Last update: Sept. 30, 2020
Medication Reconciliation is critical post-discharge for all individuals who use prescription medications.
This measure assesses the percentage of discharges from January 1– December 1 of the measurement year for Medicare members ages18 and older, for whom medications were reconciled the date of discharge through 30 days after discharge (31 total days).
MRP Quality Care Bonus Opportunity
UnitedHealthcare MA-PCPi incentivized providers will have an opportunity to earn a quality care bonus for MRP documentation. Providers will receive $20for every gap closed and this will be paid quarterly throughout 2020.
*The bonus amounts can vary per network contract and changes yearly. Please follow-up with your UnitedHealthcare Network representative to find out details for your contract.
Medication Reconciliation Documentation
Documentation in the outpatient medical record must include evidence of medication reconciliation and the date when it was performed. Any of the following are acceptable:
- Documentation of the current medications with a notation that the provider reconciled the current and discharge medications.
- Documentation of the current medications with a notation that references the discharge medications (e.g., no changes in medications since discharge, same medications at discharge, discontinue all discharge medications).
- Documentation of the patient’s current medications with a notation that the discharge medications were reviewed.
- Documentation of a current medication list, a discharge medication list and notation that both lists were reviewed on the same date of service.
- Documentation of the current medications with evidence that the patient was seen for post-discharge hospital follow-up with evidence of medication reconciliation or review. Evidence that the patient was seen for post-discharge hospital follow-up requires documentation that indicates the provider was aware of the patient’s hospitalization or discharge.
- Notation if no medications were prescribed at discharge
- Date medication reconciliation was performed.
- Signature of prescribing care provider, clinical pharmacist or registered nurse who performed medication reconciliation.