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  1. eCQM Issue Tracker
  2. CQM-6988

CMS50v12: Closing referral loop

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
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    • Heather Clodfeler
    • Johns Hopkins Medicine
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      Hello and thank you for your inquiry about CMS50v12 Closing the Referral Loop: Receipt of a Specialist Report. Yes, a referral to another clinician for colonoscopy screening or mammography screening should be captured. You can find a list of qualifying referrals in the value set “Referral” (2.16.840.1.113883.3.464.1003.101.12.1046) found in the denominator.

      Value sets can be found on The National Library of Medicine's Value Set Authority Center (VSAC), https://vsac.nlm.nih.gov/ . The VSAC provides downloadable access to all official versions of value sets content contained in the eCQM specifications. The value sets are lists of unique coded identifiers with names (called descriptors) for groupings of clinical and administrative concepts selected from standard vocabularies. We hope this helps.
      Show
      Hello and thank you for your inquiry about CMS50v12 Closing the Referral Loop: Receipt of a Specialist Report. Yes, a referral to another clinician for colonoscopy screening or mammography screening should be captured. You can find a list of qualifying referrals in the value set “Referral” (2.16.840.1.113883.3.464.1003.101.12.1046) found in the denominator. Value sets can be found on The National Library of Medicine's Value Set Authority Center (VSAC), https://vsac.nlm.nih.gov/ . The VSAC provides downloadable access to all official versions of value sets content contained in the eCQM specifications. The value sets are lists of unique coded identifiers with names (called descriptors) for groupings of clinical and administrative concepts selected from standard vocabularies. We hope this helps.
    • CMS0050v12

      We are inquiring if orders for the following screenings should be part of mapping for CMS50v12: Closing the Referral Loop Specialist?

       

      1. Order for screening colonoscopy?
      2. Order for screening mammogram?

      Definition provided by CMS: 

      Referral: A request from one clinician to another clinician for evaluation, treatment, or co-management of a patient's condition. This term encompasses referral and consultation as defined by Centers for Medicare & Medicaid Services. Report: A written document prepared by the eligible clinician (and staff) to whom the patient was referred and that accounts for his or her findings, provides summary of care information about findings, diagnostics, assessments and/or plans of care, and is provided to the referring eligible clinician.

            edave Mathematica EC eCQM Team
            hclodfe1 Heather Clodfeler
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