Please fill out the form below to be contacted regarding MediSYS MIPS Assistance for 2020! Did you participate in MIPS last year (2019)?* Yes, I participted in MIPS in 2019 and attested Yes, I particiapted in MIPS but was exempt No, this is my first year to participate Please choose one of the following options:* $399.00/provider for New Providers $299/provider for Renewals $150/provider for Attestation only Please fill out the following information and we will contact you to complete the MIPS Assistance Agreement.Name* First Last Practice Name* Email* Phone*CAPTCHA
