Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 

QPP Measure #IA_CC_12

Care coordination agreements that promote improvements in patient tracking across settings

Establish effective care coordination and active referral management that could include one or more of the following: Establish care coordination agreements with frequently used consultants that set expectations for documented flow of information and MIPS eligible clinician or MIPS eligible clinician group expectations between settings. Provide patients with information that sets their expectations consistently with the care coordination agreements; Track patients referred to specialist through the entire process; and/or Systematically integrate information from referrals into the plan of care.

There are no codes for this QPP measure.

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