CMS50v12 – Closing the Referral Loop: Receipt of Specialist Report

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.

A qualifying encounter in this case can include any of the following:

• Office Visit
• Ophthalmological Visit
• Preventive Care Services Established Office Visit, 18 and Up
• Preventive Care Services Initial Office Visit, 0 to 17
• Preventive Care Services Initial Office Visit, 18 and Up
• Preventive Care, Established Office Visit, 0 to 17

– 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.

Note: 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.

For Denominator:

• To document a Referral, navigate to Patient > Provider Note > Referrals. Create a referral and then click ‘Save & Accept’.

• To record a visit, navigate to Patient > Provider Note > Create Superbill. Under the ‘Procedures-CPT’ heading, enter the relevant encounter code.

For Numerator:

To view a report, navigate to Patient > Registration > Incoming Referrals > Attachments. Click on the attachment to view it.