The objective of this measure is the same for both the Medicare Quality Payment Program MIPS and the Medicaid Meaningful Use program, however the required threshold is different. Be sure to select the appropriate program at the top before running the report. Every Medicare provider will be attesting to MIPS and every Medicaid provider will be attesting to Modified Stage 2 of Meaningful Use for 2017. (MacPractice still maintains the Stage 1 and Stage 2 report options here for our users that require them for Meaningful Use audits.)
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Modified Stage 2
The EP, eligible hospital or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary care record for each transition of care or referral.
The EP, eligible hospital or CAH that transitions or refers their patient to another setting of care or provider of care must - (1) use CEHRT to create a summary of care record; and (2) electronically transmit such summary to a receiving provider for more than 10 percent of transitions of care and referrals.
Any provider who transfers a patient to another setting or refers a patient to another provider less than 100 times during the reporting period is excluded.
MacPractice Report (for MIPS and Meaningful Use)
Summary of Care Measure
Denominator: All instances of a referral of the type Transition To. This means that if you multiple Transition To referrals on the same patient, they will appear multiple times in the denominator.
Numerator: A Summary of Care document (CDA) must be made available for the referral electronically via a direct address. This can be done either on the Clinical tab in the Patient ability or in EHR. You must first select the incident itself that you wish to export and then either export it to an existing referral for the patient or add a new referral to the patient at that time.
Exported from the Clinical tab -
Exported from EHR -
A patient will be added to the numerator of the report only if you transmit the summary to another provider's secure direct address. Summaries that are just printed out will NOT count towards the numerator.
If you have difficulties finding providers that you refer your patients to who have secure direct addresses to send summaries to, CMS has posted this FAQ regarding this situation. They allow the summaries to be sent to a third party. MacPractice has no further information on this since it's outside of our software, so we recommend contacting CMS for questions regarding these third parties. (CMS can be reached at 888-734-6433.)