CMS50v11 – Closing the Referral Loop: Receipt of Specialist Report

Closing the Referral Loop: Receipt of Specialist Report CMS50v11 Percentage of patients with referrals, regardless of age, for which the referring clinician receives a report from the clinician to whom the patient was referred
DENOMINATOR

Number of patients, regardless of age, who had an encounter during the measurement period and were referred by one clinician to another clinician on or before October 31

NUMERATOR

Number of patients with a referral on or before October 31, for which the referring clinician received a report from the clinician 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 first 10 months of the measurement period is considered for this measure.

To document a Referral, navigate to Patient > Registration > Referrals 

Outgoing Referral

To record a visit, navigate to Patient > Provider Note > eSuperbill 

eSuperbill

For Numerator:

Any patient, from denominator or initial population, for whom the referring clinician received a consultant report will be included in the numerator. The consultant report should contain the outgoing referral ID and must be received on a date after the referring clinician sent the referral and during the measurement period. To view report, navigate to Patient > Registration > Referrals> Documents 

Consultant Report