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CCMA (NHA) Exam Prep

CCMA Exam Prep 2026 — Free Practice Tests & Study Guides

The NHA CCMA exam is 180 questions in 3 hours, with a passing scaled score of 390 out of 500. About 1 in 4 candidates fail on the first attempt. This hub gives you everything you need to be in the passing group: a free full-length practice test that mirrors the NHA blueprint, state-by-state exam guides, real BLS salary data, and study plans built on what actually works. No signup required.

CCMA (NHA) Exam at a Glance

180
Total questions
150
Scored questions
3 hours
Exam time
390/500
Passing scaled score
Exam fee: $165 (no member/non-member split)
Vendor: PSI test centers or live remote proctoring
Retake policy: 30-day wait after 1st & 2nd fails; 12-month wait after 3rd
Max attempts: 4 per rolling 12-month period

NHA uses a scaled scoring model. Your raw number of correct answers converts to a score between 200 and 500, and you need 390 to pass. Most candidates need to answer roughly 70–75% of scored questions correctly to hit 390. Aim for 75%+ on practice tests before scheduling your real exam.

7 Content Domains

Clinical Patient Care alone is 54% of the exam. If you have limited study time, start there. Medical Law & Ethics at 12% is the second-largest domain and is often the easiest place to reclaim points.

Clinical Patient Care54% of exam

Vital signs, phlebotomy, EKG, injections, wound care, specimen collection, infection control, and assisting with exams. The largest domain by far.

Medical Law & Ethics12% of exam

HIPAA, scope of practice, informed consent, advance directives, and mandatory reporting. Second-largest domain — often the easiest points to add.

Foundational Knowledge & Basic Science10% of exam

Medical terminology, abbreviations, math, basic pharmacology, and body systems overview.

Anatomy & Physiology8% of exam

Structure and function of body systems, common pathologies, and diagnostic terms.

Administrative Assisting6% of exam

Scheduling, EHR documentation, insurance basics, and medical records.

Patient Care Coordination & Education5% of exam

Patient teaching, referrals, discharge instructions, and community resources.

Communication & Customer Service5% of exam

Therapeutic communication, cultural competence, telephone etiquette, and conflict resolution.

How to Use This Practice Test

Step 1 — Take a 20-question diagnostic. Start with a quick run without looking anything up. Your score report shows topic-level results so you can see exactly where the gaps are.

Step 2 — Read every explanation. After each test, read the explanation for every question — including ones you got right. Understanding why an answer is correct is what matters when NHA changes the question wording on the real exam.

Step 3 — Simulate exam conditions. Take a full 60-question test with a 75-minute timer. Then do a 180-question run with a 3-hour timer. The real exam is 3 hours — fatigue affects accuracy in the final 40 questions if you have never sat that long before.

Step 4 — Aim for 75%+ before scheduling. The passing score is 390/500 scaled. Consistently hitting 75%+ on practice tests gives you a comfortable buffer for exam-day variation.

CCMA Exam Guides by State

Each guide covers PSI testing locations, registration steps, state-specific employer landscape, and BLS May 2024 salary data.

Study Resources

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Free CCMA practice test — all content domains — no signup required.

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