MIPS PI Quick Start: Support Electronic Referral Loops by Receiving and Incorporating Health Information

Measure Overview Medicare Goal
This measure reports the number of summary of care documents linked to visits in which a patient is seen for the first time, referred into the practice, or is an existing patient who already has a summary of care document saved to their chart, and the provider performs a clinical information reconciliation using information from the electronic summary of care document including the following three clinical information sets: Medication, Medication Allergy, and Current Problem List.

At least 1 electronic Summary of Care received, incorporated, and reconciled
Setup Requirements

This measure requires the following setup:

  • The Reference Documents Section must be added to the Facesheet.
  • The method by which your organization will import CCDs must be configured.
  • Users must have the Reconcile Reference Documents user right.
Denominator

Summary of care documents where:

  • The summary of care document is imported into the Reference Documents section of the patient’s Facesheet any time before the end of the visit.
  • The summary of care is linked to a visit for either (1) a new patient indicated by an E&M code in the range of 99201-99205 or 99381-99387 in the Plan or E&M section of the visit's Note OR (2) a patient referred to the practice or provider indicated by the Inbound Referral/Transition check box in the note.

When linking the summary of care to a visit, the provider must be the one to select acknowledge if manually reconciling the patient's clinical information.
Numerator
Summary of care documents where the patient’s Medications, Medication Allergies, and Current Problems are reconciled during the patient’s first face-to-face visit with the provider. This visit must be during the performance period. Additionally, the reconciliations must be performed after the visit is checked-in, and the visit is linked to the CCD.