CHAM

NAHAM does not publish a domain breakdown on its CHAM page, so do not trust third-party weightings. Use the Candidate Guide to Certification as your content outline. A practical split is four equal blocks: patient access operations, revenue cycle and reimbursement, compliance and regulatory topics, and leadership and operations. Track weak areas with practice questions and revisit them weekly.

NAHAM lists $290 for members and $515 for non-members. Payment is by credit card through your application in Certification Central or by check mailed with a copy of your invoice. If paying by check, select "Pay by check" and submit without payment; checks must arrive by the 15th day of the testing window to guarantee testing in that window.

There are four windows. Apply September 1 to November 30 for January testing, December 1 through the last day of February for April, March 1 to May 31 for July, and June 1 to August 31 for October. Exam windows are open all month for testing. Missing the application deadline means you cannot sit in that window.

You may only test once per testing window, so a retake happens in the immediate next window. A discounted retake is available if you paid full price on your most recent attempt; the system creates the retake option in your existing application, and payment must clear before the next application deadline. The listed CHAM retake fee is $150.

Yes, by requesting a deferral inside your application before the current testing window ends and paying the $75 CHAM deferral fee. You may defer only to a future window less than one year away (for example, January to April, not January to next January), and you can defer only once before you must completely re-apply.

Three options exist: in-person with a candidate-identified proctor from your own organization, an in-person Prometric test center, or remote proctoring by webcam from home or office. Remote proctoring requires a personal computer with a working webcam; corporate computers are not allowed. Switching proctoring options after the application window closes costs $50.

You need two years of management experience in healthcare or finance, one reference signature, and either a supervisor support letter or 30 professional development contact hours earned in the past 24 months. Acceptable proof includes employer contact information with a resume or job description, a signed supervisor letter, or copies of completion certificates.

NAHAM randomly audits 10% of applicants each certification period. If selected, you will not receive test material until all audit materials are uploaded and your application is submitted. Missing the requested documentation date excludes you from testing in that period and application fees are not refunded, so keep experience and contact-hour records ready before applying.

Application and payment problems, not exam difficulty. An application left "In Process" after the deadline cannot test, and late checks block a window. A second trap is assuming a proctor or supervisor can change your application or move your window; only the candidate can request changes through NAHAM. Confirm submission status early.

Certification fees are non-refundable and non-transferable. A refund or reschedule is issued only for personal illness, natural disaster, or death in the family during your assigned test window, and you must contact NAHAM in writing within that window. All other circumstances fall under the deferral policy with its $75 fee.