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ASHRM CPHRM Exam Overview:

Certification Vendor:ASHRM (American Society for Healthcare Risk Management)
Exam Name:Certified Professional in Health Care Risk Management Exam
Exam Number:CPHRM
Real Exam Qty:110 (100 scored, 10 unscored pre-test items)
Exam Duration:120 minutes
Passing Score:Criterion-referenced, no fixed numerical score published
Certificate Validity Period:3 years
Available Languages:English
Exam Price:$275 (ASHRM members), $425 (non-members)
Exam Format:Multiple-choice questions, Computer-based
Recommended Training:CPHRM Exam Prep Course
Exam Registration:ASHRM Official CPHRM Page
PSI Testing Registration
Sample Questions:ASHRM CPHRM Sample Questions
Exam Way:Onsite at PSI testing centers or live remote proctored online
Pre Condition:One of: Bachelor's degree + 5 years healthcare experience; Associate degree + 7 years; High school diploma + 9 years; plus 3,000 hours or 50% of job duties in healthcare risk management within last 3 years
Official Syllabus URL:https://www.ashrm.org/education/cphrm

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ASHRM CPHRM Exam Syllabus Topics:

TopicDetails
Topic 1
  • Clinical
  • Patient Safety: This domain focuses on improving patient safety by promoting a safety culture, managing incident reporting, educating staff and patients, addressing ethical concerns, and implementing corrective actions to reduce risks and prevent harm.
Topic 2
  • Risk Financing: This domain covers managing financial risks through insurance programs, claims coordination, loss analysis, and developing strategies to reduce financial exposure.
Topic 3
  • Legal and Regulatory: This domain focuses on ensuring compliance with healthcare laws and regulations, protecting patient information, managing reporting requirements, and supporting accreditation and regulatory responses.
Topic 4
  • Claims and Litigation: This domain focuses on handling potential claims and legal cases, including claim reporting, litigation support, legal documentation management, and analyzing claims data to understand risk exposure.
Topic 5
  • Healthcare Operations: This domain involves managing operational risk activities such as conducting risk assessments, developing policies, coordinating risk programs, supervising staff, and supporting patient safety initiatives.

ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q112-Q117):

NEW QUESTION # 112
An original contract could contain:

Answer: D

Explanation:
Healthcare contracting is a risk control tool. Core terms include effective date, scope, responsibilities, performance standards, indemnification, andinsurance requirements(limits, additional insured, notice of cancellation). Clear terms reduce disputes, clarify liability allocation, and strengthen compliance (HIPAA BAAs, data security, subcontractor controls). Risk management objectives focus on preventing uninsured exposures and ensuring vendors meet safety, credentialing, and regulatory requirements-especially for clinical services, technology, and facility operations.


NEW QUESTION # 113
All of the following are valid reasons for performing risk management review of policies and procedures EXCEPT

Answer: B

Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, periodic review of policies and procedures is essential to ensure alignment with current laws, regulatory standards, accreditation requirements, and best practices. Reviewing policies helps ensure consistency between written procedures and actual clinical practice, thereby reducing liability exposure.
Policy review also supports identification of potential risk exposures by detecting outdated language, conflicting guidance, or gaps in processes that could lead to adverse events. Additionally, monitoring compliance with standards-such as federal regulations, state statutes, and accreditation requirements-is a central purpose of policy review, ensuring that organizational practices meet required benchmarks.
Maintaining staff competency, however, is primarily addressed through education, training programs, credentialing, and performance evaluation processes. While policies provide guidance for staff conduct, competency assessment is not the primary objective of policy review itself.
Health Care Operations objectives emphasize governance oversight, regulatory compliance, and risk mitigation through clear, current policies. Therefore, maintaining staff competency is not a direct reason for performing risk management review of policies and procedures, making it the correct exception.


NEW QUESTION # 114
An HMO advertises it is "the best" and its physicians can manage any illness/injury. A patient relies on this and is injured. The patient might sue the HMO for:

Answer: B

Explanation:
Marketing claims can create liability exposure when they reasonably induce reliance and the patient suffers harm. Depending on jurisdiction and facts, plaintiffs may allegeapparent agency(belief that physicians acted as the HMO's agents),vicarious liability, negligent credentialing, or negligent misrepresentation/consumer protection claims if statements are misleading. Risk management objectives include reviewing public claims for accuracy, ensuring marketing does not overpromise clinical capability, and aligning network adequacy and credentialing with representations. Clear disclosures about independent contractors may help but do not always defeat apparent agency claims. Controls include legal review of advertising, credentialing rigor, quality oversight, and complaint surveillance to detect mismatches between marketing and actual service capability.


NEW QUESTION # 115
Which of the following best describes the appropriate scope of a risk manager's involvement in community disaster preparedness?

Answer: B

Explanation:
According to Health Care Risk Management standards endorsed by ASHRM and the American Hospital Association Certification Center, a risk manager's role in community disaster preparedness extends beyond narrow liability analysis. The appropriate scope involves integration of emergency management into the organization's broader enterprise risk management framework.
Enterprise risk management ERM is a structured, organization-wide approach to identifying, assessing, and managing risks that may affect strategic objectives, operations, financial stability, and reputation. Disaster preparedness is a critical operational risk that must be aligned with governance, compliance, continuity planning, and asset protection strategies. By incorporating emergency management into ERM, the risk manager ensures coordination across clinical services, facilities, supply chain, communications, and leadership structures.
Option A focuses only on post-event liability. Option C limits involvement to quantification without strategic integration. Option D addresses reimbursement processes rather than preparedness strategy.
Health Care Operations objectives emphasize collaboration with emergency management teams, regulatory compliance with preparedness standards, and resilience planning to protect patients, staff, and assets.
Therefore, integrating emergency management into a comprehensive enterprise risk management plan best defines the risk manager's appropriate scope of involvement.


NEW QUESTION # 116
When considering the proper insurance to purchase for an organization and its practitioners, a risk manager should understand which of the following about specific types of coverage?

Answer: A

Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, occurrence coverage provides protection for incidents that occur during the policy period, regardless of when the claim is reported. The triggering event is the date of the occurrence. As long as the alleged act or omission took place while the policy was in force, coverage applies even if the claim is filed years later.
Option A is incorrect because occurrence coverage does not extend to incidents that occur prior to the policy's effective date. Coverage is strictly tied to the policy period.
Option C is incorrect because in claims-made coverage, the retroactive date is critical. Coverage applies only to claims made during the policy period for incidents that occurred on or after the retroactive date.
Option D is incorrect because the "nose" period, also known as prior acts coverage, is highly significant in claims-made policies. It determines whether earlier acts are covered when switching carriers.
Risk financing objectives emphasize understanding policy triggers, retroactive dates, and reporting requirements. Therefore, occurrence coverage applies to incidents that occur while the policy is in effect.


NEW QUESTION # 117
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