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Supporting Statement Part A Quality Payment Program/Meditated Incentive Payment System (MIPS) Surveys and Feedback Collections CMS10695, OMB Control number 09381399A. Background purpose of this submission
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Gather all necessary information and supporting documents.
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Follow the specific guidelines provided by the organization or entity for filling out the MIPS supporting statement.
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Who needs mips supporting statement?

01
Any individual or organization that is required to submit a MIPS (Merit-based Incentive Payment System) application or report may need a supporting statement.
02
This may include healthcare providers, practices, and other entities participating in the MIPS program.

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The MIPS supporting statement is a document that provides additional information and justification for the data reported under the Merit-based Incentive Payment System (MIPS).
MIPS eligible clinicians and groups are required to file a supporting statement as part of their MIPS reporting.
The MIPS supporting statement can be filled out electronically through the designated MIPS reporting portal or by submitting a paper form with the required information.
The purpose of the MIPS supporting statement is to provide context and explanations for the data reported under MIPS, helping to ensure accurate and complete reporting.
The MIPS supporting statement must include details on the measures and activities reported, any relevant performance data, and explanations for any variations or outliers in the reported data.
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