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About this exam

The Certified Healthcare Auditor (CHA) is a professional credential for auditors who examine the compliance, financial, and clinical operations of healthcare organizations. Candidates typically come from internal audit, revenue cycle and coding compliance, health information management, and regulatory compliance roles, and the credential signals that the holder can plan audits, gather and evaluate evidence, and report findings in a healthcare-specific regulatory context. The exam spans the full audit lifecycle applied to healthcare: the regulatory environment, professional standards and ethics, risk assessment and scoping, evidence and sampling, revenue cycle and billing/coding compliance, clinical documentation and quality review, HIPAA privacy and security, reporting and follow-up, and fraud, waste, and abuse investigation. Because the domains are weighted unevenly, preparation should follow the published blueprint rather than a generic auditing textbook. A practical study plan combines a review of audit standards and healthcare regulations with hands-on practice: reading sample audit programs, working through sampling and evidence questions, and tracing billing and documentation scenarios end to end. Candidates should confirm current exam logistics, including scheduling, fees, and scoring, directly with the certifying body, which publishes the authoritative and up-to-date details on its website. This page is an independent study resource and is not affiliated with or endorsed by the certifying organization.

What you'll study

Common questions

About CHA Healthcare Auditor preparation

What is the exam format?

The CHA exam is delivered as multiple-choice questions covering the nine published domains. Confirm the current delivery method (test center or remote proctoring), question count, and time allowance with the certifying body, since it publishes the authoritative logistics on its website and these details can change between testing windows.

How difficult is the CHA exam?

It is a professional-level exam, so expect applied reasoning rather than recall. Questions often describe a scenario and ask what the auditor should do next or which finding is most significant. Candidates with real audit or revenue cycle experience typically find it manageable; those without healthcare context should budget extra time for regulatory material.

What happens if I fail - can I retake it?

Most credentialing bodies allow retakes after a waiting period and payment of a retake fee. The specific waiting period, number of attempts allowed, and fees are set by the certifying organization, so check its candidate handbook or website for the current retake policy before you schedule.

How much time should I plan for preparation?

A common approach is eight to twelve weeks of part-time study, weighted toward the larger domains: compliance and regulatory environment, evidence and sampling, and revenue cycle and coding. If you are new to healthcare auditing, add several weeks for regulatory and coding fundamentals. Track your practice scores by domain rather than overall.

In what order should I study the domains?

Start with professional standards and ethics, then audit planning and risk assessment, because later domains assume that vocabulary. Move to evidence and sampling, then revenue cycle and coding, clinical documentation, HIPAA, reporting and follow-up, and finish with fraud, waste, and abuse, which draws on everything before it.

What trips candidates up most often?

Three recurring problems: confusing audit standards with healthcare regulations, weak grasp of sampling and evidence sufficiency, and shallow coding knowledge that makes billing scenarios hard to evaluate. A fourth is skimming reporting and follow-up questions, which are few in number but test judgment about communicating findings and verifying corrective action.

Do I need coding certification to pass?

No, but you need working knowledge of coding and billing concepts: how codes are assigned, what documentation supports a claim, and what patterns suggest upcoding or unbundling. Revenue cycle and billing/coding compliance is one of the heaviest domains, so treat coding fundamentals as required study material.

How is the exam scored, and what score do I need?

Scoring methods and passing standards are set by the certifying organization, which publishes the current passing score and any scaled-score explanation in its candidate handbook. This page does not state a passing score because those figures are updated periodically; verify directly with the certifying body.

Where do I find exam dates, fees, and eligibility requirements?

All of those details are published by the certifying organization on its official website and in its candidate handbook. Eligibility requirements, application steps, scheduling windows, and fees are updated there, so treat that site as the single authoritative source rather than third-party summaries.