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EC eCQMs - Eligible Clinicians
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Resolution: Answered
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Minor
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None
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Elissa Chandler
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2677255354
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NextGen Healthcare Information Systems
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CMS 50: measure criteria regarding first referral
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CMS50v1/NQFna
CMS 50 question attached with screen shot
CMS 50 Guidance says “If there are multiple referrals for a patient during the measurement period, use the first referral.”
• Does this statement mean the very FIRST referral documented during the reporting period?
For example, there are 3 referrals documented, one on each 1/1/2013, 1/2/2013, and 1/3/2013 encounters. So the First referral we are capturing would be on 1/1/2013.
OR
• Do you mean the very FIRST referral from the 3 referrals ordered with consult report received during the measurement period. For example, there are 3 referrals documented, would the referral on the 2nd encounter be the FIRST referral?:
o 1st encounter: 1/1/2013- referral ordered with NO Consult Report.
o 2nd encounter: 1/2/2013- referral ordered WITH Consult Report.
o 3rd encounter: 1/3/2013- referral ordered with NO Consult Report.
PLEASE SEE ATTACHMENT FOR SCREENSHOT OF GUIDANCE referred to in question. Thank you.