Is the CMA (AAMA) exam hard?

Yes, it's a demanding exam. The AAMA reports a 69% first-time pass rate for exams given from July 2024 to April 2025, so about 3 in 10 first-time candidates didn't pass. You face 200 questions in four 40 minute segments, roughly 48 seconds per question.

Updated October 2026
69%
First-time pass rateAAMA, July 2024 to April 2025
About 3 in 10 first-time candidates did not pass
200questions
160 minof testing
405to pass, on 200–800

CMA (AAMA) exam at a glance

Questions
200 multiple choice (180 scored, 20 pretest)
Testing time
Four 40 minute segments, 160 minutes
Passing score
405 on a 200 to 800 scaled score
First-time pass rate
69% (July 2024 to April 2025)
Exam fee
$125 members and completing students or recent graduates; $250 nonmembers
Retakes
Up to 6 attempts in 12 months, no waiting period, new fee each time

What makes the CMA (AAMA) hard

  • Speed. 200 questions in 160 minutes is about 48 seconds each, tighter than the CCMA.
  • Clinical weight. Clinical Competency is 106 of the 180 scored items, 59% of your score.
  • A high scale. You need 405 on a 200 to 800 scale; the raw cutoff isn't published.
  • 20 pretest items you can't identify.

Content split

AreaScored itemsShare
Clinical Competency10659%
General3821%
Administrative3620%

The AAMA says exams dated on or after July 2027 will use an updated content outline. If you test before then, study the current one.

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Results and retakes

You see pass or fail on screen as soon as you finish. The official score report, with your scaled score and bar graphs for General, Administrative and Clinical, arrives by email about 24 hours later. You can attempt the exam up to 6 times within 12 months with no waiting period, but each attempt needs a new application and fee. See CMA (AAMA) passing score.

CMA (AAMA) FAQ

What is the CMA (AAMA) pass rate?

The AAMA reports a 69% first-time pass rate for exams administered from July 2024 to April 2025.

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

200 multiple choice questions: 180 scored and 20 pretest.

How long is the CMA (AAMA) exam?

Four 40 minute segments, 160 minutes of testing, within a maximum 180 minute appointment.

How much does the CMA (AAMA) exam cost?

$125 for AAMA members and completing students or recent graduates, $250 for nonmembers.

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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 and materials described.

This page is for general information only. It is not official guidance from any certifying body, state agency or employer, and it is not legal, medical, career or financial advice. The information on this page may contain errors or omissions, or may be out of date: fees, policies, exam content and state rules change. Practice questions, answers and explanations on PassPulse may also contain errors. Always confirm current requirements and facts directly with the certifying body, your state, your employer or the manufacturer's instructions before you register, apply or act on them. Pass rates and statistics describe past candidates and do not predict your result.
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