Appendix C Submission Form for Eligible Clinician and APM Entity Re

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

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File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced APM Determinations (Eligible Clinician I
Author	HHS/CMS
File Modified	0000-00-00
File Created	2023-08-25