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CMS 50 - Closing the Referral Loop: Receipt of Specialist Report

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Updated: 12/09/2021
Views: 2401

CMS 50 / Quality ID #374

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.
  • Create a note detailing the patient’s office visit.
  • Click to select "Transferring".
  • Click Care Coordination and select Send Referral.
  • Follow the directions for creating and sending the referral by either Direct Message or eFax.
  • Click Save. A copy of the referral is saved in Referrals.
Numerator: Number of patients with a referral, for which the referring provider received a report from the provider to whom the patient was referred.
  • Open Referrals.
  • When a Consultation Report is received from the provider to whom the patient was referred, click to select "Received".
Office Visit Documentation:

Once all steps have been completed, the measure will be added to the Quality Measures Report.
Guidance: The referring provider should be held accountable for the performance of this measure. The provider to whom the patient is referred should be the same provider that sends the report.
Measure type: Process
High Priority Measure: Yes
Telehealth Eligible: Yes