Terms & Conditions



MACRA Law Compliance:
The American College of Medical Scribe Specialists (ACMSS™) a 501 (c)(6) non-profit licensing organization founded in 2010 is the nation’s only advocacy, governing body, and voice upheld with complying with the Centers for Medicare & Medicaid Services Measures Stage 3 Objectives.

CMS Issued CMS CMSS™ CURES Licensing Requirements for MACRA LAW requirements:

  • CMS audit compliant documentation required of Physician/Administrators/Individuals
  • 12-month issuance of ‘live’ CMS CMSS™ CURES License for required CMS government compliance
  • Industry standardized e-MSCAT™ Clinical Training/Resource Manual
  • Industry Standardized HIPAA for Scribes e-Clinical Training/Operations Assessment
  • Live ACMSS™ Webinars
  • Continuing Medical Education (CME) Units
  • CMSS™ Clinical Communique
  • Advanced clinical documentation CMSS™ Licensure & Credential Implementation
  • Implementation protocols in meeting MACRA core objectives and law, focused on stage 3 criteria of outcomes
  • Secure Clinical Crosswalk, implementation plans, and America’s access to improved health implementing licensed Physician/CMSS™ Teams across healthcare


MACRA LAW/CMS COMPLIANCE:  “CMS has asked that each provider or practice maintain a copy of the CMSS Specialist crosswalk and CMSS Compliance Certificate document in their files, just as they would retain documentation outlining their individual approach and method, as well as staffing protocols for audit purposes.”

APPLY FOR VOLUME LICENSING DISCOUNTS/AGREEMENTS:  ACMSS™ has a limited number of volume licensing available across healthcare.  Apply for an ACMSS™ financial scholarship or apply toward volume licensing purchasing and discount programs available.

MACRA LAW CMSS™ STANDARDIZED LICENSING APPLICATION:  *Effective January 1, all accounts include:

  • 1st-year 12-month issued CMS CMSS Credential
  • Includes one paid MSCAT™ License Examination. All additional MSCAT™ Licensing Examinations are set to standard MSRP (Manufacturing Standard Retail Price) listed on the website
  • Standardized e-MSCAT™ Clinical Manual
  • Standardized e-HIPAA for Scribes Clinical Training/Certification

*LICENSING REQUIREMENTS: Re-licensing is annual and will re-license automatically.  All individuals will receive a notice of upcoming re-licensing fee at which time licensed CMSS™ personnel have the option to cancel prior to relicensing. Upon date of re-licensing fee transacted, all re-licensing fees applied and processed are FINAL for the year.  Re-licensing fees are required of personnel to maintain active and valid license, and meet federal rules in meeting MACRA law requirements. Any lapse of annual relicensing fees will result in the individual repurchasing the ACMSS™ CMSS™ Licensing Program with a requirement to retake the MSCAT™ Licensing Examination to reinstate the individuals CEHRT Meaningful Use personnel number. An official  licensing validation and compliance issued 

*Volume Licensing discounts available in limited supply.  Individuals may apply independently for scholarships and financial aid assistance. Any account found without volume licensing fees paid will be charged to the card on file to ensure all CMS CMSS CURES licenses are paid for in accordance of all laws, regulations, and merchant service requirements and provisions covering all costs incurred.

Accounts must maintain annual re-licensing fee with 3 hours of Continuing Medical Education in a 1-year period.  Re-licensing requirements include maintaining the required annual licensing fee with 3 hours of Continuing Medical Education in a 1-year period. Annual compliance fee is non-refundable and non-transferable and is valid  for the 12-months issued CMS Compliance and Meaningful Use license(s) requirements. Active, valid, and maintained CMSScredentials meet validation requirements for CMS audit compliance and meet requirements found in MACRA law.

REINSTATING LAPSED ACCOUNTS, CMSS™ CREDENTIALS, AND CMSS™ LICENSES:  Contact ACMSS™ Financial Services for assistance and requirements to re-license and re-instate account.

ACMSS™ Intellectual Property:  

All materials presented on this website are the sole and exclusive property of ACMSS™. These materials may be used by individually licensed account holder. ACMSS™ prohibits for any reason intellectually licensed material to be used by persons not affiliated or licensed by ACMSS™ credentialing body.  All materials are copyrighted, exclusive and sole property of ACMSS™, and not to be copied, reproduced, distributed, or trademarked in any way.  ACMSS™ requires active re-licensing to maintain access to licensed material. Accounts must remain in good standing with ACMSS™, which includes re-licensing compliance and renewals fee paid.

All material is confidential and agree that you will not copy, reproduce, or otherwise disclose it to anyone who is not an ACMSS™ credential holder in good standing. If ACMSS™ licensing lapses, or is terminated for any reason, licensee further agrees to cease any use of ACMSS™ proprietary intellectual property, materials, programs, or pathways and to destroy any copies in licensee or facilities possession. Licensed personnel acknowledge that breach of this agreement will cause ACMSS™ irreparable injury and that ACMSS™ shall be entitled to injunctive relief for any such breach in addition to monetary damages, without the necessity of posting a bond. The prevailing party in any action to enforce this agreement shall be entitled to recover its costs, including attorneys’ fees. By accessing this document, licensee agrees that venue and jurisdiction for any claim arising from or relating to any breach of this agreement shall be properly and exclusively venued in the state or federal courts located in Orange County, California and that California law applies.

In no event will ACMSS™ be liable for any licensing loss or damage, including without limitation, indirect or consequential loss or damage, or any loss or damage whatsoever arising from loss of data or profits arising out of, or in connection with, the use of this website.


ACMSS has moved to a flat rate, flat fee license structure. Unless otherwise stated, all 2019 license fees are based on per user, flat rate, flat fee licensing, per ACMSS website.  All annual licenses and relicense fees are renewable at the flat rate purchase listed.  

2019 individual license fees apply per agreed repayment schedule, per annual licensing agreement. Pricing subject to change. All rights reserved.

Note: Those on ACMSS National Compliance and Corporate contract plans are managed separately, based upon agreed terms, rates, conditions, and fees.

©2019 ACMSS™. All material is Intellectual Property of ACMSS™. Do NOT copy or distribute proprietary information. See full disclaimer. All rights reserved.

ACMSS™ Website

Terms of Use

1. Terms

By accessing this web site, you are agreeing to be bound by these web site Terms of Use, all applicable laws and regulations, and agree that you are responsible for compliance with any applicable local laws. If you do not agree with any of these terms, you are prohibited from using or accessing this site. The materials contained in this web site are protected by applicable copyright and trade mark law.

2. Use License

  1. Permission is granted to temporarily download one copy of the materials (information or software) on American College of Medical Scribe Specialists’s web site for personal, non-commercial transitory viewing only. This is the grant of a license, not a transfer of title, and under this license you may not:

    1. modify or copy the materials;
    2. use the materials for any commercial purpose, or for any public display (commercial or non-commercial);
    3. attempt to decompile or reverse engineer any software contained on American College of Medical Scribe Specialists’s web site;
    4. remove any copyright or other proprietary notations from the materials; or
    5. transfer the materials to another person or “mirror” the materials on any other server.
  2. This license shall automatically terminate if you violate any of these restrictions and may be terminated by American College of Medical Scribe Specialists at any time. Upon terminating your viewing of these materials or upon the termination of this license, you must destroy any downloaded materials in your possession whether in electronic or printed format.

3. Disclaimer

  1. The materials on American College of Medical Scribe Specialists’s web site are provided “as is”. American College of Medical Scribe Specialists makes no warranties, expressed or implied, and hereby disclaims and negates all other warranties, including without limitation, implied warranties or conditions of merchantability, fitness for a particular purpose, or non-infringement of intellectual property or other violation of rights. Further, American College of Medical Scribe Specialists does not warrant or make any representations concerning the accuracy, likely results, or reliability of the use of the materials on its Internet web site or otherwise relating to such materials or on any sites linked to this site.

4. Limitations

In no event shall American College of Medical Scribe Specialists or its suppliers be liable for any damages (including, without limitation, damages for loss of data or profit, or due to business interruption,) arising out of the use or inability to use the materials on American College of Medical Scribe Specialists’s Internet site, even if American College of Medical Scribe Specialists or a American College of Medical Scribe Specialists authorized representative has been notified orally or in writing of the possibility of such damage. Because some jurisdictions do not allow limitations on implied warranties, or limitations of liability for consequential or incidental damages, these limitations may not apply to you.

5. Revisions and Errata

The materials appearing on American College of Medical Scribe Specialists’s web site could include technical, typographical, or photographic errors. American College of Medical Scribe Specialists does not warrant that any of the materials on its web site are accurate, complete, or current. American College of Medical Scribe Specialists may make changes to the materials contained on its web site at any time without notice. American College of Medical Scribe Specialists does not, however, make any commitment to update the materials.

6. Links

American College of Medical Scribe Specialists has not reviewed all of the sites linked to its Internet web site and is not responsible for the contents of any such linked site. The inclusion of any link does not imply endorsement by American College of Medical Scribe Specialists of the site. Use of any such linked web site is at the user’s own risk.

7. Site Terms of Use Modifications

American College of Medical Scribe Specialists may revise these terms of use for its web site at any time without notice. By using this web site you are agreeing to be bound by the then current version of these Terms and Conditions of Use.

8. Governing Law

Any claim relating to American College of Medical Scribe Specialists’s web site shall be governed by the laws of California and the State of New Jersey without regard to its conflict of law provisions.

©2019 ACMSS™. All material is Intellectual Property of ACMSS™. Do NOT copy or distribute proprietary information. See full disclaimer. All rights reserved.