Account Creation

First Name

Last Name

Email Address

Practice / Organization Name

State/Territory

Phone (000-000-0000)

Extension

Number of Clinicians

Submission Type

Report as an individual(s):
Multiple individual clinicians can use the same account to report MIPS. The MIPS scoring will be based on each individual's performance.

Report as a group:
Each eligible clinician participating in MIPS via a group will receive the same MIPS score based on the group's performance:

User Name (Auto Fill)

Password

Confirm Password

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