All, For CMS 135 144 and 145, the value sets have SNOMED codes that represent encounters for an outpatient visit that is outside of our organization. Some of our providers only see a patient once a year to monitor their cardiac conditions (depending on their condition) while their primary care provider will see the patient at least annually as well. It is difficult to capture the Cardiology measures due to the fact the patient has to have 2 Qualifying Encounters. If our offices receive visit notes for an eligible encounter (comprehensive history, evaluation , and management of a patient presenting with minor to high severity problems) from the outside practices, records notes in the chart, is it appropriate to include as Qualifying Encounter for our provider's Quality measures for MIPS? Examples of the SNOMED codes are 30346009, 37894004 and 281036007 for CMS 135, 144, and 145.