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100+ Free NHA CMAA Practice Questions

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2026 Statistics

Key Facts: NHA CMAA Exam

135

Total Exam Questions

NHA CMAA Test Plan (110 scored + 25 pretest)

390/500

Passing Score

NHA scaled scoring system

63%

2024 Pass Rate

NHA annual pass rates (9,390 exams)

$117

Exam Fee

NHA CMAA registration

2 yrs

Certification Validity

NHA renewal policy

100

Practice Questions Here

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NHA's CMAA test plan (based on a 2021 job analysis) lists 110 scored items plus 25 pretest items in 2 hours and 15 minutes, with a scaled passing score of 390/500. The top-weighted domains are Communication and Professionalism (21 items) and Patient Encounter (21 items), followed by Medical Law, Ethics, and Compliance (17 items) and Scheduling (16 items). The 2024 NHA pass rate report shows 63% passing across 9,390 exams administered, with 17,616 active certifications as of December 31, 2024. The exam fee is $117, and certification renews every 2 years with 10 CE credits and a $185 fee.

About the NHA CMAA Exam

The NHA CMAA exam validates entry-level competencies for medical administrative assistants working in the front office of medical practices and healthcare facilities. The exam covers 7 domains: foundational knowledge, communication and professionalism, medical law/ethics/compliance, scheduling, patient encounters, billing and revenue cycle, and medical practice administrative procedures. The CMAA is NHA's certification for healthcare administrative professionals who manage patient flow, scheduling, billing, and medical records.

Assessment

110 scored items + 25 pretest items, all multiple-choice

Time Limit

2 hours and 15 minutes

Passing Score

Scaled score 390/500

Exam Fee

$117 exam application (NHA / PSI Testing Centers / Live Remote Proctoring)

NHA CMAA Exam Content Outline

10 items (9%)

Foundational Knowledge

Healthcare delivery models, medical terminology, abbreviations, TJC 'Do Not Use' list, prefixes/roots/suffixes, and basic anatomy and physiology.

21 items (19%)

Communication and Professionalism

Patient communication, telephone etiquette, therapeutic techniques, difficult interactions, written correspondence, and professional conduct.

17 items (15%)

Medical Law, Ethics, and Compliance

HIPAA Privacy and Security Rules, informed consent, patient rights, scope of practice, advance directives, compliance programs, fraud prevention, and legal concepts.

16 items (15%)

Scheduling

Scheduling methods (stream, wave, open, cluster), referral management, prior authorizations, cancellations, no-shows, surgical scheduling, and patient recall systems.

21 items (19%)

Patient Encounter

Patient check-in and check-out, insurance verification, copay collection, demographic updates, consent forms, triage, walk-in management, and encounter documentation.

11 items (10%)

Billing and Revenue Cycle

ICD-10-CM and CPT coding basics, CMS-1500, EOB, clearinghouses, aging reports, Medicare/Medicaid, managed care plans, coordination of benefits, and denial management.

14 items (13%)

Medical Practice Administrative Procedures and Logistics

Medical records management, EHR systems, filing systems, document destruction, inventory management, mail handling, tickler files, and office equipment.

How to Pass the NHA CMAA Exam

What You Need to Know

  • Passing score: Scaled score 390/500
  • Assessment: 110 scored items + 25 pretest items, all multiple-choice
  • Time limit: 2 hours and 15 minutes
  • Exam fee: $117 exam application

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

NHA CMAA Study Tips from Top Performers

1Focus on the two highest-weighted domains first: Communication/Professionalism and Patient Encounter together represent 38% of scored questions. Practice de-escalation scenarios, telephone etiquette, and patient check-in/check-out workflows.
2Memorize HIPAA fundamentals: the Privacy Rule, Security Rule, minimum necessary standard, breach notification requirements, and the difference between TPO disclosures (no authorization needed) and non-TPO disclosures (authorization required).
3Know scheduling methods cold: stream, wave, modified wave, open booking, cluster, and double booking. Be able to match each method to its best-use scenario. Also know referral and prior authorization workflows.
4Understand the revenue cycle flow from insurance verification through claim submission, payment posting, and denial management. Know the difference between copay, coinsurance, and deductible.
5Study medical terminology systematically — know common prefixes (hyper-, hypo-, tachy-, brady-), roots (cardi/o, hepat/o, nephr/o), and suffixes (-itis, -ectomy, -osis, -pathy). The CMAA tests terminology across all domains.

Frequently Asked Questions

How many questions are on the NHA CMAA exam?

The CMAA exam has 110 scored questions plus 25 unscored pretest items, for a total of 135 questions. Pretest items are used to develop future exam questions and do not count toward your score. You cannot tell which items are pretest, so answer all questions as if they are scored.

What score do I need to pass the CMAA exam?

The CMAA exam uses a scaled scoring system ranging from 200 to 500. The minimum passing score is 390 (approximately 78%). Your raw score is converted to the scaled score to account for differences in exam difficulty across test forms.

How much does the CMAA exam cost?

The exam application fee is $117. Some training programs include the exam fee in their tuition. Certification must be renewed every 2 years with 10 continuing education credits and a $185 renewal fee.

What is the CMAA exam pass rate?

According to NHA's 2024 annual pass rate report, 63% of 9,390 CMAA exams administered in 2024 resulted in a passing score. There were 17,616 active CMAA certifications as of December 31, 2024. The CMAA has one of the lower pass rates among NHA exams, making thorough preparation essential.

Can I take the CMAA exam remotely?

Yes. NHA offers live remote proctoring (LRP) as an option. You can take the exam from your home or office using a computer with a webcam, microphone, and stable internet connection running Google Chrome. You can also take the exam at a PSI testing center or at your school if they offer on-site testing.

What happens if I fail the CMAA exam?

If you fail, you can retake the exam after a 30-day waiting period. You are allowed up to 3 retake attempts. After failing the 3rd retake, you must wait 1 year before attempting the exam again. Each retake requires registering and paying the $117 exam fee.

What topics are most heavily tested on the CMAA exam?

Communication and Professionalism (21 items, 19%) and Patient Encounter (21 items, 19%) are tied for the most heavily weighted domains. Medical Law, Ethics, and Compliance (17 items, 15%) and Scheduling (16 items, 15%) are next. Together, these four domains account for 68% of scored questions.