The American College of Medical Scribe Specialists, a 501 (c)(6) Non-Profit Organization, is the nation’s only CMS compliant certification body complying with the government-mandated Centers for Medicare & Medicaid Services MACRA, advancing healthcare in real time at the point of care. All clinicians utilizing medical scribes must individually license and certify Certified Medical Scribe Specialists.

Certified Medical Scribe Specialsits are individually licensed, certified and credentialed personal clincal assistants to the licensed clincian, assisting in advancing America’s healthcare system from electronic records to highly sophisticated 21st century clinical CMSS Care Teams, working toward advancing personnel and Certified Electronic Health Records Technologyto evidence-based integrative medicine care and cures.

The Medical Scribe Certification & Aptitude Test (MSCAT) certifies the medical scribes breadth of knowledge required by Centers for Medicare & Medicaid for advancing the knowledge, scope and roles needed for physicians’ duties and responsibilities of clinical personnel, in accordance with advancing MACRA and stated objectives. Certified Medical Scribe Specialists assist licensed clinicians at the point of care. 

Individuals who successfully pass MSCAT meet core objectives required in meeting CMS MACRA measures, objectives, and requirements. Certified Medical Scribe Specialists earn the ‘CMSS’ credential, clinically assisting the clinician. Individuals who do not meet the clinical prerequisites are required to sit for the MSCAT, attesting to the Certified Medical Scribe Apprentice ‘CMSA’ credential.

NOTE: Those personnel already certified or licensed are qualified to sit directly for the CMSS licensure program.

MACRA: Individuals must be certified and credentialed through the Medical Scribe Certification & Aptitude Test (MSCAT), thus complying with CMS, as attested through the Certified Medical Scribe Specialist (CMSS) clinical duties and credential. A crosswalk of duties are available to physicians/administrators only, in adherence with CMS compliance requirements and MACRA and measure development. All clinicians need to certify personnel in meeting and advancing requirements, as set forth by MACRA.

Certification examination contains psychometric clinical workflow scenarios, in addition to standardized 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 MSCAT Compliance Training Program. Psychometric clinical examination consists of multiple choice, multiple-multiple, true-false, and fill-in questions. Successful candidates must pass with an 80% or greater. Annual re-certification is required through $85 compliance fee and issuance of a ‘live’ CMS compliant 12-month certificate/credential award. All certified members must maintain 3 hours of Continuing Medical Education (CME), in addition to licensure fee.

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Purchase the Medical Scribe Certification & Aptitude Test Here



Applying for Career. Create a Portfolio with business card. Include the following:

  • Valid 12-month issued CMS CMSS Compliance Certificate
  • ACMSS National Certification
  • ACMSS Information Letter
  • Resume

Certified Medical Scribe Specialists’ work clinically through didactic training as well as clinical training directly with physicians and patients. Certified Medical Scribe Specialists must demonstrate a mastery of information in advancing CMS MACRA, core measures, and objectives.

Each Certified Medical Scribe Specialist (CMSS) are required to comply with federal requirements, policies and procedures, and human resource requirements. Requirements may include, but are not limited to, background checks, PPD skin tests, proof of immunizations, physical examinations, drug screens, security clearance, and orientation programs.