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Kareo Help Center

Health Information Exchange

Health Information Exchange Measure:           

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider—(1) creates a summary of care record using certified electronic health record technology (CEHRT); and (2) electronically exchanges the summary of care record.

Denominator:   Number of transitions of care and referrals during the performance period for which the MIPS eligible clinician was the transferring or referring health care clinician.

Numerator:       The number of transitions of care and referrals in the denominator where a summary of care record was created using CEHRT and exchanged electronically.

  • Provider must send a referral by Direct Message.  See Send a Referral by Direct Message
    Electronic fax (eFax) it not an acceptable format that meets this measure.
  • Create a Note detailing the patient’s office visit.  See Create a Note.
  • Check Transferring at the bottom of a Note to indicate a referral is being sent. 
  • Click on Care Coordination and select Send Referral.
  • Sign the Note.  See Sign Notes.

Health Information Exchange1.png

Health Information Exchange2.png

Exclusion:          Any MIPS eligible clinician who transfers a patient to another setting or refers a patient fewer than 100 times during the performance period.

Attestation:       Report Denominator and Numerator

Required for Base Score:            Yes

Performance Score Weight:      Up to 10%

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