In the case of Sarah who falsely claims to have passed her RHIT exam, what should Nancy and Joan do?

The most appropriate course of action is to contact AHIMA to report Sarah's false claim regarding passing her RHIT exam. AHIMA (the American Health Information Management Association) is the certifying body responsible for the RHIT designation. Reporting to AHIMA is crucial because they hold authority over the certification process, including the ethical standards expected from certificants. By bringing this matter to AHIMA's attention, Nancy and Joan can help maintain the integrity of the certification and ensure that appropriate steps are taken to address the situation.

While contacting state licensing divisions or the office of inspector general could be relevant in cases of professional misconduct, in this specific scenario where the violation pertains to certification rather than state licensing, AHIMA is the most fitting organization to handle the issue. Reaching out to the HIT program may seem related but would not have the same impact as reporting the issue directly to the organization that governs certification.