Medical Review Officer Certification Council

What Medical Review Officer Certification Council does

The Medical Review Officer Certification Council (MROCC) is a non-profit corporation founded in 1992 and headquartered in Chicago, Illinois. It is DOT and SAMHSA recognized under 49 CFR Part 40 as a nationally recognized certification organization for Medical Review Officers (MROs) — physicians who review and interpret laboratory drug test results within federally mandated and non-mandated workplace drug testing programs. MROCC is physician-focused and physician-governed, founded by the American College of Occupational and Environmental Medicine (ACOEM) together with the AMA, ASAM, ACMT, AACT, CAP, and AACT; the company represents thousands of certified MROs who review over 20 million forensic drug test specimens annually.

MROCC's product portfolio centers on two credentials: the MRO Certification Program (initial and 5-year recertification for licensed physicians) and the MRO Team Member/Assistant Certification (3-year cycle for non-physician administrative staff). Certification exams are priced at $525 (MRO initial and recert) and $125/$100 (Team Member initial/recert), with a $695 bundled recertification + 25-hour Self-Study CME package, a standalone $170 15-hour Self-Study CME activity (AAFP Prescribed credits), $50 retests, and $17-$37 printed certificates. Training is delivered not by MROCC directly but through approved third-party providers — ACOEM, AOCOPM, and AAMRO for MRO courses and ALCOPRO, DATAC, NDASA, and SAPAA for Team Member courses — with exams offered both online (year-round, self-serve) and onsite in paper format at training events.

The business model is exam-fee recurring revenue driven by the federally mandated 5-year (MRO) and 3-year (Team Member) recertification cycles. Commercial reach is digital-first (a self-serve online exam platform, public MRO/Team Member verification directory, MRO Quarterly Newsletter, regulatory news feed, and a members-only MRO Command Central community launched with the National Association of Occupational Health Professionals). The OEM Press-published MRO Manual (6th edition) anchors the educational content. Operating geographies span North America (U.S., Canada, Mexico), and supporting channels include Facebook, Twitter, and LinkedIn accounts plus ACOEM MRO Section and MRO Listservs.

Name

Medical Review Officer Certification Council

Legal name

Medical Review Officer Certification Council

Website

https://mrocc.org

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

1–10 employees

Short description

MROCC is a 1992-founded non-profit that certifies physicians as Medical Review Officers and non-physician Team Members for workplace drug testing. DOT and SAMHSA recognized, it offers exams, CME activities, and a verification directory serving the U.S., Canada, and Mexico.

Ownership category

akta.pro rank

Product category

Professional certification services

NAICS

Testing Laboratories and Services (54138)

SIC

Services-Commercial Physical & Biological Research (8731)

akta.pro primary industry

Toxicology & Safety Assessment CROs (GLP) (HLAGAAAC)

Keywords

• Medical review officer certification
• Workplace drug testing
• Physician certification services
• Drug testing compliance
• Occupational medicine certification

Headquarters

HQ city

Chicago

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Certification Examination Fees: MROCC charges $525 per MRO initial certification exam and $525 per recertification exam (online or onsite). Two free retests are provided within 12 months of course completion for initial certifiers, and within 12 months of registration for recertifiers. Additional retest registrations require a new fee.
2. Recertification Exam + Self-Study CME Bundle: A bundled package for recertification is offered at $695, combining the 25-hour self-study CME activity ($170) and the online recertification exam ($525). The MRO Manual (6th edition) is purchased separately through OEM Press.
3. Self-Study CME Activity (Standalone): A 15-hour self-study CME/self-assessment activity is sold for $170, offering AAFP Prescribed credits for physicians who need CME but not recertification. This activity can also fulfill the retraining prerequisite for future recertification if completed within 5 years preceding recertification.
4. MRO Team Member Certification Fees: MROCC charges $125 for Team Member initial certification exam, $100 for recertification exam, and $50 per retest. A professional-printed certificate is available for $17.
5. Professional Printed Certificates: Physically printed and mailed certificates are available for $37 (MRO) or $17 (Team Member) upon passing the examination.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

MROCC administers and maintains the DOT- and SAMHSA-recognized certification program for Medical Review Officers (MROs) and non-physician MRO Team Members who review and interpret workplace drug and alcohol test results. The core product is a computer- or paper-based certification examination delivered after prerequisite training, with a five-year recertification cycle for physicians and a three-year cycle for Team Members.

Product overview

MROCC is a non-profit certification organization offering a portfolio of certification, training, and educational products for Medical Review Officers (MROs) and their Team Members. The core offering consists of the MRO Certification Program (physicians) and MRO Team Member Certification (non-physicians), both requiring approved training and passing examinations. Supporting products include MRO Training Courses (online and onsite options through ACOEM and AOCOPM partners), Self-Study CME Activities (25-hour and 15-hour options with AAFP Prescribed credits), the MRO Quarterly Newsletter, Certification Verification Search, and Essential Resources. MRO certification is valid for five years per DOT requirements; Team Member certification is valid for three years.

Differentiator

Problem solved

Functional benefit

Products and services

• MRO Certification Program DOT- and SAMHSA-recognized certification program for physicians (M.D., D.O., or equivalent) seeking to become Medical Review Officers. Includes an initial certification examination (110 multiple-choice questions, up to 3 hours) and a five-year recertification cycle, available via online year-round self-serve testing or onsite proctored paper exams at approved training locations; $525 per initial and per recertification exam with two free retests within 12 months.
• MRO Team Member/Assistant Certification Three-year certification for non-physician Team Members/Assistants who perform administrative functions supporting certified MROs in workplace drug testing programs; $125 for initial certification, $100 for recertification, $50 per retest, with optional $17 printed certificate.
• MRO Training Courses MROCC-approved online recorded and onsite MRO training courses delivered through ACOEM, AOCOPM, and AAMRO partners as a required prerequisite to MROCC certification and recertification examinations; available year-round online with periodic onsite sessions such as Schaumburg, IL.
• MROCC Self-Study CME Activity Self-paced continuing medical education activity offering AAFP Prescribed credits, available as a standalone 15-hour package ($170) or a bundled 25-hour recertification package ($695 with the recertification exam) that fulfills DOT and HHS retraining requirements and MROCC recertification prerequisites.
• Professional Printed Certificate (MRO and Team Member) Optional physically printed and mailed certificate available to examinees who have passed the MRO ($37) or Team Member ($17) certification exam, in addition to the digital credential.

Quantifiable outcome

• Over 20 million forensic drug test specimens are processed by certified laboratories annually, all requiring MRO review by certified MROs.

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Ten partnerships are on record, tiered core and minor.

• American College of Occupational and Environmental Medicine (ACOEM)coreStrategic or Co-development Partner · 1 January 1992ACOEM is a founding partner of MROCC (established 1992) and a key sponsor of the MROCC certification program. ACOEM offers both online recorded and onsite MRO training courses throughout the year. ACOEM faculty (including Douglas W. Martin, MD; Anthony G. Costantino, PhD; Donna R. Smith, EdD, PhD) contribute to course content. ACOEM also sponsors the onsite certification exam in Schaumburg, IL.
• American Osteopathic College of Occupational & Preventive Medicine (AOCOPM)coreStrategic or Co-development Partner · 1 January 1992AOCOPM is a founding partner of MROCC (established 1992) and an approved MRO training provider. AOCOPM offers both online and onsite MRO training courses and administers the onsite certification exam following its courses. Faculty includes James Ferguson, DO and R.H. Barry Sample, PhD.
• American Association of Medical Review Officers (AAMRO)coreStrategic or Co-development PartnerAAMRO is accepted by MROCC as an approved MRO training provider. Physicians previously certified by AAMRO are eligible to take the MROCC recertification examination. AAMRO-certified MROs may also apply for MROCC initial certification.
• National Association of Occupational Health Professionals (NAOHP)coreStrategic or Co-development PartnerMROCC has partnered with NAOHP to launch MRO Command Central, a members-only online community for MROs and their Team Members to connect and collaborate. This is a significant community ecosystem partnership.
• American College of Medical Toxicology (ACMT)minorStrategic or Co-development PartnerACMT is listed as a founding organization of MROCC and offers CME Total Tox Course (on-demand) that may be of interest to MROs. ACOEM is the primary training partner; ACMT serves as a supplementary education resource.
• ALCOPROminorChannel Partner/ Reseller/ DistributorALCOPRO is an MROCC-approved training provider for MRO Team Member/Assistant certification courses. MROCC does not provide Team Member training directly but directs candidates to ALCOPRO and other approved organizations.
• The Drug & Alcohol Testing Association of Canada (DATAC)minorChannel Partner/ Reseller/ DistributorDATAC is an MROCC-approved training provider for MRO Team Member/Assistant certification courses. Offers online MROA (Medical Review Officer Assistant) training course for those seeking Team Member certification.
• National Drug & Alcohol Screening Association (NDASA)minorChannel Partner/ Reseller/ DistributorNDASA (which merged with DATIA) is an MROCC-approved training provider for MRO Team Member/Assistant recertification courses. NDASA University offers relevant training programs.
• The Substance Abuse Program Administrators Association (SAPAA)minorChannel Partner/ Reseller/ DistributorSAPAA is an MROCC-approved training provider for MRO Team Member/Assistant certification courses. Offers training products through its online store.
• OEM PressminorChannel Partner/ Reseller/ DistributorOEM Press publishes the official MROCC MRO Manual (6th edition) and MRO Team Manual used in MROCC's self-study CME activities. The manual must be purchased separately through OEM Press to complete the 25-hour self-study CME activity.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• American Board of Medical Specialties (ABMS): ABMS is the umbrella body for U.S. physician specialty board certification. While it does not certify MROs, it is the dominant physician credentialing authority and represents the strategic benchmark for physician-facing certification programs that MROCC's MRO credential must remain competitive against.
• American Society of Addiction Medicine (ASAM): ASAM is a MROCC founding organization and the leading U.S. physician society for addiction medicine, offering its own certifications, education, and clinical guidelines. It overlaps MROCC's addiction medicine physician audience and competes for addiction-focused CME and certification spend.
• Drug & Alcohol Testing Industry Association (DATIA): DATIA (now merged with NDASA) is the largest U.S. trade association for the drug and alcohol testing industry, offering training, certifications, and policy advocacy. It overlaps with MROCC's stakeholder universe and offers adjacent credentials (e.g., for collection sites and labs) that compete for the same employer-funded training dollar.
• American College of Occupational and Environmental Medicine (ACOEM): ACOEM is MROCC's founding partner and the dominant MRO training provider; it also offers broader occupational and environmental medicine credentials and continuing education. While it is a strategic partner rather than a direct certifier, it competes for adjacent physician credentialing wallet share in occupational medicine.
• American Osteopathic College of Occupational and Preventive Medicine (AOCOPM): AOCOPM is a founding MROCC partner and approved MRO training provider offering both online and onsite courses and administering onsite certification exams. It is a strategic peer in the MRO training and certification ecosystem and competes for the osteopathic physician segment of the MRO pipeline.
• American College of Medical Toxicology (ACMT): ACMT is a MROCC founding organization offering toxicology education including the CME Total Tox Course relevant to MRO practice. It overlaps MROCC's audience of physicians interpreting drug test results and competes for toxicology-focused CME spend.

Emerging players

• National Association of Occupational Health Professionals (NAOHP): NAOHP is MROCC's community partner (MRO Command Central) and serves the occupational health professional community with education, networking, and resources. It overlaps MROCC's audience of occupational medicine physicians and support staff and is a credible alternative channel for their continuing education and engagement spend.
• American Board of Forensic Toxicology (ABFT): ABFT certifies forensic toxicologists, a closely adjacent professional population that often collaborates with MROs in interpreting drug test results. It is comparable as a small specialty medical/forensic credentialing body serving the same drug-testing value chain.

Regional players

• Substance Abuse Program Administrators Association (SAPAA): SAPAA is an approved MROCC training provider for Team Member certification and also offers its own workplace substance abuse program administrator education. It is comparable as a parallel credentialing and education channel serving the same employer drug-testing programs MROCC supports.

Direct peers

• American Association of Medical Review Officers (AAMRO): AAMRO is the only other nationally recognized MRO certification body in the U.S., offering competing initial certification and recertification of physicians as Medical Review Officers. It directly competes with MROCC for the same physician population and sits in the same DOT/SAMHSA-recognized credential lane.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/MROCC_
• Facebookfacebook.com/mrocc.org
• LinkedInlinkedin.com/company/medical-review-officer-certification-council

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Medical Review Officer Certification Council