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Follow-up care after hospitalization
Act
immediately
Effective date
Apr 1, 2024
Identified
Jun 19, 2026
Summary
BCBS Rhode Island has updated quality improvement guidance for follow-up care after hospitalization, focusing on the Transitions of Care (TRC) measure. The policy emphasizes four key components: hospital admission notifications, discharge information receipt, patient engagement within 30 days, and medication reconciliation post-discharge, with specific CPT codes identified for transitional care management services.
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What to do
immediately · 3 steps
01Billing team should ensure proper documentation and coding for post-discharge services using CPT codes 99495 and 99496 for transitional care management.
02Verify that medication reconciliation is clearly documented in medical records and consider using CPT Category II code 1111F for discharge medication reconciliation tracking.
03Update workflows to capture and scan hospital admission/discharge notifications into patient records.
Codes mentioned
9949599496
Original notice
Follow-up care after hospitalization
bcbsri.com · Always check the source before changing claims.
Related changes
See all Blue Cross Blue Shield of Rhode Island changes →Policy UpdatesMediumEffective Jul 1, 2019 · Provider UpdatePolicy UpdatesHighEffective Jan 1, 2023 · Physician / FacilityTransitional Care Management, Chronic Care Management, and Principal Care Management servicesMediumEffective Jan 1, 2025 · PhysicianTransitional Care Management, Chronic Care Management, and Principal Care Management servicesHighEffective Jan 1, 2025 · Physician / FacilityBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list