Provider Registration

MIPS Selection
Practice Information
Business Associate Agreement
Clinical Consent
Pricing
User Creation
Completed

Registering for Performance Year*

How do you plan on reporting?*

Individual Reporting Group Reporting

Individual Reporting

If you report as an individual, your payment adjustment will be based on your performance.

An individual is defined as a single clinician, identified by a single National Provider Identifier (NPI) number tied to a single Tax Identification Number (TIN).

Group Reporting

Each eligible clinician participating in MIPS via a group will receive a payment adjustment based on the group's performance.

Under MIPS, a group is defined as a single Taxpayer Identification Number (TIN) with 2 or more eligible clinicians (including at least one MIPS eligible clinician), as identified by their National Provider Identifiers (NPI), who have reassigned their Medicare billing rights to the TIN.

Are you part of a MIPS APM?*

Yes No

What is the name of your APM?

MIPS APM

Eligible clinicians in Advanced Alternative Payment Model (AAPM) entities that do not meet either the patient threshold or payment threshold to be qualifying participants can opt to participate in MIPS.

Such entities will be scored using the APM Scoring Standard. For more details Click Here

Administrator Information

First Name*

Last Name*

Email*

Phone*

Administrator Information

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