All computer-based examinations (CCA, CCS, CCS-P, RHIT, RHIA, CHPS, CHDA, CDIP) consist of four-option, multiple-choice questions written at three different cognitive levels: recall, application, and analysis. These levels represent an organized way to identify the performance that practitioners will utilize on the job. An explanation of the three cognitive levels is provided below:
Cognitive Level |
Purpose |
Performance Required |
Recall (RE) |
Primarily measuring memory. |
Identify terms, specific facts, methods, procedures, basic concepts, basic theories, principles, and processes. |
Application (AP) |
To measure simple interpretation of limited data. |
Apply concepts and principles to new situations; recognize relationships among data; apply laws and theories to practical situations; calculate solutions to mathematical problems; interpret charts and translate graphic data; classify items; interpret information. |
Analysis (AN) |
To measure the application of knowledge to solving a specific problem and the assembly of various elements into a meaningful whole. |
Select an appropriate solution for responsive action; revise policy, procedure, or plan; evaluate a solution, case scenario, report, or plan; compare solutions, plans, ideas, or aspects of a problem; evaluate information or a situation; perform multiple calculations to arrive at one answer. |