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  1. eCQM Issue Tracker
  2. CQM-7502

Closing the Referral Loop

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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      Thank you for inquiring about the Closing the Referral Loop: Receipt of Specialist Report eCQM. Please note that the current specification only allows patients to meet the numerator when a specialist returns a report or visit summary to the referring provider. If the patient declines to see the provider, then the patient would be in the denominator only. There is no provision for patient refusal in the measure.
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      Thank you for inquiring about the Closing the Referral Loop: Receipt of Specialist Report eCQM. Please note that the current specification only allows patients to meet the numerator when a specialist returns a report or visit summary to the referring provider. If the patient declines to see the provider, then the patient would be in the denominator only. There is no provision for patient refusal in the measure.
    • CMS0050v12
    • We need clarification on what we can do to meet the measure in the case that the patient declines/refuses to schedule with the doctor we have referred them to.

      For 2024 reporting, if a patient declined the referral and/or did not want to schedule to the provider that we referred them to, can we upload a document stating it and close the loop for the patient to come into the numerator? Or is the only way to close the loop is if the patient does actually go see the provider? 

            AIR EC eCQM Team AIR EC eCQM Team
            triumphealth Nitya (Inactive)
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