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CMA (AAMA) Certification Exam

CMA (AAMA) Practice Test

This CMA practice test is written for the CMA (AAMA) Certification Exam of the American Association of Medical Assistants. The exam is 200 multiple-choice questions, 180 of them scored, taken in four 40-minute segments, and the minimum passing score is 405 on a scale of 200 to 800. Clinical Competency is 59% of the scored questions. The free 25-question diagnostic needs no account.

The free CMA (AAMA) diagnostic is being prepared and is not open yet. The exam facts and the content outline on this page are current.

The AAMA weights its outline in three parts: Clinical Competency, 106 of the 180 scored questions; General, 38; and Administrative, 36. General includes the legal and ethical material, such as HIPAA, consent and mandatory reporting, and Administrative includes coding, insurance and payer types, and practice finances. The two smaller parts are 41% of the exam together, which is too much to leave to chance.

The exam is also sat differently from most. You get four segments of 40 minutes each, with optional breaks between them, rather than one long clock, so you pace yourself four times rather than once.

The CMA (AAMA) exam at a glance

What you are preparing for, in the exam owner's own numbers.

Questions200 (180 scored, 20 unscored)
Time limit2 hours 40 minutesFour 40-minute segments, with optional breaks of 5, 10 and 5 minutes between them.
Exam fee$125For completing students, recent graduates and AAMA members. Nonmembers in the other eligibility categories pay $250.
DeliveryComputer-based exam administered by PSI, either at a PSI test center or by PSI Live Remote Proctoring. 200 multiple-choice questions in four 40-minute segments (160 minutes of testing) with optional breaks of 5, 10, and 5 minutes between segments. Candidates have a 90-day window to test once approved.
EligibilityOpen to students completing and graduates of CAAHEP- or ABHES-accredited medical assisting programs, previously certified CMAs (AAMA), approved alternative-pathway candidates, and medical assisting educators with at least 1,000 teaching hours. The fee is $125 for completing students, recent graduates, and AAMA members, and $250 for nonmembers in the other categories.
Passing standardMinimum scaled score of 405 on a scale of 200 to 800, based on the 180 scored questions.
RetakesUp to six attempts within the 12-month period that starts with the first attempt. There is no waiting period between attempts, and each attempt requires a new application and fee.
Outline in forceContent Outline for the CMA (AAMA) Certification Exam (Rev. 1/26), for exams taken before July 2027

Exam facts are taken from AAMA’s own published material, last checked October 2, 2026. Source. Confirm fees, dates and rules with the organization you register with before you book.

Who takes it

The exam is open to students completing, and graduates of, medical assisting programs accredited by CAAHEP or ABHES, to previously certified CMAs (AAMA), to approved alternative-pathway candidates, and to medical assisting educators with at least 1,000 teaching hours. Once approved, you have a 90-day window in which to test.

What the CMA (AAMA) exam covers

The AAMA publishes weights for its three content areas (106, 38 and 36 of the 180 scored questions) and not for the categories beneath them.

DomainWeightWhat it covers
IClinical Competency43 tasks59%
  • Measure, record, and report vital signs: blood pressure, pulse sites and rhythm, height, weight and BMI, temperature, pulse oximetry, respirations, pain scale, pediatric growth measurements, and normal versus abnormal values by age.
  • Use medical terminology: word roots, combining forms, prefixes and suffixes, and terms for diagnostic and surgical procedures.
  • Interview patients to get concise, accurate, relevant information, using open-ended and closed questions.
  • and 40 more tasks
IIGeneral13 tasks21%
  • Apply HIPAA: spoken and written confidentiality, HITECH, patients' rights to inspect, amend, and restrict their records, patients' bill of rights, and security of electronic transmission.
  • Handle protected health information: authorization to release (including substance use, HIV, mental health, and genetic information and release for continuity of care), revoking authorization, and proper use and disposal.
  • Obtain consent: informed or written, implied or verbal, and exceptions such as emancipated minors, dependent adults, and emergencies.
  • and 10 more tasks
IIIAdministrative12 tasks20%
  • Apply coding: CPT procedure codes and modifiers, upcoding, downcoding and bundling, ICD-CM diagnosis codes, HCPCS Level II, and linking procedure to diagnosis codes to show medical necessity.
  • Recognize insurance fraud and abuse.
  • Manage coverage for patient services: eligibility verification, claim submission, explanations of benefits and remittance advice, rejected and unpaid claims, and Advance Beneficiary Notices.
  • and 9 more tasks

How to use the bank for the CMA (AAMA) exam

  1. 1

    Take the diagnostic and compare the three parts

    The 25-question diagnostic reports Clinical Competency, General and Administrative separately. Look hardest at the two smaller ones.

  2. 2

    Cover law, ethics and billing deliberately

    General and Administrative are 74 scored questions between them. They reward straightforward study: consent, confidentiality, payer types, claims and coding are all learnable from questions with full explanations.

  3. 3

    Practice in 40-minute blocks

    Set timed sets to match a segment and stop when the time is up, finished or not. The habit to build is an even pace inside each block.

  4. 4

    Sit a full-length mock

    200 questions across four timed blocks. You are allowed up to six attempts in a 12-month period, but each one needs a new application and fee.

What is in the paid CMA (AAMA) bank

  • The question bank

    The CMA (AAMA) bank is still being written. The live count appears here when questions are published.

  • Every option explained

    A written reason for every option, right and wrong, plus a one-line takeaway, a cited reference and the outline task the question tests.

  • Tutor mode and timed mode

    Tutor mode shows the explanation after each question. Timed mode holds everything back until the end, at exam pace.

  • A readiness band, by domain

    Your first-attempt results weighted the way the exam weights its domains, shown as a band rather than a pass probability: nobody outside the exam owner knows the cut score.

  • A study plan

    Set your exam date and the plan divides the questions you have not seen across the days you have left, weakest domains first, with the mock exams placed in the back half.

CMA (AAMA) passes

A pass is access for a fixed number of days. You pay once; nothing renews.

30-day pass

$29one-off

  • The full CMA (AAMA) bank for 30 days
  • Every mock exam, tutor and timed modes
  • Charged once. It does not renew.
Get the 30-day pass

90-day pass

$49one-off

  • The full CMA (AAMA) bank for 90 days
  • Every mock exam, tutor and timed modes
  • Charged once. It does not renew.
Get the 90-day pass

Refund within 7 days if you have answered fewer than 50 questions. Pass guarantee: complete 100% of the bank with an average of 80% or better, and if you still do not pass the exam your pass is extended by 90 days at no charge.

How the questions are written and checked

  1. Step 1

    Written to the public outline

    Each question is written by AI against one task in AAMA's published content outline. Nothing is taken from the exam itself.

  2. Step 2

    Solved blind by a second model

    A different model answers the question without seeing the key. If it does not reach the same answer, the question is not published.

  3. Step 3

    Audited for flaws and duplicates

    A separate pass looks for item-writing flaws: two defensible answers, a giveaway in the wording, a rationale that contradicts the key. Near-duplicates are removed.

  4. Step 4

    Corrected in public

    Learners can report any question. Reports and answer statistics flag questions for withdrawal or correction, and every correction is logged.

There is no human subject-matter-expert review in that process, and we do not claim one. What you get instead is a cited reference on every question, so you can check it yourself. Read the full methodology or see the corrections log.

CMA (AAMA) practice questions: common questions

How many questions are on the CMA (AAMA) exam?

200 multiple-choice questions, of which 180 are scored. They are delivered in four 40-minute segments, for 160 minutes of testing in all.

What is the passing score for the CMA exam?

A minimum scaled score of 405, on a scale of 200 to 800, based on the 180 scored questions.

How hard is the CMA exam?

The AAMA publishes a figure: 69% of first-time candidates passed between July 2024 and April 2025 (2,680 first-time attempts), as published by the AAMA. That describes all candidates who sat the exam, not users of this site, for whom we publish no pass rate.

How much does the CMA exam cost?

$125 for completing students, recent graduates and AAMA members, and $250 for nonmembers in the other eligibility categories.

Where do I take the CMA (AAMA) exam?

It is administered by PSI, either at a PSI test center or by PSI Live Remote Proctoring.

Is the CMA exam changing?

The AAMA has said a new content outline, informed by its 2025 occupational analysis, applies to exams taken on or after July 2027. Exams before then use the current outline, which is the one this bank follows.

Is this the accounting CMA exam?

No. This page is for the CMA (AAMA), the Certified Medical Assistant credential. The Certified Management Accountant exam shares the initials and nothing else.

Is this CMA practice test free?

The 25-question diagnostic is free, with no account needed. The full bank and the mock exams are part of a paid pass that is charged once and does not renew.

CMA (AAMA) is a registered trademark of the American Association of Medical Assistants. This site is an independent study resource and is not affiliated with, endorsed by, or sponsored by the American Association of Medical Assistants or its Certifying Board.