Credentials Exam Reimbursement Credentials Exam Reimbursement To be eligible for reimbursement, applicants must: Be an active member of KHIMA (dues up to date and Kentucky selected as the designated CSA) Have graduated (or be an early tester) from a CAHIIM-accredited HIT or HIA program Have successfully passed the RHIT or RHIA Examination Exam must be taken within 6 months of graduation, and all required documents must be submitted within 3 months after the exam is passed Name * First Last * Last Home Address * Street Address City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Phone Number * Primary Phone Number Email Address * Primary Email Address Name of accredited educational program from which you graduated * Date Exam Taken * MM/DD/YY Credential Earned * Date of Graduation * MM/DD/YY AHIMA # * Amount Paid * * Attach applicable receipt for consideration Submit application along with a copy of official documentation from AHIMA stating successful completion of exam. File Upload * Drop a file here or click to upload Choose File Maximum upload size: 268.44MB PDF format only reCAPTCHA If you are human, leave this field blank. EducationEducation CAHIIM Accredited Programs Credentials Exam Reimbursement Speakers Bureau Student Ambassador Program