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Quality Payment Program >> Quality Measures >> eCQM: Closing the Referral Loop: Receipt of Specialist Report (CMS 50v5)

Under MIPS, eligible clinicians will be required to report up to 6 quality measures, including at least one outcome measure or high-priority measure, for a minimum of 90 days during the 2017 performance year. Practice Fusion currently supports 23 eCQMs that can be reported for MIPS for the 2017 performance year.

eCQM:
eCQM: Closing the Referral Loop: Receipt of Specialist Report</br>
CMS ID: CMS 50v5
NQF Number: N/A
NQS Domain: Communication and Care Coordination
Measure Type: Process
MIPS High Priority Measure: Yes
Eligible for Quality Programs:
  • Merit-Based Incentive Payment System (MIPS)
  • Medicaid EHR Incentive Program (Meaningful Use)
  • Comprehensive Primary Care Plus (CPC+)
Description: 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.


Numerator: Number of patients with a referral, for which the referring provider received 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 an eligible visit (a signed chart note with one of the following encounter types: Office Visit, Nurse Visit, Nursing Home Visit, or Home Visit) during the measurement period.

  • Denominator Exclusions: None
  • Denominator Exceptions: None

Performance Benchmark for MIPS: 71.88%
For further benchmarks and details on how this measure will be scored within the Quality performance category of MIPS, please click here.

What is the Quality Payment Program?

Quality Payment Program is the name given to the new Medicare value-based reimbursement system. The program has two tracks for participation: MIPS and APM

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What are APMs?

MACRA allows providers who take further steps towards transforming healthcare to be exempt from MIPS and participate in Advanced Alternative Payment Models (APMs).

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How to prepare

Individual eligible providers can prepare to meet all MIPS measures and be ready to avoid penalties and earn bonuses on January 1, 2017.

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