?414.1330 and §414.1335 Claims Submission Mechanism

Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

OMB: 0938-1314

IC ID: 221777

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§414.1330 and §414.1335 Claims Submission Mechanism
 
No Modified
 
Mandatory
 
42 CFR 414.1330 and 414.1335

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

278,039 278,039
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 278,039 0 0 -54,690 0 332,729
Annual IC Time Burden (Hours) 4,949,094 0 0 -1,306,211 0 6,255,305
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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