- I give MDinteractive permission to submit data to the Centers for Medicare & Medicaid Services (CMS) to be used in CMS Quality Programs and Initiatives, including Merit-Based Incentive Payment System (MIPS), Primary Care First (PCF), APM Performance Pathway (APP) and other such programs as CMS should institute from time to time.
- I authorize MDinteractive to submit Quality measure results, Improvement Activities measure and activity results, Promoting Interoperability measure and objective results and numerator and denominator data or patient-specific data on Medicare and non-Medicare beneficiaries to CMS for the purpose of participation in MIPS or other CMS Quality Programs and Initiatives.
- I acknowledge that I am responsible for providing the correct taxpayer identification number (TIN) and understand that entering an incorrect TIN may result in a financial penalty per CMS Program and Initiative rules.
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