CHAE case studies
CHAE · Put your knowledge to work in context.
CHAE refers to the Certified Healthcare Audit Executive credential named in this study request. Before you build a study plan, read this plainly: the official AHIA page for CHAE returned an HTTP 404 "Page not found" error when retrieved on 2026-10-31, so this platform could not verify any official specification - question count, time limit, passing score, fee, eligibility, or recertification cycle. The CHAE case studies are 5 cases and about 2,358 words.
1The CAE, the CFO, and the Implementation Project
North Valley Health is a five-hospital system with 2.1 billion in net revenue. The chief audit executive (CAE) reports administratively to the CFO and functionally to the audit committee.
511 words, about 3 min2Medical Director Stipend Above Fair Market Value
Riverside Community Hospital pays a 10-physician cardiology group 1.2 million annually for medical director services. Each physician is expected to provide four hours per month.
529 words, about 3 min3E/M Level Distribution and Modifier 25 Audit
An internal audit of a 12-provider primary care clinic reviews 60 randomly selected Medicare encounters from the prior year. Results: 22 encounters billed level 4 or 5 E/M lacked documentation supporting the level; 9 claims included modifier 25 with no separate identifiable service; 5 lacked provider signatures.
475 words, about 2 min4VIP Record Snooping and HIPAA Breach Decision
During a routine access-log review, the privacy officer at a 400-bed hospital finds that 14 workforce members accessed the electronic record of a celebrity patient over three days. Two employees work in environmental services and had no treatment, payment, or operations relationship to the patient.
441 words, about 2 min5Surgical Site Infection SIR and Denominator Manipulation
A 400-bed hospital reports a colon surgical site infection (SSI) standardized infection ratio (SIR) of 0.4, which is better than the national benchmark. The infection preventionist excludes SSIs diagnosed on readmission within 30 days and excludes emergency colon cases from the denominator.
402 words, about 2 min