CMS50v6 – Closing the Referral Loop: Receipt of Specialist Report

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.

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.