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CMS-10621 Appendix E1 (See Table 28): 2022 Submission Form for Eli
Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Appendix E1 2022 Clinician Initiated Submission Form
CY 2022 Performance Period/2024 MIPS Payment Year Burden Summary
OMB: 0938-1314
OMB.report
HHS/CMS
OMB 0938-1314
ICR 202301-0938-017
IC 250662
CMS-10621 Appendix E1 (See Table 28): 2022 Submission Form for Eli
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1314 can be found here:
2023-11-17 - Revision of a currently approved collection
2023-08-24 - Revision of a currently approved collection
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