Health-care systems & settings | FREE CCMA Practice Test

Health-care Systems & Settings — Free CCMA Practice Test

This set belongs to the CCMA syllabus domain Health-care systems & settings, which covers medical assistant scope and roles, provider and allied roles, care delivery models (PCMH, ACO, hospice, home health, mobile units), telehealth and patient portals, payment models, and how general, specialty, ancillary, and complementary services fit together. It is ideal for CCMA students, medical assisting trainees, and career-changers seeking targeted, exam-style practice. Use this Free CCMA Practice Test as a Free Mock Test to speed up your free exam preparation: you’ll review team roles, referral pathways, coordinated care, and model-specific features while strengthening recognition of system terms and patient-access tools. Read each item carefully, choose one best answer, and submit to see your score with correct answers highlighted for rapid self-review.

1) Which setting provides first-contact, continuous care and coordinates referrals across the system?

Primary care clinic (family/internal medicine)Urgent care centerEmergency departmentOutpatient specialty clinic

2) Which task is appropriate for a CCMA within scope in ambulatory care?

Interpreting diagnostic imaging for a final diagnosisObtaining vital signs and updating EHR histories per protocolPrescribing a short course of medicationIndependently ordering specialty referrals

3) Which statement correctly distinguishes licensure from certification?

Certification is a state legal authorization; licensure is optional recognitionBoth are voluntary and unrelated to practice authorityLicensure is state-granted legal authority; certification validates competence via a credentialing bodyLicensure is issued by employers; certification by state boards

4) The Patient-Centered Medical Home (PCMH) model primarily emphasizes:

Inpatient hospital services led by specialistsFee-for-service billing without care coordinationWalk-in episodic care onlyTeam-based, comprehensive, coordinated primary care led by a PCP

5) An Accountable Care Organization (ACO) is best described as a group that:

Purchases supplies collectively for discountsShares responsibility for quality and cost across settings for a defined populationIs limited to one hospital and its labOnly provides home-based services

6) Hospice care primarily focuses on:

Comfort and quality of life for terminally ill patients and familiesCurative treatment for acute injuries onlyEmergency stabilization in the EDOnly inpatient procedures

7) Home health services are best defined as:

Non-clinical housekeeping support onlyHospital-based inpatient nursing careClinically ordered care delivered in the patient’s residence to support independenceRetail pharmacy counseling services

8) Mobile health units most directly expand:

Inpatient surgical capacityHospital bed turnoverAdministrative billing oversightAccess to screenings, immunizations, and education in underserved areas

9) Which is a typical patient portal function supporting ambulatory care access?

Public chatroom for medical questionsSecure messaging with clinicians, lab result viewing, and refill requestsAnonymous advice from other patientsSocial-media direct messages to staff

10) A suitable telehealth use case in primary care is:

Unresponsive patient requiring resuscitationMajor trauma evaluation after a crashRoutine follow-up for a stable chronic condition with home vitals logsComplex neurologic exam for stroke

11) Which plan most often requires a PCP and referrals for specialty care?

HMOPPOIndemnity planEPO

12) Which plan typically allows out-of-network care without a referral (usually at higher cost)?

HMOEPOPPOMedicaid

13) A Point-of-Service (POS) plan usually:

Requires no PCP and covers any provider equallyRequires a PCP, uses referrals, but permits out-of-network care (often with higher cost)Covers emergencies onlyIs identical to an HSA

14) An Exclusive Provider Organization (EPO) generally:

Covers out-of-network care freelyAlways requires referrals for every serviceIs a government entitlement programCovers only in-network care (except emergencies) and often does not require referrals

15) Capitation is a payment model in which providers are paid:

A fixed amount per patient per month, regardless of visitsA separate fee for each serviceOnly a quality bonus at year-endA per-diem inpatient rate

16) Bundled (episode-based) payment is best described as paying:

Only for primary care visitsA monthly amount for each enrolled patientOne combined amount for all services in a defined episode of careOnly for inpatient hospital days

17) Which is an example of an outpatient ancillary service supporting primary care?

Emergency resuscitation teamDiagnostic imaging centerIntensive care unitHospital operating room

18) Which is a complementary service sometimes integrated into patient care plans?

Acupuncture adjunct to pain managementEmergency intubationDefibrillation in cardiac arrestInpatient hemodialysis unit

19) Which allied health professional primarily provides nutrition assessment and counseling within care teams?

Respiratory therapistMedical laboratory scientistRegistered dietitianRadiology technologist

20) Who generally grants licensure to practice for regulated professions (e.g., physicians, nurses)?

Individual employersPrivate credentialing vendorsFederal Medicare officesState regulatory boards

21) Which organization issues the CCMA certification exam and credential?

National Healthcareer Association (NHA)Centers for Medicare & Medicaid Services (CMS)Food and Drug Administration (FDA)Occupational Safety and Health Administration (OSHA)

22) Which statement best describes specialty care in relation to general practice?

It replaces general practice for all patientsIt focuses on defined organ systems or conditions, typically via referral from a PCPIt is always delivered at homeIt is limited to emergency care

23) An interdisciplinary primary care team in a PCMH most commonly includes which mix?

Only a physician and a surgeonA hospital CEO and billing clerkPCP, CCMA, RN/LPN, care coordinator; pharmacists and others as neededOnly complementary medicine providers

24) A hallmark of patient-centered care within systems models is:

Limiting access to scheduled appointments onlyDiscontinuing care coordinationUsing paper records exclusivelyEnhanced access (e.g., same-day visits, e-communication/telehealth)

25) Which statement respects the CCMA scope within health-care systems & settings?

Diagnose conditions and independently initiate prescriptionsProvide administrative and clinical support (e.g., rooming, vitals, education) under provider directionPerform surgical procedures without supervisionBill insurers as the rendering provider of record

Correct answers are highlighted in green. Your incorrect selections appear in red.

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Complete Test (Sets 1–10)

Set-1
Set-2
Set-3
Set-4
Set-5
Set-6
Set-7
Set-8
Set-9
Set-10

Section Wise Tests

1) Foundational Knowledge & Basic Science (25 Q each)

Health-care systems & settings
Medical terminology
Basic pharmacology
Nutrition
Psychology

Mix set-1 (50 Q)
Mix set-2 (50 Q)

2) Anatomy & Physiology (25 Q each)

Set-1
Set-2

3) Clinical Patient Care (25 Q each)

Patient intake & vitals
General patient care
Infection control & safety
Point-of-care testing & lab
Phlebotomy
Mix set-1
Mix set-2

4) Patient Care Coordination & Education (25 Q each)

Set-1
Set-2

5) Administrative Assisting

Set-1
Set-2

6) Communication & Customer Service (25 Q each)

Set-1
Set-2

7) Medical Law & Ethics

Set-1
Set-2