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Free CPHIMS Practice Questions

10 free, exam-style Certified Professional in Healthcare Information and Management Systems (CPHIMS) practice questions with answers and explanations. No signup required. Work through them below, then take the full free CPHIMS practice test to study every exam domain.

Question 1

A 22-bed rural facility located more than 35 miles from the nearest hospital and certified by CMS for cost-based reimbursement is BEST classified as:

  1. A long-term acute care hospital (LTACH)
  2. A critical access hospital (CAH)
  3. An academic medical center (AMC)
  4. A specialty surgical hospital
Show answer & explanation

Correct answer: B - A critical access hospital (CAH)

Question 2

Which payment model places healthcare providers under TWO-SIDED financial risk?

  1. Traditional fee-for-service billing
  2. Cost-based reimbursement with passthrough
  3. Per-diem payment per inpatient day
  4. Shared-savings arrangement with shared losses
Show answer & explanation

Correct answer: D - Shared-savings arrangement with shared losses

Question 3

A 5-physician primary care clinic is selecting a new EHR. Which factor should weigh MOST heavily in the selection decision?

  1. Match between system capabilities and the clinic's actual workflow
  2. The programming language and database technology used by the vendor
  3. Geographic proximity of the vendor's headquarters to the clinic
  4. The vendor's recent press releases and funding announcements
Show answer & explanation

Correct answer: A - Match between system capabilities and the clinic's actual workflow

Question 4

A health system implements a clinical decision support tool that uses machine learning to alert clinicians when a hospitalized patient is at high risk of developing sepsis in the next 6 hours. This tool is BEST classified as which type of analytics?

  1. Descriptive analytics - summarizing past sepsis cases
  2. Diagnostic analytics - explaining root causes of past sepsis events
  3. Predictive analytics - forecasting future sepsis risk
  4. Prescriptive analytics - recommending specific clinical actions
Show answer & explanation

Correct answer: C - Predictive analytics - forecasting future sepsis risk

Question 5

An HL7 v2 ADT^A08 trigger event represents which patient event?

  1. Admission of a patient to an inpatient bed
  2. Update of patient demographic information
  3. Transfer of a patient between two units
  4. Discharge or end of an inpatient visit
Show answer & explanation

Correct answer: B - Update of patient demographic information

Question 6

Under the HIPAA Security Rule, an "Addressable" implementation specification means the covered entity:

  1. May ignore the specification with no compliance consequences
  2. Must implement the specification exactly as written in the rule
  3. Must address it through implementation, an equivalent measure, or documented justification
  4. May delegate the entire requirement to a Business Associate vendor
Show answer & explanation

Correct answer: C - Must address it through implementation, an equivalent measure, or documented justification

Question 7

A health system experiences a ransomware attack that encrypts a server containing ePHI. Under HIPAA, this incident is generally:

  1. Presumed to be a reportable breach unless a low probability of compromise is demonstrated
  2. Never considered a breach because the data was encrypted by the attackers
  3. Exempt from breach reporting if no data was confirmed to be exfiltrated
  4. Classified as a security incident only, with no notification obligations
Show answer & explanation

Correct answer: A - Presumed to be a reportable breach unless a low probability of compromise is demonstrated

Question 8

Among the four major EHR implementation strategies, which carries the LOWEST cost but the HIGHEST risk?

  1. Big Bang with simultaneous activation across all sites
  2. Parallel with concurrent operation of old and new systems
  3. Pilot with limited deployment at a single site first
  4. Phased rollout with sequential go-live by site or module
Show answer & explanation

Correct answer: A - Big Bang with simultaneous activation across all sites

Question 9

Under the Prosci ADKAR change management model, which is the FIRST state an individual must reach to successfully adopt a change?

  1. Knowledge of how to make the change
  2. Awareness of the need for change
  3. Desire to participate in and support the change
  4. Reinforcement to sustain the change after implementation
Show answer & explanation

Correct answer: B - Awareness of the need for change

Question 10

A hospital has just achieved HIMSS EMRAM Stage 4 by implementing CPOE with second-level clinical decision support. To advance to EMRAM Stage 5, the hospital must NEXT implement:

  1. Closed-loop medication administration with bedside barcode scanning (BCMA)
  2. Discrete-data analytics supporting population health management
  3. CPOE rolled out to every ancillary department in the hospital
  4. Nursing clinical documentation, eMAR, and basic CDS for error checking
Show answer & explanation

Correct answer: A - Closed-loop medication administration with bedside barcode scanning (BCMA)

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