You are using an outdated browser. Please upgrade your browser to improve your experience.
Become a Fellow
ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
Earn MOC points
The most comprehensive meeting in Internal Medicine.
April 11-13, 2019
Internal Medicine Meeting 2019
Prepare for the Certification and Maintenance of Certification (MOC)
Exam with an ACP review course.
Board Certification Review Courses
MOC Exam Prep Courses
Treating a patient? Researching a topic? Get answers now.
Visit AnnalsLearn More
Visit MKSAP 17 Learn More
Visit DynaMed Plus
Ensure payment and avoid policy violations. Plus, new resources to help you navigate the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Access helpful forms developed by a variety of sources for patient charts, logs, information sheets, office signs, and use by practice administration.
ACP advocates on behalf on internists and their patients on a number of timely issues. Learn about where ACP stands on the following areas:
© Copyright 2018 American College of Physicians. All Rights Reserved. 190 North Independence Mall West, Philadelphia, PA 19106-1572
Toll Free: (800) 523.1546 · Local: (215) 351.2400
Purchase MLE PT
Proficiency Testing, commonly referred to as "PT," was originally developed as an educational tool to help laboratories investigate internal procedural problems and take corrective action to minimize the effect on patient results.
PT is the practice of testing specimens of unknown values sent from an outside source three times a year. After submitting test results, the laboratories receive data that compares their performance with that of other labs that did the same procedures on the same specimens.
The Clinical Laboratory Improvement Amendments of 1988 (CLIA 88) applies to all facilities that perform tests on human specimens. To ensure the quality of these tests, the law requires that most facilities participate in proficiency testing (PT) procedures as an external quality control. Physicians who perform any testing procedures in their offices, therefore, are subject to these CLIA regulations.
CMS (Center for Medicare & Medicaid Services formerly the Health Care Financing Administration or HCFA) is the federal agency primarily responsible for implementing CLIA 88. Under the law, the number of steps in each test procedure and the degree of difficulty to achieve the final result are used to categorize all tests, or "analytes," as either waived, moderate- or high-complexity. Varying quality assurance (QA) and quality control (QC) standards apply to tests based on their complexity. Facilities that perform moderate- or high-complexity testing are subject to announced inspections biennially and must participate in a CMS-approved proficiency testing program.
Tests classified as "waived" are exempt from federal regulation, including the inspection and PT requirements. However, some states, third-party payers and other regulators require proficiency testing procedures even for federally-waived procedures; to help labs meet this requirement, MLE offers economical waived CMS test order options.
All non-waived tests are categorized as either moderate- or high-complexity, and referred to as "regulated or non-regulated analytes." Regulated analytes refer to the specific tests for which PT enrollment is mandatory. The law requires that PT programs approved by CMS must provide five samples or "challenges" for each of these tests in three shipments per year. As a CMS-approved proficiency testing provider, MLE is required by law to submit your results for the regulated analytes to the federal government or another agency acting on its behalf. The phrase "non-regulated analytes for PT purposes" refers to those tests that are not specifically listed in Subpart I of the CLIA regulation. However, all CMS testing procedures, including non-regulated analytes and those in the provider-performed microscopy (PPM) category, are subject to a quality assurance regulation at the time of a laboratory inspection. This means that the facility must have a system for verifying the accuracy and reliability of its tests at least twice a year. Proficiency testing is a convenient and cost-effective way to comply with this CLIA requirement.