Free CMAA Practice Test
Answer NHA CMAA-style medical administrative assistant questions on scheduling, check-in, insurance, HIPAA, billing and office procedures, read why each answer is right, then take a full timed exam at the real exam’s pace.
110 questions in 110 minutes, the real NHA CMAA pace, scored by test-plan domain with a worked explanation for every answer.
Or start with a free 10-question drillA patient who reads only Vietnamese is scheduled for an outpatient procedure. What is the best way to give the provider's preparation instructions?
NHA CMAA exam format
The NHA Certified Medical Administrative Assistant exam has 110 scored questions in seven domains. Communication and Professionalism and Patient Encounter are the largest, at 21 each. Your score report rates each domain, and our full practice exam scores you the same way.
| Test-plan domain | Scored questions | What it covers | Drill |
|---|---|---|---|
| 1. Foundational Knowledge | 10 | Health care settings and delivery models, medical terminology, body systems and common abbreviations. | 10-question drill |
| 2. Communication and Professionalism | 21 | Patient and team communication, difficult customer service situations, barriers, instructions, community resources and professionalism. | 10-question drill |
| 3. Medical Law, Ethics, and Compliance | 17 | HIPAA and PHI release, patient rights, reportable events, consent, scope of practice and codes of ethics. | 10-question drill |
| 4. Scheduling | 16 | Scheduling methods, telehealth, registration, confirmations, no-shows and cancellations, referrals and diagnostic test scheduling. | 10-question drill |
| 5. Patient Encounter | 21 | Check-in, insurance verification, financial responsibility, intake forms, encounter documentation, duplicate records and check-out. | 10-question drill |
| 6. Billing and Revenue Cycle | 11 | Billing documentation, charge reconciliation, claims, copay collection and resolving billing issues with insurers. | 10-question drill |
| 7. Medical Practice Administrative Procedures and Logistics | 14 | Medical records management, petty cash and deposits, opening and closing, deliveries, supply inventory, phones and correspondence. | 10-question drill |
Each linked domain has a free ten-question drill with the explanation after each answer. Create a free account to save your results; each drill’s first attempt is free.
CMAA exam at a glance
- Questions
- 135: 110 scored and 25 unscored pretest questions
- Time
- 2 hours 15 minutes
- Eligibility
- High school diploma or equivalent, plus a medical administrative assistant training program in the last 5 years or 1 year of supervised work experience in the last 3 years
- Passing score
- Scaled score of 390 on a 200–500 scale
- Retakes
- Wait 30 days between attempts; after three attempts, wait one year. Each retake is a full fee.
- Where
- At your school, at a PSI test center, or online with live remote proctoring
- Renewal
- Every 2 years with 10 continuing education credits
- Pass rate
- 62.68% of 9,390 CMAA exams passed in 2024
The 25 pretest questions are mixed in and not marked, so treat every question as scored. Our full practice exam gives you the 110 scored-question count in 110 minutes, the same pace as the real exam, which gives you 2 hours 15 minutes for 135 questions.
Common questions
How many questions are on the NHA CMAA exam?
135 multiple-choice questions in 2 hours 15 minutes. 110 are scored and 25 are unscored pretest questions.
What is on the CMAA exam?
Seven domains from NHA’s CMAA test plan: Communication and Professionalism (21 scored questions), Patient Encounter (21), Medical Law, Ethics, and Compliance (17), Scheduling (16), Medical Practice Administrative Procedures and Logistics (14), Billing and Revenue Cycle (11) and Foundational Knowledge (10).
What score do you need to pass the CMAA?
A scaled score of 390 on a 200–500 scale.
Is the CMAA exam hard?
62.68% of the 9,390 CMAA exams NHA gave in 2024 were passes, one of the lowest rates among NHA exams. Most questions are front-desk scenarios where two answers sound polite and only one follows HIPAA, scheduling or billing rules.
What is the difference between the CMAA and the CCMA?
The CMAA covers front-office work: scheduling, check-in, insurance, billing and records. The CCMA covers clinical medical assisting, from vital signs and injections to phlebotomy and EKGs.
Does this practice test match the real CMAA?
Our full practice exam has the 110 scored-question count in 110 minutes, the real exam’s pace, weighted to NHA’s seven domains, with a score by domain and a worked explanation for every question.
Ready for exam day?
110 questions in 110 minutes, the real NHA CMAA pace, scored by test-plan domain with a worked explanation for every answer.
Or start with a free 10-question drillMore healthcare certification practice
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Exam format, domains and policies are from NHA, checked November 2026: NHA: Certified Medical Administrative Assistant (CMAA) · NHA CMAA test plan (2021 job analysis) · NHA Candidate Handbook (updated October 2026) · NHA pass rates for exams administered in 2024.
Original independent practice. Every question is written for practice from NHA’s public test plan. Not affiliated with or endorsed by the National Healthcareer Association (NHA). CMAA is a certification of the National Healthcareer Association.