• 50 questions

NCCT Practice Test for MOA

An unofficial NCCT MOA practice test in the five content categories of the medical office assistant test plan.

A Medicare patient wants to book the next yearly "Wellness" visit. How often does Part B cover one?

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Exam mode: 50 questions, 60 minutes.

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Unofficial practice questions, not affiliated with the National Center for Competency Testing. Bank checked October 11, 2026.

The real exam, as NCCT describes it

Questions
150
Time limit
180 minutes
Retakes
After at least 30 days. A 4th attempt needs a 90-day wait.
Scored
125 of the 150 questions count. The other 25 are unscored pretest questions.
Question kinds
92% four-option multiple choice. 8% alternative items, such as drag and drop, multi-select and hotspot.
Results
A pass or fail result is given right after the exam.

Checked October 11, 2026 against NCMOA Detailed Test Plan (effective January 2024) and NCCT Candidate Handbook (revised January 2026), National Center for Competency Testing. Rules change, so confirm with the agency itself before your test.

NCCT's own Medical Office Assistant page

Next step Office assistant practice testMedical terminology test

All 50 questions

Scheduling 6

  • A Medicare patient wants to book the next yearly "Wellness" visit. How often does Part B cover one? Medicare.gov, Yearly "Wellness" visits. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 1, task 3.
  • A patient in a Point of Service (POS) plan asks for an appointment with a specialist. What does the plan require first? HealthCare.gov Glossary, Point of Service (POS) Plans. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 1, task 9.
  • A patient is told to fast before a blood test. Which appointment time does MedlinePlus say usually suits the test? MedlinePlus Medical Tests (National Library of Medicine), Fasting for a Blood Test. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 1, task 7.
  • A practice leaves about half of each day unbooked so that any patient who calls can be seen that day. Which scheduling method is this? AHRQ, CAHPS Ambulatory Care Improvement Guide, 6.A Open Access Scheduling for Routine and Urgent Appointments. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 1, task 1.
  • The office gets preauthorization for an outpatient procedure. What does the patient need to know about it? HealthCare.gov Glossary, Preauthorization. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 1, task 10.
  • Which visit does Medicare.gov describe as telehealth? Medicare.gov, Telehealth. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 1, task 8.
Show all 50 questions (44 more)

Patient reception and registration 7

  • A new patient is handed the Notice of Privacy Practices but will not sign the acknowledgment. What must the office do? HHS Office for Civil Rights, Notice of Privacy Practices for Protected Health Information. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 2, task 3.
  • A patient asks what the "premium" on the plan papers is. Which answer is right? HealthCare.gov Glossary, Premium. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 2, task 6.
  • A patient has met the deductible and the plan has a $20 copayment for an office visit. When is the $20 usually paid? HealthCare.gov Glossary, Copayment. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 2, task 5.
  • A patient who has trouble communicating in English arrives at a clinic funded by HHS. Which help does the HHS Office for Civil Rights name? HHS Office for Civil Rights, Limited English Proficiency (LEP). Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 2, task 1.
  • A plan's allowable cost for a visit is $100 and the copayment is $20. The patient has not met the deductible. In the HealthCare.gov example, what does the patient pay? HealthCare.gov Glossary, Copayment. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 2, task 5.
  • The front desk uses a sign-in sheet and calls patients by name. What does HHS say the sheet may not show? HHS Office for Civil Rights, HIPAA FAQ 199, sign-in sheets and calling out names. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 2, task 1.
  • How is a Medicare patient's name entered in item 2 of the CMS-1500 claim form? CMS, Medicare Claims Processing Manual, Chapter 26, Completing and Processing Form CMS-1500 Data Set, section 10.2. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 2, task 2.

General office administration 8

  • A new cleaning chemical is ordered for the office. What must the employer keep in the workplace for each hazardous chemical, within reach of staff on every shift? 29 CFR 1910.1200, OSHA Hazard Communication standard, read on ecfr.gov. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 A, task 7.
  • A physician orders items for Medicare patients. By the CMS fact sheet, how long are the related medical records kept? CMS, MLN Fact Sheet Medical Record Maintenance and Access Requirements (MLN4840534). Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 A, task 5.
  • An appointment reminder goes on a patient's answering machine. How much does HHS suggest the message say? HHS Office for Civil Rights, HIPAA FAQ 198, messages for patients. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 A, task 1.
  • Front desk computers can open patient charts. Which Security Rule safeguard covers their proper use and physical protection? HHS Office for Civil Rights, Summary of the HIPAA Security Rule. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 A, task 4.
  • How long does the HIPAA Privacy Rule require a practice to keep its privacy documentation, such as policies and signed acknowledgments? 45 CFR 164.530(j), HIPAA Privacy Rule, read on ecfr.gov. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 A, task 5.
  • The office wants a mailing receipt for a letter and a record that it was delivered. Which USPS extra service gives both and travels as ordinary mail? USPS Domestic Mail Manual, 503 Extra Services. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 A, task 2.
  • The practice keeps its charts in an electronic system. Which plan does the HIPAA Security Rule require so that exact copies of the records can be retrieved? 45 CFR 164.308(a)(7), HIPAA Security Rule, read on ecfr.gov. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 A, task 4.
  • Which USPS service does the Domestic Mail Manual call the most secure the Postal Service offers? USPS Domestic Mail Manual, 503 Extra Services. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 A, task 2.

Financial administration 7

  • A Medicare patient is given an Advance Beneficiary Notice of Non-coverage (ABN) to sign before a service. What does the form tell the patient? Medicare.gov, Your protections. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 B, task 5.
  • A patient pays a copayment with a Health Savings Account card. Which cost may HSA funds generally not be used for? HealthCare.gov Glossary, Health Savings Account (HSA). Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 B, task 4.
  • A patient signs a paper that promises, without conditions, to pay the practice a fixed sum. What is the paper called? Wex legal dictionary, Legal Information Institute (Cornell Law School), promissory note. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 B, task 5.
  • A staff member buys stamps with money from the petty cash fund. What does IRS Publication 583 say to do each time a payment is made from the fund? IRS Publication 583, Starting a Business and Keeping Records. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 B, task 1.
  • By IRS Publication 583, what should a business do with all of its daily receipts? IRS Publication 583, Starting a Business and Keeping Records. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 B, task 6.
  • How often does IRS Publication 583 say a business should reconcile its checking account? IRS Publication 583, Starting a Business and Keeping Records. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 B, task 7.
  • The office stamps the back of each check it receives with "for deposit" and the practice's account. What kind of indorsement is that? Uniform Commercial Code 3-206, Restrictive Indorsement, Legal Information Institute (Cornell Law School). Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 3 B, task 6.

Insurance, billing and coding 8

  • A patient has an HMO plan. What does such a plan generally do about care from a doctor outside its network? HealthCare.gov Glossary, Health Maintenance Organization (HMO). Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 4, task 2.
  • A patient's card shows a Medicare Advantage Plan. Who runs that kind of plan? HealthCare.gov Glossary, Medicare Advantage (Medicare Part C). Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 4, task 2.
  • A patient's coverage is TRICARE. Whom does that program serve? HealthCare.gov Glossary, TRICARE. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 4, task 3.
  • A physician's office visit and a procedure done in the office are reported with which code set? CMS, Healthcare Common Procedure Coding System (HCPCS). Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 4, task 1.
  • A wheelchair supplied to a patient is durable medical equipment. Which code set does the HIPAA regulation name for such items? 45 CFR 162.1002, Medical data code sets, read on ecfr.gov. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 4, task 1.
  • Which code set is the standard for reporting diseases, injuries and other health problems? 45 CFR 162.1002, Medical data code sets, read on ecfr.gov. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 4, task 1.
  • Which group does Medicare cover? HealthCare.gov Glossary, Medicare. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 4, task 3.
  • Which program gives free or low-cost coverage to some low-income people, families and children, pregnant women, the elderly and people with disabilities? HealthCare.gov Glossary, Medicaid. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 4, task 3.

Law and ethics 14

  • A laptop holding unsecured patient records is stolen. Notice to the affected patients must go out without unreasonable delay. What is the outer limit? HHS Office for Civil Rights, Breach Notification Rule. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 6.
  • A manager tells the front desk to waive the copayment of every Medicare patient to bring in more patients. Which law could that routine practice implicate? HHS Office of Inspector General, Fraud and Abuse Laws. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 2.
  • A medical office assistant, doing the job as trained, makes an error that harms a patient. Which doctrine can hold the employing physician legally responsible? Wex legal dictionary, Legal Information Institute (Cornell Law School), respondeat superior. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 1.
  • A patient asks in writing for a copy of the chart. By the Privacy Rule, how soon must the practice act on the request? 45 CFR 164.524(b), HIPAA Privacy Rule, read on ecfr.gov. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 6.
  • A patient brings a power of attorney. What makes it a "durable" power of attorney? Wex legal dictionary, Legal Information Institute (Cornell Law School), durable power of attorney. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 5.
  • A patient hands in a document that lists which life-sustaining measures may and may not be used if the patient can no longer give or refuse consent. What is it? Wex legal dictionary, Legal Information Institute (Cornell Law School), living will. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 5.
  • A physician sends Medicare patients for imaging to a center that the physician's spouse owns, and no exception applies. Which law prohibits the referral? CMS, Physician Self-Referral. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 3.
  • A staff member draws blood from a patient who has clearly said no. Which tort does that contact fit? Wex legal dictionary, Legal Information Institute (Cornell Law School), battery. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 3.
  • A staff member posts a false written statement online that harms a patient's reputation. Which form of defamation is this? Wex legal dictionary, Legal Information Institute (Cornell Law School), libel and slander. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 3.
  • A subpoena duces tecum is served on the office. What does it require? Wex legal dictionary, Legal Information Institute (Cornell Law School), subpoena duces tecum. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 3.
  • Old paper charts are due to be destroyed. Which method does HHS give as an example of proper disposal? HHS Office for Civil Rights, HIPAA FAQ 575, disposal of protected health information. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 7.
  • What do mandated reporting laws require of the professionals they name, health-care professionals often among them? Child Welfare Information Gateway (HHS Children's Bureau), Mandated Reporting. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 8.
  • What is malpractice, by the Wex definition? Wex legal dictionary, Legal Information Institute (Cornell Law School), malpractice. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 3.
  • Which protection is part of the Patient's Bill of Rights under the Affordable Care Act, as CMS describes it? CMS, Patient's Bill of Rights. Outline: NCCT NCMOA Detailed Test Plan (effective January 2024), category 5, task 4.

How this list was compiled: Our own questions, written to the NCMOA Detailed Test Plan of the National Center for Competency Testing (https://www.ncctinc.com/Documents/MOA%20Detailed%20Test%20Plan.pdf, effective January 2024, read 2026-10-11): 125 scored items in five content categories (15, 18, 38, 20 and 34; Medical Office Administration is 19 general and 19 financial). The bank holds 50 questions in the same shares: 6, 7, 15 (8 and 7), 8 and 14. Every fact was read on 2026-10-11 in the public source the question names: the HealthCare.gov glossary, Medicare.gov, pages and manuals of CMS, the HHS Office for Civil Rights and Office of Inspector General, AHRQ, MedlinePlus, the Child Welfare Information Gateway, IRS Publication 583, the USPS Domestic Mail Manual, federal regulations on ecfr.gov (29 CFR 1910.1200; 45 CFR 162.1002, 164.308, 164.524 and 164.530), the Uniform Commercial Code and the Wex legal dictionary of Cornell Law School. Licence: Questions, choices and explanations are original work of this site.

How it works

This NCCT practice test for MOA has 50 questions of our own for the National Certified Medical Office Assistant (NCMOA) exam. It is unofficial and not affiliated with, endorsed by or sponsored by the National Center for Competency Testing (NCCT).

Read the full guide

What the exam covers

The questions follow the NCMOA Detailed Test Plan (effective January 2024), read October 11, 2026. Of 125 scored questions, 15 are scheduling, 18 patient reception and registration, 38 medical office administration, 20 insurance, billing and coding, and 34 law and ethics. This bank holds 6, 7, 15, 8 and 14.

Timing

Exam mode asks all 50 questions in 60 minutes, the pace of the real exam.

Where the answers come from

Each answer names the public page it was read in: the HealthCare.gov glossary, Medicare.gov, the HIPAA pages of HHS, federal regulations, IRS Publication 583 and the USPS Domestic Mail Manual among them.

  • Medical office administration and law and ethics together are 72 of the 125 scored questions, so give those two topics the most time.

Questions and answers

Is this NCCT's own MOA practice test?

No. NCCT offers a practice exam of its own among its exam prep materials. These 50 questions are ours, written from the public test plan, and none comes from an NCCT exam or product.

What score passes the NCCT medical office assistant exam?

575 or more on NCCT's scale of 200 to 720, by its Candidate Handbook revised January 2026. The scale lets different forms of the exam be compared, so a count of questions right here does not forecast it.

Does the NCCT MOA exam include coding?

Yes. The test plan asks candidates to recognize and tell apart CPT, ICD and HCPCS codes and the kinds of commercial and government insurance plans, in a category of 20 of the 125 scored questions.

How often is NCCT certification renewed?

Every year. By the handbook, recertification means a fee and continuing education contact hours each year, and a certification stops being valid when the yearly requirements are missed for five years in a row.

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