Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest

Testing Procedures OLD

Certification for Home Care and Hospice Executives

Administrative Procedures

The test center administrator (TCA) will expect the name of the person scheduled in the computer, the name on the identification and the name signed on the log to match. The TCA will also verify that the photo on the identification looks like the person presenting it. The TCA will check the candidate+s identification, print the time of sign in on the log and have the candidate sign next to the time on the log. The TCA will then read the candidate+s authorization letter and verify the candidate+s information in the Prometric registration system. The candidate will then be seated at a test station. The TCA will then set up the CHCE test for the candidate using the Edgia test system.

Candidates will be given three hours to take the examination. At the completion of the test, unofficial pass/fail scores will be provided. An official score report will be sent to the candidate by Edgia within two weeks of the test date.

Examination Cancellations and Delays

Test administrations will be delayed or canceled only in emergencies. If severe weather or a natural disaster makes the test center inaccessible or unsafe, the test administration may be canceled.

It is essential that candidates are notified of a cancellation or delayed start as early as possible. Prometric will notify candidates in a timely manner regarding examination delays or cancellations, and re-schedule for another day.

Test Center Rules

To ensure that all candidates are tested under equally favorable conditions, the following regulations and procedures are observed at each test center:
  • Candidates are not permitted to take personal belongings such as briefcases, large bags, study material, extra books, or papers into the testing room. Any such materials brought into the testing center will be collected and returned to candidates when they have completed the test.
  • Prometric is not responsible for lost or misplaced items.
  • Cellular phones, beepers, calculators, or any other electronic devices are not permitted at the test center, and there is no place for storage of personal belongings at the test center.
  • Candidates are not permitted to eat, drink, or smoke during the test.
  • Under no circumstances will candidates be permitted to work beyond the time allotted for the examination. Time limits are generous; candidates should have ample time to answer all questions and check all work.
  • Candidates may not leave the room during an examination without permission from a proctor. If candidates need to leave the examination for any reason, no extra time will be allowed for the examination.
  • Candidates discovered causing a disturbance of any kind or engaging in any kind of misconduct-giving or receiving help; using notes, books, or other aids; taking part in an act of impersonation; or removing test materials or notes from the testing room-may be summarily dismissed from the examination and will be reported to their certification organization. Decisions regarding disciplinary measures are the responsibility of Home Care University.
  • No visitors, guests, or children are allowed at the test center.
  • No notes of any kind may be taken from the testing room.
  • Scratch paper will be provided at the test center and will be collected at the end of the examination.

Note: The examination proctors are not familiar with the content of candidate examinations. It is the candidate's responsibility to determine what examination or parts of an examination he or she needs to take. Examination proctors are instructed not to advise candidates on requirements for certification.

Examination Security

The security and confidentiality of all examination materials and data are of utmost concern during every phase of development, program implementation, and storage. Examination security will be strictly enforced and any individual who has been determined to be in violation of security will be prosecuted. If candidates are found in violation of any security procedure, the following actions may be taken: results may be delayed; examination materials may be voided; and/or application for future examinations may be denied.

Candidates are not permitted to discuss the contents of the examination or remove examination materials from the testing sites at any time. All examination materials are confidential. The entire question pool, each form of the examination, and any materials used to administer the examination are copyrighted and the property of the National Association for Home Care & Hospice and Home Care University. Any distribution of examination content or materials through any form of reproduction or oral or written communication is strictly prohibited and punishable by law.

Examination material is not available to candidates for review at any time.

Candidate Feedback

Home Care University and Edgia believe that each candidate+s opinion is important and welcome feedback on the examination experience. At the end of the examination candidates will be asked a series of questions regarding their experience with Edgia and with the test process. Additional opportunities for comments or feedback-both positive and negative-should be directed in writing to:

2 Forest Plaza
Suite 220
Dallas, TX 75251
or contact

Thomson/Prometric Candidate Care Department
(800) 853-6769

Score Reporting

Passing Standards

In testing for certification, it is important to determine whether a candidate has the knowledge to administer a home care or hospice organization, not whether the candidate performs better or worse than others who take the test.

The CHCE examination measures the knowledge needed in practice, and represents a standard of performance that CHCE subject-matter experts agree is the minimum acceptable level for certification in the profession. To establish pass-fail standards, a panel of home care and hospice care executives met to review the content of the exam questions. The independent judgments of the panel members are aggregated to determine the passing score of the exam.

Pass-Fail Notice

Candidates will receive notification of their pass-fail status on completion of their examination.

Candidates who pass will be notified with the word, -Pass+.

Those who fail will be given an overall scaled score for the items they answered correctly. Failing candidates will also receive diagnostic information in each of the major examination content areas. All candidates will be provided information on the next step in the certification or examination process. Appointments for re-testing must be made in the same manner as described earlier in this book. Appointments may not be made at the test center.

Test Scores

Home Care University, Edgia and Thomson/Prometric want to ensure that candidates have neither an advantage nor a disadvantage because they have taken a particular test at a particular time. For this reason, scores are adjusted for minor differences in difficulty of the different forms of each examination. This statistical adjustment is known as equating. Once equated, all test results are reported as scaled scores. These scores range from 300 to 600, but are not to be interpreted at the percent or number of test questions answered correctly. The passing score is 500.

How to Prepare for the Examination

Examination Structure

  • Each CHCE examination totals 165 questions, including 150 scorable items and 15 pretest questions.
  • Each question on the examination is a four-option, multiple-choice format with one correct answer.
  • Each question can be answered independently of all other questions.

Pretest Items

The examination contains pretest questions that are not counted toward a candidate+s score. These questions are used to gather statistics on performance and help assess the questions+ appropriateness for use on future examinations.
Because pretest questions are designed to look and perform like real questions that are scored, candidates should answer ALL questions in the examination.

Examination Content Areas

The certification exam will be a written test consisting of multiple-choice questions based on the topics in the content out-line in this handbook. The test may include questions on any of the topics included on the outline. The examination is designed to test the knowledge used to perform the job functions of a home care or hospice executive.

Test-taking Strategies

The following strategies will help candidates during the examination. Candidates should:

  • Relax during the examination. Candidates will be more mentally alert if they reduce physical stress through relaxation.
  • Find the right work pace. Don+t rush or go too slowly. Find a pace that is comfortable.
  • Follow directions and work carefully.
  • Read all options for each question before marking an answer.
  • Eliminate the least likely answers first.
  • Remember each question has only one correct answer. Try not to speculate on additional conditions or exceptions that are not stated in the question.
  • Skip difficult questions or mark them for review and come back to them later.
  • If not sure of an answer, make an informed guess, rather than omitting an answer. Omitted answers and wrong answers are both counted as wrong responses. Passing the examination is based on the total number of correct responses.

Preparation Suggestions

The following suggestions may help candidates prepare themselves for the examination:

  • Review the content outline. The examination may include any areas from this outline.
  • Use the content outline to assess strengths and weaknesses.
  • Obtain appropriate review materials. Candidates should identify resources that can assist in review of less familiar areas of content. A reference list is included in this handbook.
  • Review less familiar areas of content with the appropriate personnel in the organization. For example, interviewing the CFO or financial manager could help strengthen the administrator+s knowledge of finance and reimbursement content.
  • Become familiar with the structure of the test questions, as in the examples.
  • To avoid additional stress on the day of the test, it is a good idea to become familiar with the location of the test center, availability of parking and the location of the testing room.
    Remember: the certification examination is not a competition. There is no limit to the number of individuals who can pass the examination.

Reference Materials

  • CHCE Resource Manual. (Home Care University, 1999).
  • CHCE Study Guide. (Home Care University, 1999).
  • A Provider+s Guide to the Medicare Home Health Survey & Certification Process. (National Association for
    Home Care, 2000).
  • HIM-11 Manual. (National Association for
    Home Care, 2000).
  • HIM-12 Coverage Guide for Field Staff. (National Association for Home Care, 1997).
  • Dombi, William A. Home Care and Hospice Law: A Handbook for Executives. (National Association for
    Home Care. 2000).
  • The Best of Caring: PPS. (National Association for
    Home Care, 2000).
  • CARING magazines.
  • NAHC Resource Catalog, (202/547-7424).
  • Harris, Marilyn D. (1997) Handbook of Home Health Care Administration. Gaithersburg, Maryland: Aspen
  • McKeon, Tad. (1996) Home Health Financial Management. Gaithersburg, Maryland: Aspen,
  • Schulmerich, Susan Craig, Riordan, Timothy J. Jr., and Davis, Stephanie Taylor (1995) Home Health Care Administration. New York: Delmar Publishers
  • Tidd, C.W., Reilly, B.C., and Hutchins, T. Clinician+s Guide to PPS. (Home Care University, 2001).
  • Code of Federal Regulations.
  • General textbooks on accounting and business
©  National Association for Home Care & Hospice. All Rights Reserved.