[CQM-2345] PQRS Performance Measure Compliance Created: 12/15/16 Updated: 04/30/19 Resolved: 04/30/19 |
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| Status: | Closed |
| Project: | eCQM Issue Tracker |
| Component/s: | Guidance |
| Type: | Hosp Inpt eCQMs - Hospital Inpatient eCQMs | Priority: | Moderate |
| Reporter: | David Dolkart (Inactive) | Assignee: | Cindy Cullen (Inactive) |
| Resolution: | Done | Votes: | 1 |
| Labels: | Measure | ||
| Secondary Summary/Title: | Use of PQRS Measure 374 "Closing the Referral Loop" by Specialist |
| Contact Name: | David Dolkart |
| Contact Email: | ddolkart@gmail.com |
| Contact Phone: | 847-769-1565 |
| Guidance required: | Ability to Use PQRS Measure 374 C.losing Referral Loop by a Specialist |
| Solution: | No. The Closing the Referral Loop measure is intended for reporting by the referring provider, not the specialist referred to. The measure looks for the referring provider to document the receipt of the specialist report in the referring provider's EHR. |
| If your issue is regarding an older eCQM version, enter it here: | 2016: Measure Title CMS NQF PQRS Closing the Referral Loop: Receipt of Specialist Report CMS:50v4 NQF: N/A PQRS: 374 |
| Impact: | Ability/Inability to use a PQRS Measure by a specialist. |
| Description |
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Dr. Grimaldi is a specialist (Urologist) who receives referrals from PCPs. Can he report (via his EHR) that he sent a visit summary/consult note to the referring PCP and receive a "Performance Met" for PQRS Measure 374 "Closing the Referral Loop?" |
| Comments |
| Comment by Wray Paul (Inactive) [ 01/24/17 ] |
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This measure is included in all of the Specialist measure sets for the CMS Quality Payment Program [QPP]. As we read the measure, it seems to be written backwards for use by specialists. As noted above, a specialist would get a "referral from" a primary care provider, and close it out with sending a Consultant Report. Is there a way that specialists could use this measure, or should we recommend that specialists choose another measure for the QPP? |