CPHRM Practice Test 2026 — Free CPHRM Exam Prep Questions
The CPHRM exam is for healthcare risk managers, patient safety officers, claims professionals, and others who manage risk in hospitals and health systems. Our practice questions follow the AHA Certification Center content outline, with scenario items on patient safety and just culture, risk financing, EMTALA, HIPAA and other federal rules, healthcare operations, and claims and litigation.
The hospital retains the first $500,000 of each claim and buys a $2,000,000 excess policy above that retention. A claim settles for $2,800,000. How much does the hospital pay in total?
CPHRM format, scoring & key facts
Computer-based, administered by PSI at a PSI test center or by live remote proctoring; laptop or paper-and-pencil at some conference administrations. One question appears per screen, and you can bookmark questions and return to them within the 2-hour limit. A silent, nonprogrammable calculator is permitted; reference materials are not.
| Questions | 110 multiple choice (100 scored, 10 unscored pretest), four options each |
|---|---|
| Time | 2 hours |
| Content outline | Five areas: Clinical/Patient Safety (25), Risk Financing (15), Legal and Regulatory (20), Healthcare Operations (20), Claims and Litigation (20) |
| Delivery | PSI test centers or live remote proctoring |
| Calculator | Silent, nonprogrammable calculator permitted; no reference materials |
| Scoring | Pass/fail on raw score; passing score set by the Angoff method |
| Eligibility | Bachelor's + 5 years, associate + 7 years, or high school diploma + 9 years of healthcare experience, plus 3,000 hours or 50% of full-time duties in healthcare risk management within the last 3 years |
| Fee | $275 ASHRM/AHA members, $425 nonmembers |
| Renewal | Every 3 years with 45 contact hours, or by retesting |
| Exam revision | Current exam retires January 10, 2027; revised exam launches January 11, 2027 |
Facts last verified Nov 3, 2026. Source: www.aha.org/career-resources/certification-center/cphrm. Always confirm details with AHA-CC before your exam.
When can you take the CPHRM?
Apply and pay through the AHA Certification Portal, then schedule with PSI. You must test within 90 days of your Authorization to Test. Test centers run by appointment Monday through Saturday except listed holidays. The current exam is retired on January 10, 2027, and a revised exam launches January 11, 2027.
Plan backwards from your exam date
What the CPHRM covers
Every PrepBanq CPHRM test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
Clinical/Patient SafetyPatient safety assessment and culture (FMEA, RCA, just culture), education, disclosure, debriefing, corrective action plans, guidance on consent, surrogates, minors, release of information, abuse allegations and advance directives, incident reporting, ethics and documentation (25 items). | 25% | ~25 | 38 questions → |
Risk FinancingInsurance programs including captives and self-insured coverage, investigation of potential losses, loss trend analysis, enterprise risk financing strategies, contract risk transfer and timely notice under policy language (15 items). | 15% | ~15 | 22 questions → |
Legal and RegulatoryCompliance with federal and state laws: confidentiality and PHI, mandatory reporting, workplace violence, grievances, accreditation readiness, involuntary detention, CMS, EMTALA, HIPAA, NPDB and the Safe Medical Device Act, and responses to regulators (20 items). | 20% | ~20 | 30 questions → |
Healthcare OperationsWorkplace violence prevention, risk assessments of services, event reporting systems, risk program management and evaluation, acceptance of legal documents, patient safety committees, peer review and credentialing, patient rights education and high-risk policies (20 items). | 20% | ~20 | 30 questions → |
Claims and LitigationClaims data and loss runs, notice to carriers, claims management and reserves, claim evaluation, reporting exposure to administration, privilege, service of process and support of insured defendants (20 items). | 20% | ~20 | 30 questions → |
How to register for the CPHRM
Retake policy
There is no limit on the number of attempts. Each retake needs a new application and the full exam fee.
Score release
At a computer administration, the pass/fail score report is given on-screen and by email. Passing candidates receive certification two to four weeks after the testing date.
Credential renewal
Certification is valid for 3 years. Renew with 45 contact hours of eligible continuing education plus the renewal fee ($135 members, $225 nonmembers), or by passing the exam again.
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CPHRM FAQ
How many questions are on the CPHRM?
The CPHRM has 110 questions (100 of them scored) and you have 2 hours to finish. Question types: Multiple choice with four options (A–D) and one answer. 100 questions are scored and 10 are unscored pretest questions mixed throughout the exam. Questions are job-related and test recall, application and analysis; some require calculations..
How long is the CPHRM exam?
Testing time for the CPHRM is 2 hours.
What is the passing score for the CPHRM?
CPHRM passing standard: Pass/fail based on your raw score (the number of the 100 scored questions answered correctly). The passing score was set with the Angoff method, and exam forms are equated. Score range: Pass/fail; the score report also shows raw scores for each content area.
How much does the CPHRM cost?
The CPHRM registration fee is $275 for members of ASHRM or another AHA personal membership group; $425 for nonmembers. Eligible veterans may have the fee reimbursed.. Check the official site for current fees before you register.
What is on the CPHRM?
The CPHRM covers Clinical/Patient Safety (about 25%), Risk Financing (about 15%), Legal and Regulatory (about 20%), Healthcare Operations (about 20%), Claims and Litigation (about 20%).
Who administers the CPHRM?
The Certified Professional in Health Care Risk Management (CPHRM) is administered by AHA-CC. Delivery: Computer-based, administered by PSI at a PSI test center or by live remote proctoring; laptop or paper-and-pencil at some conference administrations. One question appears per screen, and you can bookmark questions and return to them within the 2-hour limit. A silent, nonprogrammable calculator is permitted; reference materials are not..
Can you retake the CPHRM?
There is no limit on the number of attempts. Each retake needs a new application and the full exam fee.
Is there a free CPHRM practice test?
Yes. PrepBanq has 15 free CPHRM practice tests with 150 exam-style questions in the real CPHRM formats, and every answer is explained. No credit card is needed.
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