NHA · CMAA
CMAA Medical Administrative Assistant practice questions with answers
15 free practice questions for the Certified Medical Administrative Assistant (CMAA), spread across the exam's topics. Try each one, then open the answer to see why every option is right or wrong.
Question 1 · Foundational Knowledge
A cloud-based health record means the data is:
- AStored on remote servers
- BKept only on paper
- CStored on one office PC
- DNever backed up
Show answer and explanation
Answer: A) Stored on remote servers
- ACorrect. It is hosted online and accessed over the internet.
- BIncorrect. It is electronic.
- CIncorrect. That is local storage.
- DIncorrect. Cloud systems are typically backed up.
Question 2 · Communication and Professionalism
Which practice follows good email etiquette in a medical office?
- AUse secure, approved email
- BSend PHI by personal email
- CWrite in all capital letters
- DSkip the subject line
Show answer and explanation
Answer: A) Use secure, approved email
- ACorrect. PHI must only be sent through secure, approved systems.
- BIncorrect. This violates privacy rules.
- CIncorrect. This reads as shouting.
- DIncorrect. Clear subjects help.
Question 3 · Communication and Professionalism
An adult patient throws a tantrum like a small child when told about a delay. Which defense mechanism is this?
- ARegression
- BSublimation
- CProjection
- DRepression
Show answer and explanation
Answer: A) Regression
- ACorrect. It's a return to earlier behavior under stress.
- BIncorrect. That channels feelings into useful activity.
- CIncorrect. That attributes one's feelings to others.
- DIncorrect. That's unconsciously blocking memories.
Question 4 · Communication and Professionalism
A caller says they have slurred speech and face drooping. What should the assistant do?
- ATake a message for the provider to return later
- BSchedule the next open appointment this week
- CTell them to call 911 now
- DSuggest they rest and call back if it gets worse
Show answer and explanation
Answer: C) Tell them to call 911 now
- AIncorrect. This is an emergency.
- BIncorrect. This is an emergency.
- CCorrect. These are signs of a stroke.
- DIncorrect. This is an emergency.
Question 5 · Medical Law, Ethics, and Compliance
HIPAA allows PHI to be used without written authorization for:
- APosting on the office website
- BMarketing to other companies
- CSharing with the patient's employer
- DTreatment, payment, operations
Show answer and explanation
Answer: D) Treatment, payment, operations
- AIncorrect. This is not permitted.
- BIncorrect. Marketing generally needs authorization.
- CIncorrect. This needs authorization.
- DCorrect. TPO uses are permitted without authorization.
Question 6 · Medical Law, Ethics, and Compliance
Under OSHA's Bloodborne Pathogens Standard, which requirement applies to an employer whose staff have occupational exposure to blood?
- AKeep a written exposure control plan, reviewed and updated at least annually
- BOffer hepatitis B vaccination within 30 days of hire, at the employee's expense
- CKeep bloodborne pathogens training records for 1 year after each session
- DIssue gloves and gowns only to employees who submit a written request
Show answer and explanation
Answer: A) Keep a written exposure control plan, reviewed and updated at least annually
OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030) requires a written Exposure Control Plan that is reviewed and updated at least annually. The employer must also offer hepatitis B vaccination within 10 working days at no cost, keep training records for 3 years, and provide PPE at no cost.
- ACorrect. The standard requires a written Exposure Control Plan. It must be reviewed and updated at least once a year, and also whenever new or changed tasks or procedures affect exposure.
- BIncorrect. The vaccine must be made available within 10 working days of initial assignment, at no cost to the employee.
- CIncorrect. Training records must be kept for 3 years from the date of the training.
- DIncorrect. The employer must provide appropriate PPE at no cost, and it must be readily accessible at the worksite or issued to employees. It can't depend on a written request.
Question 7 · Scheduling
After an office visit, the provider decides a patient must be admitted directly to the hospital without going through the emergency department. When the medical administrative assistant calls the hospital's admitting department, which information is typically needed?
- AThe admitting diagnosis, the provider's admission orders, and the patient's insurance information
- BThe patient's complete immunization history and the lot numbers of recent vaccines
- CThe patient's emergency department triage level and expected arrival time at triage
- DA copy of the patient's signed acknowledgment of the office's Notice of Privacy Practices
Show answer and explanation
Answer: A) The admitting diagnosis, the provider's admission orders, and the patient's insurance information
To schedule a direct admission, the hospital needs the admitting diagnosis, the provider's admission orders and the patient's insurance information, which it uses to verify coverage and get any required precertification.
- ACorrect. The hospital needs the diagnosis to place the patient and the provider's orders to admit the patient formally. Medicare inpatient status requires an admission order from a physician or qualified practitioner. Insurance information is needed to verify coverage and get any required precertification.
- BIncorrect. Immunization records may be part of the chart, but they aren't what the hospital needs to arrange an admission. The hospital needs the diagnosis, orders and insurance details.
- CIncorrect. A direct admission skips the emergency department, so there is no ED triage level to report.
- DIncorrect. The office's privacy notice acknowledgment is an internal document of the practice. The hospital gives its own notice and doesn't need this to schedule the admission.
Question 8 · Scheduling
A pediatric practice gives the front desk a well-child visit schedule. How should the medical administrative assistant use it?
- ATo plan preventive checkups at recommended ages, where growth, screenings, and immunizations are addressed
- BTo reserve same-day slots for children who have acute symptoms such as fever or ear pain
- CTo book visits for a child only after a scheduled vaccine dose has been missed
- DTo book every child for one checkup per year, beginning at birth and continuing through adolescence
Show answer and explanation
Answer: A) To plan preventive checkups at recommended ages, where growth, screenings, and immunizations are addressed
A well-child schedule tells staff when to book routine preventive visits by age. Visits are frequent in infancy and annual from about age 3, and they cover growth checks, screenings and vaccines.
- ACorrect. Well-child visits are routine preventive visits at set ages. They include growth and development checks, screening tests, immunizations and guidance for parents.
- BIncorrect. Same-day slots for acute symptoms are sick visits, not well-child visits. Parents are told to call whenever a child seems ill, separate from the well-child schedule.
- CIncorrect. Catch-up vaccination is one possible part of care, but well-child visits are planned ahead at set ages whether or not a dose was missed.
- DIncorrect. Infants and toddlers need much more frequent visits, such as at 1, 2, 4, 6, 9, 12, 15 and 18 months. Visits become annual from about age 3.
Question 9 · Patient Encounter
An assignment of benefits form authorizes:
- AA health care proxy
- BRelease of all records
- CPayment to the provider
- DConsent for surgery
Show answer and explanation
Answer: C) Payment to the provider
- AIncorrect. That is an advance directive.
- BIncorrect. That is a records release.
- CCorrect. The insurer pays the provider directly.
- DIncorrect. That is a surgical consent.
Question 10 · Patient Encounter
When scanning an insurance card, the assistant should scan:
- ANeither side
- BFront only
- CBack only
- DFront and back
Show answer and explanation
Answer: D) Front and back
- AIncorrect. A copy is needed.
- BIncorrect. The back has key details.
- CIncorrect. The front has member data.
- DCorrect. The back often lists claims addresses and phone numbers.
Question 11 · Patient Encounter
For a child of divorced parents, what usually determines which plan is primary?
- AThe parent with the higher income, as reported on tax returns
- BA court order, if one exists
- CThe parent who arrives at the visit
- DThe child's choice
Show answer and explanation
Answer: B) A court order, if one exists
- AIncorrect. Court orders come first.
- BCorrect. Otherwise specific custody rules apply.
- CIncorrect. A court order or custody rules decide.
- DIncorrect. A court order or custody rules decide.
Question 12 · Billing and Revenue Cycle
An insurer denies a claim, saying the service was not medically necessary. The office confirms that the claim was coded correctly and that the provider's documentation supports the service. What should the office submit next?
- AA corrected claim that changes the diagnosis code to one the payer covers
- BA duplicate of the original claim, resubmitted unchanged
- CA clerical error reopening request to fix a minor claim mistake
- DAn appeal asking for reconsideration, with supporting documentation
Show answer and explanation
Answer: D) An appeal asking for reconsideration, with supporting documentation
When a payer denies a correctly coded, well-documented claim, the office files an appeal with supporting documentation. Corrected claims and reopenings are for actual errors, and diagnosis codes must never be changed just to get paid.
- AIncorrect. Codes must reflect the documentation. Changing a diagnosis just to get payment is improper and may be fraud.
- BIncorrect. An unchanged resubmission does not challenge the medical-necessity decision and is likely to be denied as a duplicate.
- CIncorrect. Reopenings are for minor errors or omissions. In this case the claim has no error; the office disagrees with the payer's decision.
- DCorrect. An appeal (for Medicare, the first level is a redetermination) formally disputes the payer's decision. Including the supporting records shows that the service was medically necessary.
Question 13 · Billing and Revenue Cycle
Under the Truth in Lending Act, when must a written disclosure be given for a payment plan?
- AOnly for patients over age 65 on Medicare
- BOnly when the patient pays the entire balance at once in cash
- CNever, since medical offices are exempt from all lending rules
- DWhen there are more than four installments or a finance charge
Show answer and explanation
Answer: D) When there are more than four installments or a finance charge
- AIncorrect. It depends on the plan terms.
- BIncorrect. Disclosure is for installment plans.
- CIncorrect. Disclosure may be required.
- DCorrect. It explains the terms.
Question 14 · Medical Practice Administrative Procedures and Logistics
A practice's EHR vendor now requires two-factor authentication for every staff login. Which login method meets this requirement?
- AA password, then answering a stored security question
- BA password, then a one-time code from a phone app
- CA password, then the same password typed a second time
- DA password, entered only at a workstation in a locked office
Show answer and explanation
Answer: B) A password, then a one-time code from a phone app
Two-factor authentication needs proof from two different categories: something you know, something you have, or something you are. A password plus a one-time code from a device qualifies. Two knowledge items do not.
- AIncorrect. A password and a security question are both 'something you know.' Two proofs from the same category are not two factors.
- BCorrect. This combines something you know (the password) with something you have (the device that generates the one-time code), so the two factors come from different categories.
- CIncorrect. Entering the same knowledge factor twice is still one factor. It adds no second type of proof.
- DIncorrect. A locked room is a physical safeguard, not an authentication factor. The login itself still uses only one factor.
Question 15 · Medical Practice Administrative Procedures and Logistics
A medical office adds a phone feature that greets every incoming caller with a recorded message. Callers then press a key or say an option to reach scheduling, billing, or the nurse line. Which feature is this?
- AVoicemail
- BAnswering service
- CAuto attendant
- DCall forwarding
Show answer and explanation
Answer: C) Auto attendant
An auto attendant answers calls automatically and routes callers through a keypad or voice menu. Voicemail, answering services and call forwarding do different jobs.
- AIncorrect. Voicemail records a message when no one answers. It does not present a menu that routes callers to departments.
- BIncorrect. An answering service uses live outside operators who take messages, often after hours. It is not an automated menu.
- CCorrect. An auto attendant greets callers automatically and routes them through a keypad or voice menu to the right extension or department. A good setup also gives callers a quick path to a live person for urgent needs.
- DIncorrect. Call forwarding sends calls from one number to another, for example to an on-call phone. It does not offer callers a menu of choices.
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These are a sample from the ExamWize question bank. Full practice exams match the real exam's length, time limit and topic weights, with every answer explained.
Original questions written from the official exam outline. Not affiliated with NHA; never copied from the real exam.