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Medication Reconciliation (Med Rec Post Discharge) 1111F

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  • Medication Reconciliation (Med Rec Post Discharge) 1111F
    • Medication Reconciliation (Med Rec Post Discharge) 1111F
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Description: Discharge medications reconciled with the current medication list in the outpatient medical record within 30 days of appropriate discharge. 

Delivery Method: Face-to-Face, Phone and/or Video 

Who can bill? A licensed care-team member or unlicensed care team member if signed off by acceptable practitioner. 

Recommended Documentation: 

  • Date performed
  • Current Medication list
  • Evidence that clinician is aware of hospitalization and discharge
  • Notation that the clinician reconciled the current and discharge medications
  • Notation that both lists were reviewed on the same day
  • Notation that references the discharge medications (Ex: No change in medications since discharge, discontinuation of medications
  • Notation that no medications were prescribed upon discharge. 

Reference Materials 

  • 2024 Star Measure Tip Sheet – Medication Reconciliation Post Discharge
  • BCBSM - 2023 Transition of Care HEDIS Measure Education
  • Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
  • Utilizing Medical Assistants to the Top of their Training

1111F Med Rec FAQ’s 

Q: Is a face-to-face visit required to bill the 1111F? 

A: No, evidence of a medication reconciliation must be documented within medical record only. 

Q: What training is required for them to bill this code? 

A: It's highly encouraged to complete Introduction to Team-Based Care within 6 months of starting to bill. 

Q: Can an unlicensed care-team member (medical assistant) perform a medication reconciliation? 

A: Yes, if signed off by a prescribing practitioner, clinical pharmacist, or physician assistant .

Q: Can 1111F be billed simultaneously to the PDCM codes?

A: Yes, can be billed within the same encounter

Q: Can the 1111F be billed alone or with an associated visit? 

A: Both

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Disclaimer Statement: Although Blue Cross Blue Shield of Michigan and MICMT work collaboratively, the opinions, beliefs and viewpoints expressed by the author do not necessarily reflect the opinions, beliefs and viewpoints of BCBSM or any of its employees.

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