Appendix D redline
non-subtantice change Appendix D Clinician Initiated Submission Form (CR)_redline.docx
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Appendix D redline
OMB: 0938-1314
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1314 can be found here:
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