Free CCMA practice · Updated October 2026

CCMA office finances and operations practice questions, with every answer explained

Administrative assisting is 12 of the 150 scored items on the NHA CCMA. Answer 10 exam style questions on office finances and operations and see exactly which concepts would cost you points on test day.

✓ 10 questions✓ Every answer explained✓ No sign up
Start the 10 questions →
Where the CCMA points are150 scored items
General patient care
28
Foundational knowledge
15
Infection control and safety
15
Patient intake and vitals
14
Phlebotomy
12
Care coordination and education
12
Administrative assisting
12
Source: NHA CCMA test plan (2022)You are here ↑
Score 0/0
Q1Banking

Which type of check endorsement provides the most protection when checks are deposited?

What these office finances and operations questions test

These questions cover banking, bank reconciliation, petty cash, payroll basics and accounting terms. Each one shows the correct answer and why every other option is wrong, so a miss tells you exactly what to review before the CCMA.

BankingBank reconciliationPetty cashPayroll basicsAccounting termsOffice equipmentOffice managementSupply orderingTechnologyFront office

All 10 questions with answers explained

Prefer to read first? Every question from the practice set above, with the correct answer and why each wrong option is wrong.

Q1Which type of check endorsement provides the most protection when checks are deposited?
  1. No endorsement at all on the back
  2. A restrictive endorsement such as 'For deposit only'
  3. A special endorsement to another person
  4. A blank endorsement with just a signature

Answer: B. A restrictive endorsement ('For deposit only to account #...') limits the check to deposit into the practice's account, so it cannot be cashed if lost or stolen. Practices often stamp checks as soon as they are received.

Why not A: An unendorsed check carries no restriction on how it can be negotiated if lost or stolen.

Why not C: A special endorsement transfers it to a named person.

Why not D: A blank endorsement makes the check payable to anyone who holds it.

Exam tactic: Stamp 'For deposit only' on arrival.

Q2What is the purpose of reconciling the practice's bank statement?
  1. To match the practice's records with the bank's
  2. To file the practice's annual tax return
  3. To set the prices of the office's services
  4. To apply for a new business loan

Answer: A. Reconciliation compares the checkbook or accounting records with the bank statement, accounting for outstanding checks, deposits in transit, and bank fees, so errors or fraud can be found.

Why not B: Taxes are a separate process.

Why not C: Prices are set by the practice's fee schedule.

Why not D: Loans are unrelated to monthly reconciliation.

Exam tactic: Reconcile = your records vs the bank's.

Q3When the petty cash fund is balanced, what should the cash on hand plus receipts equal?
  1. Whatever amount is left in the box
  2. Double the original amount
  3. Zero, because the fund is always spent
  4. The original amount of the fund

Answer: D. An imprest petty cash fund always totals the original amount: cash remaining plus receipts for expenses. Any difference is investigated.

Why not A: Cash alone ignores the documented expenses.

Why not B: The total should equal the fund amount, not double it.

Why not C: The fund is replenished, not always emptied.

Exam tactic: Cash + receipts = starting amount.

Q4Which form does an employee complete so the employer can withhold federal income tax correctly?
  1. Form W-4
  2. Form W-2
  3. Form 1099
  4. Form I-9

Answer: A. The employee completes a W-4 to set federal income tax withholding. The W-2 reports annual wages and taxes withheld, the 1099 reports certain non-employee payments, and the I-9 verifies employment eligibility.

Why not B: The W-2 is the year-end wage statement.

Why not C: The 1099 is for non-employee compensation and other income.

Why not D: The I-9 verifies identity and work eligibility.

Exam tactic: W-4 in (withholding). W-2 out (year-end).

Q5In practice accounting, what are 'accounts payable'?
  1. The practice's total yearly revenue
  2. Money the practice owes to vendors and others
  3. Payments received from insurance carriers
  4. Money patients owe the practice

Answer: B. Accounts payable are the practice's obligations to pay others, such as supply vendors, utilities, and service contracts. Accounts receivable are amounts owed to the practice.

Why not A: Revenue is income earned, not a payable.

Why not C: Insurance payments reduce receivables.

Why not D: Patient balances are accounts receivable.

Exam tactic: Payable = we owe. Receivable = they owe us.

Q6Why should the office keep a service contract and maintenance log for major equipment?
  1. To bill patients for maintenance costs
  2. To record which patients used each device
  3. To track servicing, warranties, and repairs
  4. To avoid having to calibrate equipment

Answer: C. Equipment records track purchase dates, warranties, service contracts, maintenance, calibration, and repairs. This supports patient safety and regulatory compliance.

Why not A: Maintenance costs are an operating expense, not a patient charge.

Why not B: Patient use is documented in the record, not the equipment log.

Why not D: Calibration is still required.

Exam tactic: Log it: warranty, service, repairs.

Q7Which task is part of opening the office each morning?
  1. Checking messages, turning on equipment, and reviewing the day's schedule
  2. Shredding the day's patient forms before patients arrive
  3. Unlocking the medication cabinet and leaving it open
  4. Leaving the front door locked until the first patient knocks

Answer: A. Opening duties commonly include retrieving phone and portal messages, turning on computers and equipment, checking refrigerator temperatures, preparing charts or the schedule, and making sure rooms are ready.

Why not B: Forms needed for the day should not be destroyed.

Why not C: Medication storage stays secured.

Why not D: Patients should be able to enter at opening time.

Exam tactic: Open: messages, equipment, temps, schedule, rooms.

Q8When a supply order arrives, what should be done FIRST?
  1. Throw away the packing slip
  2. Pay the invoice before opening the boxes
  3. Compare the packing slip with the order and check for damage
  4. Put everything on the shelf without checking

Answer: C. Received shipments are checked against the purchase order and packing slip for correct items, quantities, damage, and expiration dates before stocking. Discrepancies are reported to the vendor.

Why not A: The packing slip is needed to reconcile the order.

Why not B: Payment should follow verification.

Why not D: Unchecked stocking lets errors and damage go unnoticed.

Exam tactic: Check before you stock.

Q9Why should staff avoid clicking links in unexpected emails asking for login credentials?
  1. Links in email are always safe inside a medical office
  2. They may be phishing attempts designed to steal access to systems
  3. Clicking links speeds up the computer
  4. All office emails are required to include links

Answer: B. Phishing emails impersonate trusted senders to steal passwords or install malware, a common cause of health care data breaches. Suspicious messages are reported to IT or the security officer.

Why not A: Being in a medical office does not make links safe.

Why not C: Clicking links does not improve performance.

Why not D: Emails do not need links to be legitimate.

Exam tactic: Unexpected login request = likely phishing. Report it.

Q10Which practice keeps the reception area welcoming and compliant?
  1. Discussing lab results with patients in the waiting room
  2. Keeping it clean, uncluttered, and free of visible patient information
  3. Leaving patient charts on the counter for easy access
  4. Posting the day's schedule where patients can read it

Answer: B. A clean, organized reception area with no visible PHI (screens angled away, charts out of view, conversations kept private) supports both patient comfort and privacy compliance.

Why not A: Discussing results publicly violates privacy.

Why not C: Charts on the counter expose PHI.

Why not D: A visible schedule discloses who is being seen.

Exam tactic: Clean, calm, and no PHI in view.

Check every CCMA area, not just this one

The free 20 question diagnostic covers all 12 areas of the CCMA outline and shows the 3 fixes worth the most points.

Take the free diagnostic

Practice another CCMA topic

See all 43 CCMA practice topics →

More about the CCMA

PassPulse is an independent exam preparation tool. We are not affiliated with, endorsed by, or sponsored by the National Healthcareer Association (NHA), the American Association of Medical Assistants (AAMA), American Medical Technologists (AMT) or the National Center for Competency Testing (NCCT). Exam, credential and product names mentioned on this page are trademarks of their respective owners and are used only to identify the exams described.

These practice questions are written by PassPulse to reflect the published exam content outline. They are not actual exam questions. Questions, answers and explanations may contain errors or be out of date, and they are for exam study only, not for clinical or professional practice: always check facts against the certifying body's official materials, current standards and your employer's policies. Scores and projections on this page are estimates based on a small number of questions and do not predict your result on the real exam. Area weights come from the official outline as of the date shown; always confirm current exam details with the certifying body.
Preparing for the CCMA?Test yourself free
Take the test