MIPS # 374 Closing the Referral Loop

2025: no measure changes from 2024

MEASURE DESCRIPTION

Percentage of patients with referrals, regardless of age, for which the referring clinician receives a report from the clinician to whom the patient was referred

Relevance to Value Based Care

Information exchange between providers, for time-limited referrals or consultations, on-going co-management, or during care transitions facilitates the coordination of care. 

Care coordination improves quality of care for patients, reduces hospitalizations, and improves adherence to evidence-based care guidelines.

 Numerator

Number of patients with a referral on or before October 31, for which the referring clinician received a report from the clinician to whom the patient was referred

 Denominator

Number of patients, regardless of age, who had an encounter during the measurement period & referred by one clinician to another clinician on or before October 31st

Exclusion/Exceptions

None.

 Scoring

Up to 10 points

 RESOURCES

2024 CMS eCQM Specifications for Closing the Referral Loop

2025 CMS eCQM Specifications for Closing the Referral Loop Link