Terms & Conditions

Terms of Use

Welcome to www.TopTierCME.com (the “Site”). By using this Site, you represent that you are an adult of at least 18 years of age, have the legal capacity to enter a contract, and agree to comply with and be bound by the following terms and conditions of use. Please review these terms and conditions carefully. If you do not agree to these terms and conditions, you are not authorized to use this Site.

1. Agreement. These Terms of Use (the “Terms“) govern your access to and use of the Site. These Terms may be modified at any time by Top Tier CME LLC (the “Company”) by posting the modified Terms to the Site. Any such modifications shall be effective immediately upon posting unless some other effective date is expressly stated. Your continued use of the Site constitutes acceptance of any updates.
2. Privacy. Your use of the Site is also governed by the Privacy Policy, which is hereby incorporated into these Terms, and can also be found at https://toptiercme.com/privacy-policy. You agree that the Company may collect, use, and share your information in accordance with the Privacy Policy.
3. User Accounts and Access. You must register and set up an account in order to access the materials, including the accredited courses, accompanying reference materials, evaluations (together each course, accompanying materials, and evaluations, a “Course”), and the Creative Commons articles (collectively, the “Course Materials”). The Couse Materials can be accessed only by registered users of the Site, who are typically physician assistants and nurse practitioners. You must maintain the confidentiality of you login credentials.
4. Course Access & Materials. The number of continuing medical education credits available for each Course will be shared with you. Completion of the full Course, including each individual module (each, a “Module”) and any evaluations will be required to receive the credits from the respective credentialing body (i.e., American Academy of Physician Associates, American Nurses Credentialing Center, and American Association of Nurse Practitioners). Once the coursework and evaluation is completed, you will need to submit the evaluation results directly to your respective credentialing body. The Company does not take responsibility for submitting documentation or ensuring certification on your behalf.
5. Expiration and Inactive Accounts. You will have one year from the date you first access any Course to complete all coursework, evaluations, and related materials. After one year, access to that Course will automatically expire, and you will no longer be eligible to receive continuing education credits for that Course. Additionally, user accounts that remain inactive for a period of twenty-four consecutive months may be permanently deleted at the Company’s sole discretion. The Company is not responsible for preserving user data, Course progress, or access to Course Materials following account deletion.
6. Intellectual Property.
   • All Course Materials and any other materials or resources provided on this Site or otherwise by the Company (excluding the Creative Commons articles) are the exclusive intellectual property of the Company and are protected under copyright and other laws. Use of the Creative Commons articles is limited to the license terms set forth on the Creative Commons website.
   • All other content on this Site including without limitation graphics, logos, trademarks, images, and software is, and shall continue to be, the property of the Company or its content suppliers and is protected under applicable copyright, trademark, and other proprietary rights. Under no circumstances will you acquire any ownership rights or other interest in any content by or through your use of this Site.
7. Site Use. You may download Course Materials for personal and educational use only. Redistribution, publishing, selling, sharing or exploitation in any form of the Course Materials is strictly prohibited. The Company grants you a limited, nonexclusive, nontransferable license to access the Site and its content for your personal and educational use. Violation of this section will be considered a breach of these Terms, and the Company reserves the right to suspend or terminate your account for such breach.
8. Academic Integrity. To maintain the integrity of the educational process, you are required to complete all quizzes, tests, and assessments independently. You agree not to (i) share quiz answers or course content with other users or third parties, (ii) receive or solicit answers from others; or (iii) use unauthorized aids, tools, or third-party assistance when completing any evaluation component. Violation of this policy may result in immediate termination of your account, revocation of any continuing medical education credits, and ineligibility for rewards or continued access to the Site.
9. Rewards and Incentives.
   • From time to time, the Company offers rewards, incentives, or gift cards to eligible users in connection with completion of certain educational activities, including completion of individual Modules. These rewards will be administered through a third-party provider, Giftbit. By participating in any such reward program, you agree to the terms and conditions of the third-party provider and authorize us to share the minimum necessary personal information (e.g., your name, email address, etc.) with such provider, solely for the purpose of delivering the reward. The Company is not responsible for the performance, redemption, or availability of third-party rewards.
   • By redeeming gift cards through Giftbit, you understand and agree that:
     • Gift cards must be obtained within 90 days of completion of a Module.
     • Rewards or gift cards offered in connection with Course Modules, surveys, referrals, or other activities are subject to change or cancellation at any time, with or without notice.
     • Rewards issued are considered rebates or incentives and are not classified as income. The Company does not issue tax documentation, and it is your responsibility to consult with a tax advisor for reporting obligations.
     • The Company is not responsible for lost, stolen, or expired rewards, rebates, or gift cards. Rewards provided through Giftbit have expiration dates. Please review such expiration dates. It is the your responsibility to redeem rewards in a timely manner.
     • If you experience an issue with a gift card or rebate, you must notify the Company in writing. The Company may attempt to resolve the issue or refer you to the third-party provider, but does not guarantee replacement or reissuance or any other specific outcome.

10. Payments and Refunds. All purchases are nonrefundable, and subscriptions may not be canceled once processed. It is your responsibility to review course offerings before purchase. A refund may be given for denial of reimbursement from your employer. Such refunds will be provided at the Company’s sole discretion and are not guaranteed.
11. Availability and Modifications. The Company reserves the right to change, suspend, or discontinue any aspect of the Site or services at any time and does not guarantee that the Site will operate without interruptions or errors.
12. Links to Other Sites. The Site may provide links to other websites, including for payment processing. These Terms or the Privacy Policy do not apply to those other websites, which may have their own terms and policies. You should review the terms of use and privacy policies of any other websites that you visit. These links are provided for convenience only, and the Company is not responsible for the content or practices of those websites.
13. Compliance with Laws. You agree to comply with all applicable laws regarding your use of the Site. You further agree that information provided by you is truthful and accurate to the best of your knowledge.
14. You agree to indemnify, defend and hold the Company and our partners, employees, and affiliates, harmless from any liability, loss, claim, expense, and cost, including reasonable attorney’s fees, related to your violation of these Terms or failure to fulfill your obligations relating to the Site, these Terms, or your account.
15. • THE INFORMATION ON THIS SITE IS PROVIDED ON AN “AS IS,” “AS AVAILABLE” BASIS. YOU AGREE THAT USE OF THIS SITE IS AT YOUR SOLE RISK. THE COMPANY DISCLAIMS ALL WARRANTIES OF ANY KIND, INCLUDING BUT NOT LIMITED TO ANY EXPRESS WARRANTIES, STATUTORY WARRANTIES, AND ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT. TO THE EXTENT YOUR JURISDICTION DOES NOT ALLOW LIMITATIONS ON WARRANTIES, THIS LIMITATION MAY NOT APPLY TO YOU. YOUR SOLE AND EXCLUSIVE REMEDY RELATING TO YOUR USE OF THE SITE SHALL BE TO DISCONTINUE USING THE SITE.
    • Medical Disclaimer. The content provided on this Site is for informational and educational purposes only and is not intended as medical advice. While the courses are developed for licensed medical professionals, you agree that you are solely responsible for evaluating and applying the material using your own clinical judgment and professional standards. The Company does not provide medical guidance, endorse specific treatments, or guarantee clinical outcomes.
16. Limitation of Liability. UNDER NO CIRCUMSTANCES WILL THE COMPANY BE LIABLE OR RESPONSIBLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, CONSEQUENTIAL (INCLUDING DAMAGES FROM LOSS OF BUSINESS, LOST PROFITS, LITIGATION, OR THE LIKE), SPECIAL, EXEMPLARY, PUNITIVE, OR OTHER DAMAGES, UNDER ANY LEGAL THEORY, ARISING OUT OF OR IN ANY WAY RELATING TO THE SITE, YOUR SITE USE, OR THE CONTENT, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. YOUR SOLE REMEDY FOR DISSATISFACTION WITH THE SITE AND/OR CONTENT IS TO CEASE ALL OF YOUR SITE USE.

You may have additional rights under certain laws (including consumer laws) which do not allow the exclusion of implied warranties, or the exclusion or limitation of certain damages. If these laws apply to you, the exclusions or limitations in these Terms that directly conflict with such laws may not apply to you.

17. Termination. The Company reserves the right to limit, suspend, or permanently revoke your access to some or all features of the Site and the Course Materials at any time, with or without prior notice, and for any reason we deem appropriate, including, but not limited to, a violation of these Terms. If we suspect that your account has been involved in unlawful, deceptive, or harmful behavior, we may take immediate action and, where applicable, report such conduct to the proper legal authorities. In the event of suspension or termination, your ability to use the Site and its content will end immediately, and we may, at our discretion, delete any data associated with your account, including your login credentials and saved information.
18. Copyrights and Copyright Agent. If you believe your work has been copied in a way that constitutes copyright infringement, or your intellectual property rights have otherwise been violated, please provide a notice containing all of the following information to the contact provided below:
    • An electronic or physical signature of the person authorized to act on behalf of the owner of the copyright or other intellectual property interest;
    • A description of the copyrighted work that you claim has been infringed;
    • A description of where the material that you claim is infringing is located on the Site;
    • Your address, telephone number, and e-mail address;
    • A statement by you that you have a good faith belief that the disputed use is not authorized by the copyright owner, its agent, or the law; and
    • A statement by you, made under penalty of perjury, that the above information in your notice is accurate and that you are the copyright owner or authorized to act on the copyright owner’s behalf.

For Notice of claims of copyright infringement on the Site is please reach out to admin@toptiercme.com or write to the Company at: 145 Tremont Street, Suite 201-1465, Boston, MA 02111.

19. Applicable Law. You agree that the laws of the state of Massachusetts without regard to conflicts of laws provisions will govern these Terms and any dispute that may arise between you and the Company or its affiliates. Venue shall be the state and federal courts located in Massachusetts.
20. Severability. If any provision of these Terms shall be adjudged by any court of competent jurisdiction to be unenforceable or invalid, that provision shall be limited or eliminated to the minimum extent necessary so that these Terms will otherwise remain in full force and effect.
21. Relationship of the Parties. Each party is, and shall remain, an independent contractor and nothing contained in these Terms shall be construed to make either party a partner, joint venturer, employee or agent of the other party, and neither party shall hold itself out as such. Neither party has any right or authority to incur, assume or create, in writing or otherwise, any warranty, liability or other obligation of any kind, express or implied, in the name of or on behalf of the other party.
22. Contact Information. For any questions or concerns about these Terms or the contents of the Site, please reach out to the Company in writing at admin@toptiercme.com or 145 Tremont Street, Suite 201-1465, Boston, MA 02111.

I would recommend hyperlinking this to the privacy policy on the site