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 

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Outgoing Referral

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

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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 

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Consultant Report