HEDIS Measure: Medication Reconciliation Post-Discharge

  • July 2, 2020

    Medication reconciliation post-discharge (MRP) is critical to patient safety and care coordination efforts. These tips can help you get the most accurate list of patient medicines, allergies, and adverse drug reactions:

    1. A phone call or face-to-face interaction with the patient is not required to meet criteria for the MRP measure. The medication reconciliation can be performed without the patient present. The intent is for the discharge medications to be reconciled with the member's most recent medications, by the appropriate provider type in the outpatient medical record.

    2. Medication reconciliation can be completed and signed by a prescribing practitioner, clinical pharmacist, physician assistant, registered nurse, or nurse practitioner.

    3. It’s important to get credit for your work. Complete medication reconciliation within 30 days of discharge and submit one of the codes below:
      • CPT Category II code 1111F
      • Transitional Care Management (TCM) service codes 99495
      • Transitional Care Management (TCM) service codes 99496

    For more detailed information, email ProviderClinicalConsulting@premera.com.

    HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

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