CMS50v6 – Closing the Referral Loop: Receipt of Specialist Report

Closing the Referral Loop: Receipt of Specialist Report	CMS50v6	Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred.
– DENOMINATOR Number of patients, regardless of age, who were referred by one provider to another provider, and who had a visit during the measurement period. – NUMERATOR Number of patients with a referral, for which the referring provider received a report from the provider to whom the patient was referred.
– APPLICATION WORKFLOW For Denominator: A patient, regardless of his age, who is referred by one provider to another provider, and who had a visit during the measurement period is considered for this measure. To document a Referral, navigate to Patient > Provider Notes > Referral First Visit – Referral The documentation of the first encounter takes place when one visit code is documented on the patient’s eSuperbill/ charge. For Numerator: A patient with a referral, for which the referring provider received a report from the provider to whom the patient was referred. To document a Referral, navigate to Patient > Provider Notes > Referral. Referral Report

Closing the Referral Loop: Receipt of Specialist Report

CMS50v6

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred.

– DENOMINATOR

Number of patients, regardless of age, who were referred by one provider to another provider, and who had a visit during the measurement period.

– NUMERATOR

Number of patients with a referral, for which the referring provider received a report from the provider to whom the patient was referred.

– APPLICATION WORKFLOW

For Denominator:
A patient, regardless of his age, who is referred by one provider to another provider, and who had a visit during the measurement period is considered for this measure. To document a Referral, navigate to Patient > Provider Notes > Referral

The documentation of the first encounter takes place when one visit code is documented on the patient’s eSuperbill/ charge.

For Numerator:
A patient with a referral, for which the referring provider received a report from the provider to whom the patient was referred. To document a Referral, navigate to Patient > Provider Notes > Referral.

Note:
The provider reporting for this measure must be the reporting provider.
The “Associated on” date for the document that is being attached with the referral, must be after the referral was created.

CMS50v6 – Closing the Referral Loop: Receipt of Specialist Report

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