Denominator: Number of patients who were both referred by one provider to another during the performance period (January through October) as documented in the Referrals component and who had a visit during the performance period.
Numerator: Number of patients in denominator for whom the referring provider received a report from the provider to whom the patient was referred.
- "Received a report" requires the “Report Received” box in the Referrals component to be checked. See Example
Notes
- "Visit" is an encounter with at least one service with CPT code: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99391, 99392, 99393, 99394, 99395, 99396, 99397, 99385, 99386, 99387, 99381, 99382, 99383, 99384, 92002, 92004, 92012, 92014.