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Transition of Care - External Referrals

MU, CQR, PQRS, etc.

Last Post by Anonymous 1 second ago

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cmahon

(@cmahon)

Posts: 111

Estimable Member

Topic starter

Hello,

Does anyone happen to know when a CVS is needed and when a CCD is needed? I am having trouble explaining to providers when they will need to use either one.

Also does anyone happen to know how to make a pop-up appear upon placing an order in the orders section? I know editing the insurance info can cause a pop up, but it is tedious to set the pop-up for every insurance company.. hoping there is an easier way to do this.

Much appreciated,
Courtney

Posted : June 1, 2015 10:17 am

bruins1986

(@bruins1986)

Posts: 233

Reputable Member

Hi Courtney,

The clinical visit summery is (was, CMS has proposed changes that have removed this measure) supposed to be given for 50% of all office visits in the reporting period, this is separate from external referrals. The CCD-A (the summary of care), which is generated from an external referral (or transition of care), is (was, same as above) supposed to be generated for 50% of patient transition of care or referrals outside of your EHR. For the 50% percent you could print it or save it to a disk/thumbdrive and give to the patient or send it securely to the other provider directly. 10% of these documents MUST be sent through a secure electronic HISP to the other provider.

The wording for the summary of care is that all 50% (the old ruling anyway) were supposed to be given to the receiving provider but they allowed you to give it to the patient if you could reasonably believe they would then give it to the other provider - thus printing/saving to file was OK.

As I mentioned CMS has proposed changes to stage 2 rules. In this proposal they have removed the CVS measure all together and removed the 50% of summary of cares "printed". The 10% sent directly to the other provider through a HISP is still in the proposed changes. We use Qvera but there is also an option through Kryptic Portal.

Thanks

Mike

Posted : June 2, 2015 3:11 am

JillSnider

(@jillsnider)

Posts: 110

Estimable Member

Here's my understanding: CCD (or rather CCDA as the newer version requirement) is formatted medical record data. For a CVS, the CCDA is required to have particular fields require. A Transition of Care (TOC) and VDT (View, Download, Transmit - complete/longitudinal record) requires other fields.

From the provider standpoint/interaction they should only be concerned about the CVS (Clinical View Summary) that needs to be provided to a patient upon a visit. This document will include the details of that VISIT only and is printable from the EMR.

When uploading to an HIE or portal, a CCDA document is required to capture the entire patient record so you have a different set of data to contain in the document.
Transition of Care (TOC) requires a different set as well in the CCDA.
Example:
Required fields in a TOC CCDA are:
1. Reason for referral
2. Functional status
3. Encounter diagnosis

I'm having a hard time uploading media along with posts to this site but I have a nice list of required fields in a CCDA document for all the situations listed above. Provide email and I'll send to you.

Bottom line, a CCDA requires different fields of information depending on it's usage and is an electronic format to relay the patient data to a particular agency.
A CVS is a visit-based document provided to the patient.

Hope this helps, Jill

Posted : June 2, 2015 4:34 pm

SLHV

(@slhv)

Posts: 478

Honorable Member

Hi Jill. I'd love to get a copy of your documentation. [email protected]. I've been able to upload attachments before. I'll try to upload it. Thanks!

Posted : June 3, 2015 4:18 am

JillSnider

(@jillsnider)

Posts: 110

Estimable Member

SLHV, Sent your way! 🙂

Posted : June 3, 2015 4:24 am

SLHV

(@slhv)

Posts: 478

Honorable Member

It seems I can't upload attachments either atm. I tried locating a similar resource online, but my time is limited. I didn't find anything that summarizes requirements of the three types that way.

Closest I saw was http://www.healthit.gov/sites/default/files/c-cda_and_meaningfulusecertification.pdf

A rather large document, but shows the requirements of several.

I'll try uploading again later.

Posted : June 3, 2015 5:30 am

SLHV

(@slhv)

Posts: 478

Honorable Member

CCDA Requirements

Upload appears to be working again. Above document provided by Jill.

Posted : June 3, 2015 10:05 am

JillSnider

(@jillsnider)

Posts: 110

Estimable Member

Thanks for posting SLHV!

Posted : June 3, 2015 10:11 am

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