Cognitive Levels
All computer-based examinations (CCA, RHIT, RHIA, CHP, CHS, CHPS) 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. |