What BOC does

BOC (Board of Certification/Accreditation International, Inc.) is a Maryland-based, 501(c)-style nonprofit organization founded in 1984 that operates a two-track credentialing platform: CMS-deemed facility accreditation for DMEPOS suppliers and NCCA-accredited professional certification for individual practitioners across the orthotics & prosthetics (O&P), durable medical equipment (DME/HME), mastectomy, pharmacy, lymphedema/compression, and long-term care at home verticals. The organization grants six individual certifications (CDME, CMF, COF, BOCO, BOCP, BOCPD) plus the newly launched CLCF microcredential, and seven facility accreditation categories including DME/HME, O&P, Mastectomy, DMEPOS Pharmacy, Lymphedema/Compression, LTC@Home Pharmacy, and Value-Based Care. BOC credentials are recognized by both CMS and the U.S. Department of Veterans Affairs, and certified practitioners/accredited facilities are named as qualified providers in the Social Security Act as amended by BIPA 2000.

Underlying technology is anchored by the MyBOC online portal (applications, renewals, CEU tracking), the CompWALK mobile compliance platform co-developed with NextLOGiK for site surveys, and live remote proctored testing delivered through PSI. Revenue is generated through a mix of one-time accreditation and certification application/exam fees (e.g., CDME at $25 application + $100 exam at Medtrade promotional pricing), recurring recertification renewal fees (annual cadence), continuing-education course revenue, and quote-based facility accreditation contracts on multi-year cycles. Distribution relies on an inside sales motion led by a Director of Business Development, a self-serve MyBOC portal, an independent Accreditation Consultant network, contracted site surveyors, and event presence at Medtrade, AOPA World Congress, and POWER Symposium. Following the December 2025 CMS termination of its AO status, a court-granted TRO on January 9, 2026 reinstated BOC as a CMS-approved DMEPOS Accreditation Organization in 46 states, with restrictions continuing in CA, FL, NY, and TX.

Name

BOC

Legal name

Board of Certification/Accreditation International, Inc.

Website

https://bocusa.org

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

11–50 employees

Short description

BOC (Board of Certification/Accreditation) is a 40+ year-old Maryland nonprofit that issues CMS-deemed DMEPOS facility accreditations and NCCA-accredited professional certifications (CDME, CMF, COF, BOCO, BOCP, BOCPD, CLCF) for DME, O&P, mastectomy, pharmacy, and lymphedema practitioners and suppliers across 46 U.S. states.

Ownership category

akta.pro rank

Headquarters

HQ city

Owings Mills

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Accreditation Fees: One-time and recurring revenue from DMEPOS facility accreditation programs covering DME/HME, Orthotics & Prosthetics (O&P), Mastectomy, Pharmacy, Lymphedema/Compression, Long-Term Care at Home Pharmacy, and Value-Based Care. Includes new accreditation applications, reaccreditation cycles, and a "Switch to BOC" conversion motion.
2. Certification Application and Exam Fees: One-time fees paid by individual practitioners for CDME, CMF, COF, and CLCF microcredential applications and exams. Historical reference pricing: $25 application fee + $100 exam fee for CDME (with 50% discount promotional codes at Medtrade events).
3. Recertification / Renewal Fees: Recurring revenue from periodic renewal of professional certifications (CDME, CMF, COF, Orthotist, Pedorthist, Prosthetist) required to maintain active credentialed status.
4. Continuing Education and Course Revenue: Revenue from BOC-approved continuing education courses offered through the MyBOC Course Directory, including courses submitted by third-party educators.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels8 records

Core offering

BOC is a 40+ year-old nonprofit credentialing organization that issues CMS-deemed facility accreditation and NCCA-accredited professional certifications for the DMEPOS, Orthotics & Prosthetics, Mastectomy, Pharmacy, and Lymphedema/Compression industries. It enables DMEPOS suppliers to bill Medicare/Medicaid through accreditation and equips individual practitioners (DME Specialists, Mastectomy Fitters, Orthotic Fitters, Orthotists, Pedorthists, Prosthetists) with portable professional credentials recognized by CMS and the U.S. Department of Veterans Affairs.

Product overview

BOC operates a two-track credentialing platform — professional certifications and facility accreditations — anchored by the MyBOC customer portal and remote proctored exam delivery through PSI. The certification track covers six professional disciplines: CDME (DME Specialist), CMF (Mastectomy Fitter), COF (Orthotic Fitter), BOCO (Orthotist), BOCPD (Pedorthist), and BOCP (Prosthetist), plus the CLCF Lymphedema Compression Fitter microcredential launched March 30, 2026 as an add-on to existing BOC credentials. The facility accreditation track offers CMS-deemed accreditation for DME/HME, Orthotics & Prosthetics, Mastectomy, DMEPOS Pharmacy, Lymphedema/Compression (launched January 2024), Long-Term Care at Home Pharmacy (launched November 2024 with LTC@HQC), and Value-Based Care programs. Reaccreditation, the Accreditation Success Center, the Five Star Customer Service Distinction, and the CompWALK-powered site survey workflow (built with NextLOGiK) round out the platform, while the Course Directory and Entry-Level Education services support certification renewals and onboarding.

Differentiator

Problem solved

Functional benefit

Brands

• BOC Microcredentials: Specialty microcredentials including the Certified Lymphedema Compression Fitter (CLCF).
• CDME
• CMF
• COF
• BOCO
• BOCP
• BOCPD
• CLCF

Quantifiable outcome

• ~15% annual average new business sales growth (2017-2021)
• +5 more outcomes

Named customers5 records

Segments6 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature5 records

Partnerships

Eight partnerships are on record, tiered flagship strategic partnership, core technology/infrastructure partner, industry coalition partner, research/industry alliance, industry event partner and event/training partner.

• ACHC (Accreditation Commission for Health Care)flagship strategic partnershipStrategic or Co-development Partner · 9 June 2025ACHC and BOC established a strategic partnership in June 2025 in response to recent regulatory developments to support DMEPOS suppliers amid market changes. The two organizations — both CMS-recognized accrediting bodies — are collaborating to help suppliers navigate the evolving accreditation landscape following the Dec 2, 2025 CMS termination of BOC's AO status (later reversed by court TRO on Jan 9, 2026).
• Long-Term Care at Home Pharmacy Quality Commission (LTC@HQC)flagship strategic partnershipStrategic or Co-development Partner · 11 November 2024BOC partnered with LTC@HQC to launch a new LTC@Home Pharmacy Accreditation product, making BOC the first AO in the United States to embrace this new accreditation. The accreditation validates quality standards for pharmacies providing long-term care pharmacy services at home, emphasizing medication management and specialized care coordination for aging-in-place populations.
• PSI (Test Delivery Partner)core technology/infrastructure partnerTechnology or IntegrationPSI delivers BOC's certification exams for Orthotic Fitter (COF), Mastectomy Fitter (CMF), and Durable Medical Equipment Specialist (CDME) certifications, including the joint live remote proctored testing option launched in 2020 and fast-tracked in response to COVID-19. PSI also operates BOC's in-person test centers and handles the technology platform for scheduling.
• NextLOGiKcore technology/infrastructure partnerTechnology or IntegrationBOC partnered with NextLOGiK (a Columbia, Md.-based technology company) to create and test CompWALK, a mobile-ready online software platform for measuring compliance with regulations, industry standards, and corporate benchmarks. BOC's COO Jeff Price designed the application and facilitated field testing with surveyors who inspect facilities applying for BOC accreditation, streamlining survey reporting from hours of staff time to near-immediate results.
• O&P Alliance (Orthotic and Prosthetic Alliance)industry coalition partnerGTM or Marketing PartnerBOC is a member of the O&P Alliance, a coalition of leading orthotic and prosthetic organizations. Through the Alliance, BOC co-issues open letters (e.g., 2018 open letter on sexual misconduct, harassment, and discrimination in the workplace) and participates in joint O&P policy advocacy.
• Center for Orthotic and Prosthetic Learning and Outcomes/Evidence-Based Practice (COPL)research/industry allianceStrategic or Co-development PartnerBOC funded a COPL grant study exploring "Racial Bias in Orthotics and Prosthetics" — a 2021 AOPA/COPL Pilot Grant recipient. BOC also has a long-standing volunteer relationship with COPL board members.
• American Orthotic and Prosthetic Association (AOPA)industry event partnerGTM or Marketing PartnerBOC participates in AOPA World Congress as a thought-leadership and awards-presentation partner (e.g., presented the inaugural Jim Newberry Award at AOPA 2017 World Congress). BOC also engages AOPA on industry-wide advocacy such as the petition to stop Medicare coverage changes affecting amputees.
• The MED Groupevent/training partnerStrategic or Co-development PartnerBOC partnered with The MED Group to deliver a CDME workshop and exam at Medtrade Spring, enabling DME specialists to become certified in two steps (workshop + exam) with reported 90% pass rate for participants.

Scale indicators10 records

Recent moves9 records

Expansion highlights7 records

Direct peers

• ACHC (Accreditation Commission for Health Care): Direct peer and strategic partner of BOC; ACHC is another CMS-recognized DMEPOS accrediting organization that competes for the same facility accreditation customers and partnered with BOC in June 2025 amid CMS regulatory turmoil.
• ABC (American Board for Certification in Orthotics, Prosthetics and Pedorthics): Direct competitor for orthotist, prosthetist and pedorthist individual certifications (BOCO/BOCP/BOCPD vs. ABC credentials) and O&P facility accreditation; most analogous peer in BOC's core O&P vertical.

Broad incumbents

• The Joint Commission: Largest U.S. healthcare accreditation body offering broader hospital and ambulatory accreditation; overlaps with BOC on DMEPOS supplier accreditation and represents a more comprehensive but less specialized competitor.
• AAAHC (Accreditation Association for Ambulatory Health Care): CMS-deemed accreditor for ambulatory settings including some DMEPOS suppliers; broader ambulatory focus makes it a partial competitor for facility accreditation accounts.
• CHAP (Community Health Accreditation Partner): CMS-deemed accreditor focused on home and community-based providers; competes for home medical equipment and home health accreditation accounts that BOC also serves.
• CARF International (Commission on Accreditation of Rehabilitation Facilities): International accreditor with overlap on O&P and rehabilitation-focused providers; competes with BOC for orthotics and prosthetics practice accreditation work.

Emerging players

• NCQA (National Committee for Quality Assurance): Credentialing and accreditation organization expanding into value-based and population health programs; thematic overlap with BOC's emerging Value-Based Care Accreditation product.

Regional players

• NABP (National Association of Boards of Pharmacy): Pharmacy accreditation and credentialing body relevant to BOC's DMEPOS Pharmacy and LTC@Home Pharmacy Accreditation launches; similar nonprofit, credential-driven model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/BOCIntl
• Facebookfacebook.com/BOCIntl
• LinkedInlinkedin.com/company/board-of-certification-accreditation-international
• Instagraminstagram.com/boc_usa

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about BOC