Instructions For Completing MSCAT Examination and Licensing Instructions – old

1. Go to

2. Click on “SIGN IN” at the top left of the screen.

3. Login using the username and password you were e-mailed when you registered for the MSCATExamination.

4. Next, you will be redirected to the “MY ACCOUNT” page. You may update your contact information here.



5. To begin taking the MSCATExamination, click on “CERTIFICATION ASSESSMENT” at the top of the page.

6. Each licensee is issued one medical specialty for MSCATExamination. Click the name of the MSCATExamination you choose to become licensed in.


7. After selecting the MSCATExamination name, you will be directed to the affidavit page.


8. Select the affidavit for “Single-Step Affidavit”. Type in your name and e-mail address. Click submit.



9. Next, you receive an email fro, eSignLive with a link to sign the CMSS Eligibility Affidavit. As needed, check the spam folder if you have not received the email after a few minutes. Select “Go to Documents”.

10. Read the Disclosures and Consent document and then select “Accept” at the bottom right corner. You will then be redirected to the document to sign. Fill in the following information including your name, contact information, and the name of the facility where you will be working. Once completed, click “Sign”. You will be able to download a copy of your completed ‘CMSS Eligibility Affidavit’.

11. You will receive an e-mail confirmation once your document has been submitted. ACMSS will review and process the affidavit. You will not receive notification once the MSCATExamination has been activated, but you may check the status anytime online by logging in.

12. To check the status of your MSCATExamination, log into Click “CERTIFICATION ASSESSMENT” at the top of the page.


13. Next, click on the MSCATExamination specialty exam you wish to take (i.e., General). You will then notice the MSCATExamination has been activated.

14. You will have 1 hour and 50 minutes to take the MSCATExamination. You must receive a score of 80% or higher to receive a passing score. There are 100 questions on the MSCATExamination to successfully complete, earning at least an 80% or greater.
* As you complete each question, the numbered box will turn green.
* During the MSCATExamination, you are eligible to “REVIEW” and flag questions you need to review or re-check prior to submitting the Final MSCATExamination. NOTE: Once the MSCATExamination has been submitted, the final score is your first MSCATExamination attempt. The numbers you flag to review or return to will be indicated by the color ‘yellow’.

15. Once you have answered all 100 questions, push the “FINISH Certification” button to submit your exam.

16. The MSCATExamination will be graded instantly and you will be eligible to see the MSCATExamination score on the next screen.

If you receive an 80% or greater, the American College of Medical Scribe Specialists (ACMSS) will be issue you a 12-months individually licensed set of Certified Medical Scribe Specialist (CMSS) credentials. Additionally, you will be awarded a 12-months individually licensed MSCATExamination certificate in compliance with Centers for Medicare & Medicaid Services (CMS) to remit to your clinician. Select “Print Your Certificate” to download a copy of the CMSS certificate. You may print and access your certificate anytime by logging into the website at, My Account or Account Details, and scroll to Print Assessments.

17. If you did not receive an 80% or higher, select “Click Here To Continue” and you will be taken back to the MSCATExamination Assessment screen to be eligible to retake the MSCATExamination.