be given a preliminary score report immediately following the exam, so you will know whether or not you passed before leaving the testing center.

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How to Study for the RHIT Exam

How to Study Effectively

Your success on RHIT test day depends not only on how many hours you put into preparing but also on whether you prepared the right way. It’s good to check along the way to see whether your studying is paying off. One of the most effective ways to do this is by taking RHIT practice tests to evaluate your progress. Practice tests are useful because they show exactly where you need to improve. Every time you take a free RHIT exam practice test, pay special attention to these three groups of questions:

  • The questions you got wrong
  • The ones you had to guess on, even if you guessed right
  • The ones you found difficult or slow to work through

This will show you exactly what your weak areas are and where you need to devote more study time. Ask yourself why each of these questions gave you trouble. Was it because you didn’t understand the material? Was it because you didn’t remember the vocabulary? Do you need more repetitions on this type of question to build speed and confidence? Dig into those questions and figure out how you can strengthen your weak areas as you go back to review the material.

Answer Explanations

Additionally, many RHIT practice tests have a section explaining the answer choices. It can be tempting to read the explanation and think that you now have a good understanding of the concept. However, an explanation likely only covers part of the question’s broader context. Even if the explanation makes sense, go back and investigate every concept related to the question until you’re positive you have a thorough understanding.

Comprehend Each Topic

As you go along, keep in mind that the RHIT practice test is just that: practice. Memorizing these questions and answers will not be very helpful on the actual test because it is unlikely to have any of the same exact questions. If you only know the right answers to the sample questions, you won’t be prepared for the real thing. Study the concepts until you understand them fully, and then you’ll be able to answer any question that shows up on the test.

Strategy for RHIT Practice

When you’re ready to start taking practice tests, follow this strategy:

  • Remove Limitations. Take the first test with no time constraints and with your notes and RHIT study guide handy. Take your time and focus on applying the strategies you’ve learned.
  • Time Yourself. Take the second practice test “open book” as well, but set a timer and practice pacing yourself to finish in time.
  • Simulate Test Day. Take any other practice tests as if it were test day. Set a timer and put away your study materials. Sit at a table or desk in a quiet room, imagine yourself at the testing center, and answer questions as quickly and accurately as possible.
  • Keep Practicing. Keep taking practice tests on a regular basis until you run out of practice tests or it’s time for the actual test. Your mind will be ready for the schedule and stress of test day, and you’ll be able to focus on recalling the material you’ve learned.


How hard is the RHIT exam?

The RHIT exam is not considered to be very difficult. The pass rate as of 2022 is 69%.

How many questions are on the RHIT exam?

There are between 130 and 160 questions on the exam.

How long is the RHIT exam?

The time limit for the exam is 3.5 hours.

What is the passing score for the RHIT exam?

To pass the exam, you must achieve a scaled score of at least 300.

How much does the RHIT exam cost?

The cost of the exam depends on your AHIMA membership status. Members pay a fee of $229, while non-members pay $299.

By Kate Nockunas

Kate has been Mometrix’s Nursing and Medical Editor for over four years. She has a bachelor’s degree in Communications from Vanderbilt University, a bachelor’s degree in Nursing from Marymount University, and a master’s degree in Education from Johns Hopkins. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU.


RHIT Exam Study Guide Customer Success Stories

Our customers love the tutorial videos from Mometrix Academy that we have incorporated into our RHIT Exam study guide. The RHIT Exam study guide reviews below are examples of customer experiences.

Great study book. Used this and passed by RHIT test on the first try.

RHIT Exam Study Guide – Jennifer

The questions in this book closely resembles the questions given in the test. Application is key. It does not present facts like a textbook but integrates them that will give the reader an appreciation of all areas of HIT.

RHIT Exam Study Guide – Customer

Great book that gets straight to the facts needed to review for the RHIT Exam. I have not taken my exam yet, but it is giving me the confidence needed to have success. Thank you.

RHIT Exam Study Guide – Patrick

This book is very helpful in preparing for the exam. It is concise and thorough . It is easy to read and kept you interested

RHIT Exam Study Guide – Customer

I am very impressed as to how the guide is organized and information highlighted for focused areas which is great when studying for each domain of the exam. Very good study guide book.

RHIT Exam Study Guide – David

No matter how prepared you may be, this guide is a must have for those studying to complete their Associates/Bachelors Degree in HIT or HIM. This book supports the review guide needed to complete the AHIMA RHIT/RHIA certification exam. I wouldn't take the exam(s) without it!

RHIT Exam Study Guide – Lizette

This book is extremely useful when studying for your RHIT exam. Do yourself a favor and purchase this book, you won't regret it.

RHIT Exam Study Guide – Deondre

I like how this study material outlined the important topics, gave pointers on what's going to be covered, and what students should set their focus on. The mock exam & bonus material was helpful as well!

RHIT Exam Study Guide – Holly

I am so glad I bought this tool to help me with my preparation of the exam. It covers everything I need to know for the exam and is easy to read and understand. I am scheduled to take the RHIT Exam at the end of the month and I can honestly say that by using this book that I am so ready to take the exam and can not wait to pass the exam. I have been bragging to my friends that have been nervous and hesitant to take the exam to purchase this book so that they have confidence in passing the exam. Thank you for such a tool.

RHIT Exam Study Guide – Gynger

The product I bought is an excellent study guide for me. I am sure that I will be prepared enough to take my RHIT exam with the help of the products I purchased. I think the products supply me with all the knowledge I need in order to pass my RHIT Exam. The contents and the practice test at the end of the book as well as the secret keys are very helpful in addition to the flash cards.

RHIT Exam Study Guide – Cheche

I'm preparing to take the RHIT exam for the second time now and the first time I had really bad test anxiety and had a hard time completing it. With this study guide, it's making me feel more confident in my studying skills and preparation in order to take the exam the second time and pass. This book also summarizes everything up which makes it a nice refresher. I definitely recommend this!

RHIT Exam Study Guide – Moriah

I absolutely love this book. It's helped me recap everything that I've studied and is providing me with lots of understanding.

RHIT Exam Study Guide – Customer

I really like this book. It is very helpful while studying for my exam. It has a lot of questions and great study tips.

RHIT Exam Study Guide – Customer

I like how this study material outlined the important topics, gave pointers on what's going to be covered, and what students should set their focus on. The mock exam & bonus material was helpful as well!

RHIT Exam Study Guide – Holly


by Mometrix Test Preparation | This Page Last Updated: January 13, 2023