FAQ Directory: HEDIS

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11.16.2020 Transition of Care (TRC) For the Medication Reconciliation Post-Discharge indicator, documentation of the current medications with evidence that the member was seen for post-discharge hospital follow-up with evidence of medication reconciliation or review meets criteria. Does documentation of a post-op/surgery follow-up visit, without reference to the hospital stay, count as evidence that the provider is aware of the hospitalization?

No. Documentation of “post-op/surgery follow-up” without a reference to “hospitalization,” “admission” or “inpatient stay” does not imply there was a hospitalization and is not considered evidence that the provider was aware of the hospitalization.

HEDIS MY 2021