The Medical Scribe Certification & Aptitude Test (MSCAT) is designed to certify a medical scribe specialist’s breadth of knowledge with respect to medical terminology, anatomy and physiology, the Patient Privacy Rule and HIPAA, the scribe’s role in medico-legal risk mitigation, understanding the essential elements of documenting a physician-patient encounter, evaluation and management level, the Centers for Medicare and Medicaid Services (CMS) across the healthcare enterprise (Innovative Outpatient/Emergency Department/Hospital) attestations, Physician Quality Reporting System (PQRS), regulatory compliance, and general knowledge of the roles and responsibilities of general medical personnel, billing practices, including outpatient superbills.

Individuals who successfully pass MSCAT and do not have 200 hours of clinical employment experience, will be recognized as a Certified Medical Scribe Apprentice (CMSA). Once 200 hours are fulfilled, full recognition of CMSS credential will be awarded. (Exception: Those Individuals possessing a certification or licensure of Practical Nurse, Registered Nurse, Paramedic, Certified Medical Assistant, or graduate from a clinical training program will be awarded CMSS upon successfully completing 50 hours of clinical experience).

2-Step Affidavit “CMSA Certification and Credentialing Pathway”:  The Certified Medical Scribe Apprentice credential is awareded upon successful pass of the Medical Scribe Certification & Aptitude Test (MSCAT) for entry-level personnel. Upon 200 hours of unassisted physician documentation experience, an individual may apply for attestation with physician/administrator approval to ACMSS to receive Certified Medical Scribe Specialist (CMSS) credential.

MSCAT Eligibility “CMSS”/”CMSA” Pathways:

Individual Pathway: Those who work in clinical settings as medical scribes may sign an affidavit attesting that they have completed a minimum of 200 hours of unassisted clinician workload documentation, and then complete the Medical Scribe Certification Aptitude Test (MSCAT).

Retooling Pathway: Individuals who work in related fields such as transcription and coding may use the Retooling Pathway, which requires them to first receive medical scribe training before certifying.

1-Step “CMSS” Pathway for Scribe Training Companies: Through our new 1-Step Certification Pathway, educational companies can become corporate member partners. The annual corporate membership allows corporate partners to certify their scribes, institute innovative practice procedures and provide educational materials for their scribes. To become a corporate member partner and participate in the 1-Step Certification Pathway, a company must attest in an affidavit that its education programs meets all of the curriculum content requirements, and submit the curriculum to the ACMSS board for approval.

Academic Institution Pathway: ACMSS offers a program similar to the 1-Step pathway for Academic Partners whose medical scribe curriculum content conforms to standards approved by the Board of ACMSS.  These standards are mirrored in core eligibility requirements, clinically and non-clinically, for accredited academic institutions across America, as set forth by the Commission on Accreditation of Allied Health Education Programs (CAAHEP).

Physician/Practice Pathway: Physicians and practices may also self-certify their staffs. ACMSS provides specialty certifications to all in General certifications, in addition to presenting specialty certifications in vascular medicine, dermatology, primary care, internal medicine and emergency medicine. ACMSS serves as a resource to physicians/mid-levels, through enablement of fully credentialed professionals, adhering to federal regulations and guidance.  Clinicians and practices are enabled through eligible staff and purchasing Volume Certification Package Bundles.

Did you know?
ACMSS enables certification across healthcare: Emergency Medicine, Hospital, Outpatient Specialties.

Certification examination contains 100 psychometric clinical questions based on medical terminology, HIPAA, medicolegal risk mitigation, visit-level assignments, knowledge of computer skills and function of an electronic health record. All topics are covered in pre-clinical and clinical training. Psychometric clinical examination consists of multiple choice, multiple-multiple, true-false, and fill-in questions. Successful candidates must pass with an 80% or greater. Members have 3 attempts.

Successful and credentialed Certified Medical Scribe Specialists (CMSS) and Certified Medical Scribe Apprentice (CMSA) MUST maintain 3 hours of Continuing Scribe Education every year and maintain ANNUAL membership for certification to remain active and in good standing, in addition to healthcare compliance. CMS Compliant CMSS Certificate to meet MACRA criteria.

MEETING CMS COMPLIANCE:  CMS has asked that each Provider or Practice retain a copy of the CMSS certification and Specialist Crosswalk documentation in their files, just as they would retain documentation outlining their individual approach and method, as well as staffing protocols for audit purposes.

*Each account enables secure access and annual printing rights to Individual/Administrator CMS “CMSS” Compliance Certificate(s), available at time of membership renewal.

All personnel scribing and entering attested data within CEHRT must be certified and credentialed meeting CMS clinical documentation compliance, together innovating our nation and assisting in building innovative patient-centered care and models.

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ACMSS certifies via the Medical Scribe Certification & Aptitude Test (MSCAT), meeting clinicians evolving needs.  Certify all staff today!

Purchase the Medical Scribe Certification & Aptitude Test Here


Certified Medical Scribe Specialists’ are given formal didactic training as well as clinical training directly with patients. They must demonstrate a mastery of medical terminology, department flow, physician note documentation, HIPAA and CMS policies.

Each Certified Medical Scribe Specialist (CMSS) is required to comply with hospital human resource requirements, regulations, policies, and procedures prior to their first shift in the department.  Such requirements include but are not limited to background checks, PPD skin tests, proof of immunizations, physical examinations, drug screens, security clearance, and hospital orientation programs.  Facility employment requirements differ, please inquire such organizations.

After successful completion and pass of Medical Scribe Certification & Aptitude Test (MSCAT), you will be awarded a certificate and credentialed as a Certified Medical Scribe Specialist.  You will be required to complete 3 hours of Continuing Scribe Education each year following, including ACTIVE Individual Membership. Please keep records of attended conferences or Continuing Scribe Education.

*In April 2014, Medical Scribe Specialists became recognized as a sponsoring organization of CAAHEP, jointly working  to develop standards for Medical Scribe Specialist education programs throughout prospective accredited or state licensed academic programs.  Learn more: email:

Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredits the Medical Scribe Specialist program through the Medical Scribe Specialist Review Board (MSSRB).

Looking to start a Medical Scribe Specialist Program? Contact CAAHEP at: