CMAA Exam Pass Rate, Format & Study Guide

The NHA CMAA test plan (2021 job analysis, revision of January 22, 2022) lists 110 scored questions plus 25 unscored pretest items in 135 minutes. The passing score is 390 on a 200-500 scaled score, computed from the 110 scored items. The seven domains and weights are Foundational Knowledge (9.09%), Communication and Professionalism (19.09%), Medical Law, Ethics, and Compliance (15.45%), Scheduling (14.55%), Patient Encounter (19.09%), Billing and Revenue Cycle (10%) and Medical Practice Administrative Procedures and Logistics (12.73%).

The CMAA is an NHA credential for front-office and administrative roles in medical practices.

Medical front-office staff and trainees who are preparing for the CMAA.

The certifying body does not publicly publish an official pass rate for this exam. Be wary of third-party sites citing a specific number here — treat any pass-rate claim you see elsewhere for this exam as unverified.

Retake rules and waiting periods are set by NHA; check the current candidate handbook before you reschedule.

The passing score is 390 on a 200-500 scaled score; a scaled score is not a percentage of correct answers, so the percent score in the portal mock is only a self-check. Format: 110 scored questions plus unscored pretest items in 2 hours 15 minutes on computer; the portal mock uses 110 questions in 135 minutes. No official pass rate is available for this exam, so none is quoted here.

The NHA CMAA test plan (2021 job analysis, revision of January 22, 2022) lists 110 scored questions plus 25 unscored pretest items in 135 minutes. The passing score is 390 on a 200-500 scaled score, computed from the 110 scored items. The seven domains and weights are Foundational Knowledge (9.09%), Communication and Professionalism (19.09%), Medical Law, Ethics, and Compliance (15.45%), Scheduling (14.55%), Patient Encounter (19.09%), Billing and Revenue Cycle (10%) and Medical Practice Administrative Procedures and Logistics (12.73%). 110 scored + 25 unscored pretest questions · 2 hours 15 minutes · computer-based · scaled score of 390 on 200-500 to pass. The passing score is 390 on a 200-500 scaled score; a scaled score is not a percentage of correct answers, so the percent score in the portal mock is only a self-check.

• Foundational Knowledge9.1%
• Communication and Professionalism19.1%
• Medical Law, Ethics, and Compliance15.4%
• Scheduling14.6%
• Patient Encounter19.1%
• Billing and Revenue Cycle10%
• Medical Practice Administrative Procedures and Logistics12.7%

The content outline spreads questions across 7 areas: Foundational Knowledge (9.1%); Communication and Professionalism (19.1%); Medical Law, Ethics, and Compliance (15.4%); Scheduling (14.6%); Patient Encounter (19.1%); Billing and Revenue Cycle (10.0%); Medical Practice Administrative Procedures and Logistics (12.7%).

NHA publishes the eligibility rules for the CMAA in its candidate handbook. Read the current handbook before you register.

NHA charges an exam fee. The amounts change, so no figure is quoted here; confirm them on the NHA site.

Holding the CMAA involves NHA continuing education and renewal; check the current NHA rules.

Start with communication and patient encounters, then law and ethics and scheduling, finish with billing and practice administration, and take timed 110-question runs.

This guide follows the NHA CMAA test plan (revision January 22, 2022), checked October 31, 2026. Fees and policies can change.