Maintenance of Certification (MOC) | Heart Rhythm Society

Maintenance of Certification (MOC)

Maintenance of Certification Program

Committed to finding viable solutions that work for our member community, HRS wants its members to get back to taking care of their patients rather than trying to navigate the complexities of the MOC process or spending countless hours away from their practices.

The MOC program was created by ABIM to provide physicians with a pathway to know that they are staying current in the medical knowledge used to treat patients and make important care decisions daily.

ABIM MOC Program Requirements

  1. Earn points every 2 years - to be reported as participating in MOC, earn points every 2 years by completing an activity(of any point in value). Points earned will be count toward your 100 points requirements.
  2. Earn 100 points every five years - to stay certified physicians must earn a total of 100 MOC points every 5 years. HRS offers its members opportunities to earn MOC points and meet this requirement. 

Our Shared Concern - HRS Members Losing Their ABIM Certification

HRS has heard many concerns and a wide range of perspectives on the ABIM and ABP MOC program from members. HRS leadership and member representatives will continue to work with ABIM, ABP, ACC, ABMS and other organizations to seek solutions that are aligned with what we hear from our members. HRS staff and leadership actively monitor and respond to actions of the boards that impact HRS physician members. 

HRS maintains no financial ties (revenue or expenses) with ABIM, ABP, or ACC for MOC.  We do offer voluntary programs to assist our members in navigating and complying with the initial certification and continuing certification processes, including the EP Board Review Course and MOC points for CME activities.

What are Knowledge Check-Ins (KCI)?

Beginning 2019 ABIM offers a 2-year assessment option called Knowledge Check-In (KCI).

What has Changed?

If your certification is set to expire in 2019 and you are not successful on your KCI, you will not be penalized. You will have an opportunity to take two-year Knowledge Check-In in 2021 or the 10 year long-form exam in 2020 to maintain your certification. If your certification expires in 2019 and you skip an assessment, your status will change to Not Certified.

The American Board of Internal Medicine offers a number of resources to help decide which assessment option is right for you:

MOC Assessment Requirement: Choice, Relevance, Convenience

Learn more about what Knowledge Check-In means:

Compare the Knowledge Check-In to the Traditional MOC Exam

ABIM MOC Requirements

Below is a high-level summary of ABIM requirements that impact physicians certified in CCE. For comprehensive coverage of ABIM MOC requirements, go to



Overall Required Points Some MOC points must be earned every 2 years to be listed as "participating in MOC" on the ABIM website. 100 MOC points must be earned every 5 years to retain certification.
Underlying Certifications Electrophysiologists may choose to maintain ONLY their Clinical Cardiac Electrophysiology (CCEP) certification (without the need to maintain the IM or CVD certifications). If an underlying certification lapses, the ABIM website will display only the certification in CCEP.
Part I: Licensure Physicians must possess a valid, unrestricted and unchallenged medical license in the United States, its territories or Canada.
Part II: Lifelong Learning and Self-Assessment, including Patient Safety Accredited CME providers (such as HRS) may award MOC credit for CME activities that meet specific ABIM requirements. ABIM and ABP required additional assessment to ensure "meaningful engagement " of learners. Patient safety and patient survey requirements have been suspended indefinitely.
Part III: Long-Form Assessment (secure exam) every 10 years OR Knowledge Check-in every 2 years Three options are available for the long-form assessment. Until 2020, electrophysiologists must pass a secure exam every 10 years to remain certified in CCEP. Starting in 2020 for CCEP (2019 for CVD and 2018 for IM), there is an option to take a 10-year assessment, a 2-year assessment Knowledge Check-in (KCI); or to participate annually in EP SAP (from ACC) over a 5-year period (called a Collaborative Maintenance Pathway, or CMP). The first two options are open-book with one, ABIM-specified outside resource (currently, Up-to-Date). Two unsuccessful attempts on the 2-year assessment result in need to take the 10-year assessment (or other, not-yet-specified option).
Part IV: Practice Improvement >Part IV requirements for practice improvement have been suspended indefinitely.
ABIM Website The ABIM website publicly reports the following information:

- Current certification status (e.g., Clinical Cardiac EP: Certified)
- Participating in Maintenance of Certification: Yes or No
- Initial Certifications: Name and year of each certification
Fees (annual and 10-year) In 2019, ABIM charges diplomates an annual fee of $160 plus a fee for the assessment. For the 10-year assessment and 2-year Knowledge Check-in, the additional fee is $1200 over a 10-year period. ACC charges $1500 for ACC and HRS members ($900 for fellows-in-training and $1900 for non-members) for a total 10-year cost of $4600 for members.

HRS Position

HRS recognizes that there is a place for a meaningful and reasonable recertification process, and HRS leadership continues to champion the concerns of HRS physicians certified by the ABIM and ABP.

HRS is committed to lifelong learning and to the belief that MOC should be awarded for continuous learning, with immediate (formative) assessments rather than periodic "high-stakes " summative examinations that cover the full breadth of the field of electrophysiology. HRS has advocated for assessments with the following features:

  • The assessment should be modular instead of covering the full breadth of the field.
  • Modules should be customizable, including core content and content relevant to practice.
  • An open-book approach should be employed.
  • Alternatives to camera monitoring to ensure security should be used.

Although the EP SAP offering is not customizable and is still modeled as a "summative assessment," it comes closer to meeting the needs and preferences of HRS members than the alternatives. It is open-book and modular and relies entirely on the didactic content presented in the product so it is not necessary to study from multiple sources. In addition, camera monitoring is not required.

HRS Members and Board Certification: Background

The Heart Rhythm Society (HRS) has a diverse set of members, but the largest group is comprised of physicians certified in Clinical Cardiac Electrophysiology (CCEP) from the United States.

Board certification is intended to ensure that health care professionals achieve and maintain common standards for patient care. Certification for CCEPs is provided by the American Board of Internal Medicine (ABIM) which operates as one of the 24 member boards of the American Board of Medical Specialties (ABMS) to maintain standards for professional certification.

25% of all U.S. physicians are certified by the ABIM. To achieve initial ABIM certification in CCEP, a physician must first be certified in both Internal Medicine (IM) and Cardiovascular Disease (CVD), although certification may be maintained in CCE only.

The ABMS mandates that its member boards implement a four-part Maintenance of Certification (MOC) program, and each member board creates its own policies and procedures governing MOC. In 2014, the ABIM introduced a host of new requirements that many physicians considered too burdensome, too costly, not based upon evidence and not relevant to practice. After a strong backlash, many of the new requirements were shelved by the ABIM in early 2015. Medical society advocacy on behalf of members is one reason for those changes.