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Maintenance of Certification Portfolio Approval Program

Credit Review and Reporting


MOC Part IV Credit - Credit Review and Reporting
The CUSOM MOC Quality Projects Review Board (QPRB) will review the documentation in applications to determine that the project has been carried out with appropriate QI methods (see MOC Part IV Project Approval Criteria) and expected engagement of participating physicians (see MOC Part IV Meaningful Participation Criteria).
MOC Part IV Credit Application Review
Physicians may receive MOC Part IV credit once the project is complete (eligible for CUSOM MOC Program review if project activity occurred in 2012 or later) or sufficient cycles of improvement and data collection have been completed. In order to earn CUSOM MOC Part IV credit, physicians must do the following:
        1.   Project lead(s) complete all fields of the CUSOM MOC Part IV Credit Application Form, only one
             application per project is necessary.
        2.   Physician Attestation Form is completed by all physicians participating in the QI effort,
             including the Project lead(s).  Attestations may be submitted at the time of the project
             review, or anytime after project approval if the QI effort is ongoing. 
        3.   The Project lead(s) will receive all Physician Attestation Forms and review the reflection
       statements of participating physicians. Lead(s) will co-sign the form certifying the
       physician participated as expected and has met criteria for “meaningful participation”.
        4.   The Project lead(s) submits all completed forms to CUSOM MOC Program manager.
The QPRB meets once monthly to review applications.  Applications must be submitted 1 week prior to the review meeting to be included, otherwise they will be assigned to the next scheduled meeting.  A response letter will be sent to the Project lead(s) within 1-2 weeks of this review.  The project will be 1) Approved, 2) Conditionally Approved or 3) Denied. 
If a question regarding project approval or physician participation arises, the first level of adjudication of such disputes will be with the two CUSOM MOC Program physician leads, who will investigate the circumstances of the dispute and provide a decision. In the event that the physician wishes to appeal this decision, then there will be a second level of adjudication by the physicians of the CUSOM MOC Program Oversight Committee.
Scheduled Quality Projects Review Board (QPRB) Committee Meetings:
February 25, 2016
March 28, 2016
April 26, 2016
May 17, 2016
June 15, 2016
July 20, 2016
August 15, 2016
September 21, 2016
October 3, 2016
November 4, 2016 (Last review meeting of 2016)
Reporting of MOC Part IV Credit
Once project approval has been granted, the CUSOM MOC Program personnel will submit the appropriate documentation to the national Multi-Specialty MOC Portfolio Approval Program for those physicians who have completed their participation requirements in an approved QI effort to receive MOC Part IV credit.  In turn, the national Multi-Specialty MOC Portfolio Approval Program will submit that information to the relevant certifying specialty board(s). This process typically takes 8-10 weeks from receipt of the application forms to participation being recorded by certifying specialty board(s).
The timely submission of forms is essential for physicians whose certification period will end in the project completion year.  MOC Part IV Credit Applications must be submitted to the CUSOM MOC Program by November 1st, and Physician Attestation Forms submitted by December 5th in order for us to report credit to your ABMS specialty board and have your credit count for that year.  If a specialty board has no record that the MOC Part IV requirement has been met within the required year, the specialty board considers the physician not to have maintained certification. While delayed submission will eventually be recorded as occurring during the ending year, the physician may have to work with his/her specialty board to assure that the physician's MOC status is restored (some financial charge may be involved).
Equivalent credit from the participating ABMS Specialty Board is given for participation in an approved QI effort. Below is a list of each board and the definition of MOC Part IV credit:
ABMS Participating Board
Credit Designation
American Board of Allergy and Immunology (ABAI)
1 module
American Board of Anesthesiology (ABA)
15 points (Must earn 25 in 5yr cycle)
American Board of Dermatology (ABD)
1 Practice Assessment QI module of Component IV
American Board of Emergency Medicine (ABEM)
1 current patient care practice improvement requirement
American Board of Family Medicine (ABFM)
20 points  (Must earn 40-60 in 5yr cycle)
American Board of Internal Medicine (ABIM)
20 points
American Board of Medical Genetics (ABMG)
1 module
American Board of Obstetrics and Gynecology (ABOG)
1 MOC Part IV assignment
American Board of Ophthalmology (ABO)
1 practice improvement module
American Board of Orthopaedic Surgery (ABOS)
1 performance in practice (PIP) module
American Board of Otolaryngology (ABOT)
Meets MOC Part IV requirement for performance in practice
American Board of Pathology (ABPath)
1 MOC Part IV activity
American Board of Pediatrics (ABP)
25 points (Must earn 40 in 5yr cycle)
American Board of Physical Medicine and Rehabilitation (ABPMR)
1 project
American Board of Preventative Medicine (ABPM)
Meets MOC Part IV assessment of practice performance
American Board of Psychiatry and Neurology (ABPN)
1 Performance in Practice (PIP) clinical module. If the QI effort involves a patient or
peer survey, the physician may also receive credit for 1 PIP feedback module.
American Board of Radiology (ABR)
1 practice quality improvement (PQI) project
American Board of Surgery (ABS)
1 quality assessment program
American Board of Thoracic Surgery (ABTS)
1 activity or quality assessment program

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