CHC · CHPC · CHRC
The CHC, awarded by the Compliance Certification Board (CCB) and administered through the Health Care Compliance Association (HCCA), is the benchmark credential for healthcare compliance officers across hospitals, health systems, payers, and physician groups. Many compliance, privacy, and audit roles list CHC as a requirement or strong preference, and it sits alongside two siblings — CHPC for privacy and CHRC for research compliance. Unlike a one-and-done test, it gates a regulated career and must be renewed every two years. This page breaks down what each exam covers, how PSI delivers it, and how to get it done right the first time.
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How the CHC examination is built — at a glance
120
Every CHC form holds 120 multiple-choice questions. Only 100 are operational; the other 20 are unscored pretest items that look identical, so you must answer all of them seriously.
75
CCB sets the cut at a scaled score of 75 out of 100. There is no curve to a peer group — you clear a fixed bar of demonstrated competence across every content domain.
2h
You have two uninterrupted hours — roughly one minute per question. The pacing is unforgiving when items are scenario-based and ask you to apply law rather than recall it.
CHC items are application-heavy: a short fact pattern about a hospital, billing arrangement, or audit finding, followed by "what should the compliance officer do." Many distractors are plausible-but-wrong, so rote memorization of the False Claims Act or Stark Law is not enough — you have to reason like a practitioner under the federal Sentencing Guidelines framework.
Your raw count of correct operational answers is converted to a scaled score out of 100, and 75 is the pass line. You get a preliminary pass/fail at the test center or end of the online session, with the official result and CHC designation confirmed by CCB after review. Fail and you can re-sit within your eligibility window for a reduced $75 re-exam fee.
CHC has two siblings — same format, same renewal cycle, different focus
| Credential | Code | Who it's for |
|---|---|---|
| Certified in Healthcare Compliance | CHC | The broad, general healthcare-compliance credential — the default for hospital and health-system compliance officers, auditors, and coordinators. |
| Certified in Healthcare Privacy Compliance | CHPC | Privacy specialists working on HIPAA, the protection of PHI, breach response, and patient-data governance. |
| Certified in Healthcare Research Compliance | CHRC | Clinical-research compliance professionals handling human-subject protections, IRB oversight, grants, and research billing. |
| Certified in Healthcare Compliance — Fellow | CHC-F | Experienced certified professionals who pursue CCB fellowship recognition through additional experience and continuing education — not a separate exam. |
All three exams (CHC, CHPC, CHRC) share the 120-item, two-hour, scaled-75 structure, the same 20-CEU eligibility model, and the same two-year, 40-CEU renewal cycle. Pick the credential that matches the work you actually do — recruiters increasingly distinguish a privacy-focused CHPC from a general CHC.
CHC content domains — bars show the approximate share each carries on the form
Building and running the seven elements of an effective compliance program: code of conduct, oversight, training, the compliance committee, and program effectiveness reviews under the OIG guidance.
Drafting, communicating, and maintaining written standards; documentation, record retention, and translating federal regulation into workable policy across a health system.
Conducting risk assessments, internal audits, and ongoing monitoring; coding and billing integrity; identifying overpayments and the 60-day refund rule.
Investigating reports, corrective action, discipline, and self-disclosure; the legal backbone — Stark Law, Anti-Kickback Statute, False Claims Act, HIPAA, EMTALA, and the federal Sentencing Guidelines.
Percentages are approximate and based on CCB's published CHC Detailed Content Outline; verify the exact blueprint and any updates on the HCCA site before you sit. CHPC re-weights toward HIPAA and privacy, and CHRC toward research and human-subject protections, but all draw on the same compliance-program backbone.
Three ways to sit the CHC — and what PSI expects on test day
You can take the computer-based CHC at a local PSI testing center, or sit a paper/CBT exam at select HCCA or SCCE conferences and academies. Center staff verify your government ID, store your belongings, and monitor the room. This route suits candidates who want a controlled, distraction-free setting.
CCB's remote option lets you sit the CHC from a private room at home, available 24/7 through PSI Services. You install and launch the PSI Secure Browser, which locks down your machine, then a live proctor verifies your ID, runs a webcam room scan, and watches the session. No second monitor, no notes, no one else in the room.
Before exam day, run PSI's compatibility check and install the PSI Secure Browser. A weak webcam, blocked ports, or VPN can stop you from launching, so test your setup early.
A valid government photo ID matching your CCB application, plus a 360° room scan and a clear desk. Phones, smartwatches, and second screens must be out of reach.
Stay on camera and in frame the entire two hours. No breaks are guaranteed, no talking aloud, and no leaving the seat — losing connection or breaking eye contact can flag the session for review.
CHC is built for healthcare compliance professionals
There are real prerequisites — and the bar is high
Difficulty: CHC is hard because it spans a wide body of federal law — Stark, Anti-Kickback, False Claims, HIPAA, EMTALA — and asks you to apply it to messy scenarios, not just recall definitions. Many candidates know their own department well but get caught by domains outside their day job, all while pacing one minute per question under PSI lockdown. That breadth-under-pressure is exactly where our help is built to remove the risk.
The CHC is a breadth-of-law exam delivered under PSI lockdown, with a hard 75 cut and a career credential riding on it. Exam Assist pairs you with a vetted healthcare-compliance specialist and works on a pay-after-you-pass model — so the risk sits with us, not you. No upfront fee, guaranteed results: Exam Assist handles the sitting end to end, and you settle only after the verified result.
Tell us which credential (CHC, CHPC, or CHRC), your delivery method (PSI center or online), your test window, and where your application stands. A couple of minutes over WhatsApp, Telegram, or Discord.
We review your timeline, eligibility, and target and tell you plainly whether it's realistic — before any money is discussed. If it isn't a fit, we say so.
Exam Assist handles the sitting end to end. You're matched with a compliance specialist who maps the work around the content outline, the federal-law domains, and the PSI Secure Browser environment — discreetly and confidentially.
You only pay once your passing result is confirmed by CCB. No verified pass, nothing owed.
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Service and sibling professional certifications
Pair with a vetted healthcare-compliance specialist on a results-first arrangement. No upfront fee — settle only after a verified pass.
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View examGet expert CHC, CHPC, or CHRC help with no upfront fee — you settle only after your verified passing result. Honest feasibility answer first, results-first arrangement always.