Appendix C1 2023 Submission Form for Eligible Clinician and APM Enti

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

Appendix C1 2023 Eligible Clinician Initiated Submission Form

CY 2023 Performance Period/2025 MIPS Payment Year Burden Summary

OMB: 0938-1314