Thank you for your inquiry. Your ticket references CMS2v14, though the question seems to be regarding CMS50v14 – Closing the Referral Loop: Receipt of Specialist Report. To meet measure CMS50v14, a consult report must be received for “the first referral made between January 1 – October 31 of the measurement period”. The measure defines a consultant report as 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 a summary of care information about findings, diagnostics, assessments, and/or plans of care, and is provided to the referring eligible clinician. In your scenario, a missed or canceled appointment would not suffice to satisfy the measure's requirement for receipt of a consultant report. Therefore, this encounter would be considered non-compliant with numerator criteria (i.e., meets denominator criteria only)