C-RHI study materials
C-RHI study resources

C-RHI study plan

C-RHI · Give each week a clear focus.

8 weeks · About 8 hours per week

Week 1

Data Content, Structure, and Information Governance

  • Map the components of an information governance framework, including data stewardship, ownership, and stewardship roles, by writing a one-page summary from memory.

  • Differentiate among data content standards (e.g., vocabulary, terminology, classification) and data structure standards (e.g., HL7, X12, DICOM) and give two examples of each.

  • Explain the data lifecycle from creation to destruction and identify at least three governance controls at each stage.

  • Describe the purpose and key elements of a data governance policy and procedure, including data quality, privacy, and security accountabilities.

Your checkpoint

Create a one-page governance framework diagram with definitions and at least three controls per lifecycle stage.

Week 2

Data Content, Structure, and Information Governance & Health Law and Compliance

  • Compare and contrast the legal health record, designated record set, and electronic health record, and explain how each is used in release-of-information decisions.

  • Outline the major requirements of HIPAA Privacy, Security, and Breach Notification Rules, including permitted disclosures, minimum necessary, and patient rights.

  • Identify the key provisions of the HITECH Act and the 21st Century Cures Act related to information blocking and interoperability.

  • Apply retention and destruction requirements to a sample record type, citing at least two legal or accreditation drivers.

Your checkpoint

Draft a two-page release-of-information decision tree that incorporates HIPAA, state law, and organizational policy considerations.

Week 3

Health Law and Compliance & Health Information Management Leadership

  • Explain the elements of a corporate compliance program (per OIG guidance) and describe how a health information management (HIM) department supports each element.

  • Analyze a hypothetical breach scenario and determine notification obligations, risk assessment steps, and documentation requirements.

  • Describe leadership styles and change management models (e.g., Kotter, Lewin) and apply one to an HIM process improvement initiative.

  • Identify key performance indicators for HIM operations (e.g., coding accuracy, turnaround time, ROI response time) and explain how to use them for performance monitoring.

Your checkpoint

Write a one-page compliance and leadership case analysis that identifies the breach response steps and applies a change model to an HIM workflow issue.

Week 4

Revenue Cycle Management & Clinical Classification Systems and Coding

  • Trace the revenue cycle from scheduling and registration through coding, billing, and collections, and identify HIM's role at each step.

  • Explain the impact of coding accuracy and documentation on reimbursement, including MS-DRG, APC, and RBRVS payment methodologies.

  • Differentiate among ICD-10-CM, ICD-10-PCS, CPT, and HCPCS and describe the structure and coding conventions of each.

  • Apply official coding guidelines to assign codes for a set of sample cases, including principal diagnosis and procedure selection.

  • Describe the components of clinical documentation integrity (CDI) programs and their role in revenue cycle and quality reporting.

Your checkpoint

Complete a 20-question coding and revenue cycle exercise with at least 90% accuracy and a written rationale for each answer.

Week 5

Clinical Classification Systems and Coding & Health Statistics and Quality Management

  • Explain the structure and use of the OASIS, UHDDS, and other specialty data sets in coding and quality reporting.

  • Calculate common healthcare statistics (e.g., average length of stay, occupancy rate, mortality rate, complication rate) from given data sets.

  • Interpret quality measures and reporting programs such as HEDIS, Hospital Compare, and value-based purchasing, and describe HIM's role in data validation.

  • Apply data quality dimensions (accuracy, completeness, timeliness, consistency) to evaluate a sample data set and propose improvement actions.

Your checkpoint

Build a spreadsheet that calculates five healthcare statistics from a provided data set and write a brief interpretation of each result.

Week 6

Data Analytics and Informatics & Health Statistics and Quality Management

  • Describe the phases of the data analytics lifecycle and the role of data governance in analytics.

  • Differentiate among descriptive, diagnostic, predictive, and prescriptive analytics and give a healthcare example of each.

  • Explain common data visualization best practices and select appropriate chart types for given healthcare data scenarios.

  • Identify key data sources for clinical and operational analytics (e.g., EHR, claims, registries) and discuss data integration challenges.

  • Calculate and interpret basic epidemiological and quality metrics (e.g., incidence, prevalence, risk-adjusted rates) from sample data.

Your checkpoint

Create a one-page analytics brief that proposes a quality improvement project, including data sources, metrics, and a visualization plan.

Week 7

Data Content, Structure, and Information Governance & Revenue Cycle Management & Health Law and Compliance & Health Information Management Leadership & Clinical Classification Systems and Coding & Health Statistics and Quality Management

  • Synthesize content across all domains by completing a 60-question mixed practice exam under timed conditions.

  • Review incorrect answers and categorize them by domain to identify remaining knowledge gaps.

  • Revisit weak areas by creating concise summary sheets for each domain, focusing on key definitions, regulations, and formulas.

  • Practice explaining complex concepts aloud (e.g., information blocking, risk adjustment, CDI) to reinforce recall.

Your checkpoint

Produce a personalized gap analysis report listing at least five weak areas and a targeted review plan for each.

Week 8

Data Content, Structure, and Information Governance & Data Analytics and Informatics & Revenue Cycle Management & Health Law and Compliance & Health Information Management Leadership & Clinical Classification Systems and Coding & Health Statistics and Quality Management

  • Complete a full-length 150-question practice exam under timed conditions, simulating the C-RHI exam environment.

  • Review all incorrect and flagged questions, and update summary sheets for any missed concepts.

  • Rehearse test-taking strategies, including time management, question deconstruction, and educated guessing.

  • Confirm exam-day logistics, including identification requirements, testing center rules, and technology checks for remote testing.

Your checkpoint

Achieve a score of at least 80% on the full-length practice exam and write a final one-page review sheet of key takeaways.

Milestones

Week 2: Explain the HIPAA Privacy Rule minimum necessary standard and the HITECH breach notification requirements without notes, and correctly answer 10 scenario-based questions.

Week 4: Score at least 90% on the coding and revenue cycle exercise and accurately calculate five revenue cycle metrics from a sample case.

Week 6: Present a five-minute overview of the analytics lifecycle and interpret three quality metrics correctly from a provided data set.

Week 8: Achieve a score of 80% or higher on the full-length practice exam and complete all domain summary sheets.