Early diagnosis of chronic, critical diseases improves clinical outcomes, and biomarkers play an important role as an indicator of severity or presence of a disease. Alkaline phosphatase (ALP) is one such vital biomarker in the diagnosis of several diseases. Herein we introduce a facile, sensitive fluorescent assay, based on the inner filter effect (IFE), for ALP activity determination in serum and in living cells. It is well known that the key to maximize the sensitivity of an IFE-based fluorescence assays is to broaden the overlap between the absorption of an absorber and the excitation/emission of a fluorophore. We employed CuInS/ZnS quantum dots (CIS/ZnS QDs) and p-nitrophenylphosphate (PNPP) as the fluorescent indicator and the substrate, respectively, for ALP activity assessment. Due to the CIS/ZnS QDs have an efficient excitation at 405 nm, meanwhile with a large Stokes shift emission at 588 nm, p-nitrophenol (PNP) with absorption peak at 405 nm, the hydrolyzed produce of PNPP and ALP, can act as a competitive absorber to absorb the excitation light of CIS/ZnS QDs, resulting in noticeable quenching of CIS/ZnS QDs. The proposed sensor detects ALP activity in human serum samples (sample consumption: 20 μL) with detection limit of 0.01 U L-1. Excellent biocompatibility of CIS/ZnS QDs enables the sensor to monitor endogenous ALP in living cells. Furthermore, because the surface modification or the linking between the receptor and the fluorophore is no longer required, this fluorescent sensing system has the potential to simplify ALP clinical measurement, thereby improving diagnostics of relevant diseases.