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Initial Certification indicates that physicians have met rigorous standards through intensive study, accredited training and evaluation and that they have the clinical judgment, skills and attitudes essential for the delivery of excellent patient care.

MOC is a professionally determined standard that attests that an internist is staying current in knowledge and practice throughout his/her career.

For more than 75 years, Certification by ABIM has stood for the highest standard in internal medicine and its 20 subspecialties.

MOC Fees in 2018

Beginning in 2018, ABIM’s fee schedule for the MOC program includes two components: An annual program fee, due within each calendar year, and an assessment fee, which is paid when you register for a traditional ABIM MOC exam or the new ABIM Knowledge Check-In.

This new fee schedule will offer more choice and flexibility in how and when you pay for your MOC program.

The MOC program fee is $155 per year, and will cover all of the certifications you are maintaining. Also, there is the opportunity to get a 20% discount on program fee to pay less than you did in 2017.

No matter which assessment option physicians choose, the total costs for the Knowledge Check-In and traditional MOC exam are the same, allowing you to base your decision on what works best for you.

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What is the fee schedule for 2018?

Under the 2018 payment schedule, physicians can choose to pre-pay up to 10 years of the program fee for 20% less, meaning they will actually pay less over a 10-year period than they do now.

What is the program fee and how much does it cost?

  • The program fee is $155 a year, regardless of how many certifications you maintain.
  • If paid early, you'll get a 20% discount and pay $124 per year for your program fee.
  • An additional $20 will be added to the program fee if it is paid after the year in which it was due, bringing it to $175.
  • This fee supports a number of essential ABIM services, including:
  • Access to all of ABIM MOC activities
  • Partnerships with societies and ACCME in qualifying and expanding appropriate activities for MOC
  • Recognizing and acknowledging CME points eligible for MOC
  • Attestation processing
  • New physician portal with access to personalized ABIM status report and CME reporting for ABIM activities (Coming in 2018)
  • Developing and distributing reminders from ABIM about your MOC program requirements

What is the assessment fee and how much does it cost?

  • You pay your assessment fee at the time you register for an assessment – either a traditional MOC exam or two-year Knowledge Check-In as it becomes available in your specialty.
  • Over a 10-year period, the cost of the MOC exam and Knowledge Check-In are the same.
  • One difference between the traditional MOC exam and the Knowledge Check-In is that, for those who failed once before, there is a 50% reduction in cost in retaking the traditional MOC exam, while Knowledge Check-Ins can't be retaken.
  • The assessment fee goes toward creating assessments and enhancing your assessment experience with more flexibility in how you take an assessment and incorporating input from physicians on what topics are the most relevant to practice.

Why is there now a program fee and an assessment fee?

  • Physicians have asked ABIM for more information about how their fees are used.
  • The program fee supports a number of essential ABIM services, including:
  • Access to all of ABIM MOC activities
  • Partnerships with societies and ACCME in qualifying and expanding appropriate activities for MOC
  • Recognizing and acknowledging CME points eligible for MOC
  • Attestation processing
  • New physician portal with access to personalized ABIM status report and CME reporting for ABIM activities (Coming in 2018)
  • Developing and distributing reminders from ABIM about your MOC program requirements
  • The program fee covers all certifications held and is flexible – you pay when you choose.
  • The assessment fee goes toward creating assessments and enhancing your assessment experience with more flexibility in how you take an assessment and incorporating input from physicians on what topics are the most relevant to practice.
  • You pay for your assessment when you register for it.

I am maintaining multiple certifications. Do I have to pay the program fee for each certification?

  • No. All physicians pay $155 for the program fee regardless of how many certifications they maintain.
  • If you pay early, you'll get a 20% discount and pay $124 per year.

When do I pay?

  • The program fee can be paid beginning on January 1 each year, with the option to pre-pay as many years in advance as you'd like, up to 10 years, with a 20% discount for each year paid in advance.
  • For all 2018, program payments will be accepted starting on November 1 to allow you time to take advantage of the 20% discount.
  • An additional $20 will be added to the program fee if it is paid after the year in which it was due, bringing it to $175.
  • You pay for your assessment when you register for it.

Can I still pay for 10 years up front? Do I have to pay annually?

  • The program fee can be paid beginning on January 1 each year, with the option to pre-pay as many years in advance as you'd like, up to 10 years.
  • If you pay one or more years in advance, you’ll get a 20% discount and pay $124 per year.
  • For all 2018, program payments will be accepted starting on November 1 to allow you time to take advantage of the 20% discount.
  • The assessment fee can no longer be paid for in advance. The assessment fee will be paid for at the time of registration.

How will I know when the year payment is due? Will ABIM tell me?

Yes, ABIM will send you an email reminder in advance of when your program fee will be due.

Are you raising fees?

  • Depending on when you choose to pay your MOC program fee, you may pay less or more than 2017 rates under the 2018 payment schedule. Physicians can choose to pre-pay up to 10 years of the program fee for 20% less, meaning they will actually pay less over a 10-year period compared to 2017 fees.
  • Those who pay the program fee the year it is due will see a modest increase over 10 years, and for those who choose to pay the program fee after it is due, an additional $20 will be added, bringing it to $175.
  • These figures all are projections based on the 2018 fee schedule.
  • ABIM has had the same fees since 2014.

When was the last time ABIM raised fees?

ABIM has not raised its fees since 2014.

If I choose the Knowledge Check-In, will I pay more?

No. Assessment fees are the same over a 10-year period for those who choose the Knowledge Check-In and those who choose the traditional MOC exam. Specialty assessments do cost more than Internal Medicine assessments, as they do now. The annual program fee is the same price for everyone.

What happens if I don't pay my program fee in the year it is due?

Your participation status will never change due to non-payment. However, you will not be able to access some of the services ABIM provides:

  • Registering for an MOC assessment
  • Claiming credit for any CME points eligible for MOC
  • Ordering new products or working on products previously ordered
  • Completing entry into ABIM's Focused Practice in Hospital Medicine program
  • Enrolling in the MOC reciprocity program
  • Completing re-attestation for Focused Practice in Hospital Medicine or Interventional Cardiology

Will those newly certified and eligible fellows still receive an MOC fee waiver?

Yes, those who are newly certified in Internal Medicine and those enrolled in an eligible fellowship program will receive an MOC program fee waiver that is automatically applied to cover your MOC program fee.

What about discounts for physicians who are also certified by another ABMS Board?

The MOC fee discount for physicians certified by another ABMS Board is being discontinued on 11/1/17.

What happens if I've already pre-paid for 10 years?

If you've already pre-paid for 10 years, you will not need to pay a program fee during this time. For example, if you pre-paid for 10 years in 2015, you will not have to pay a program fee before 1/1/2025. Also if you have not used your exam credit, it will remain on your account and can be used toward one traditional 10-year MOC exam or five Knowledge Check-Ins.

What value do I get out of MOC?

ABIM provides a credential of value and substance, fostering continual learning that leads to a confidence that you are staying current in knowledge and practicing today's medicine.

Evidence shows that physicians who earn certification from the American Board of Internal Medicine and maintain their certification provide better patient care. View our infographic on about how Board Certified Internists are Positively Different.

We offer a simple, unified process for earning CME+MOC, access to all of ABIM's medical knowledge activities, peer-developed assessment options for confidence in your current knowledge, and a new, dynamic personalized physician portal.