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Blue Cross Blue Shield of Rhode Island·RI·Physician
Effective date
Apr 1, 2022
We identified it
Jun 19, 2026
Summary
This policy provides guidance on HEDIS TRC (Transitions of Care) medication reconciliation requirements for members discharged from inpatient care in 2022. Medication reconciliation must be completed within 30 days of discharge by qualified staff including prescribing practitioners, clinical pharmacists, registered nurses, or physician assistants.
Action Required
By December 31, 2022: Ensure medication reconciliation is completed within 30 days for all inpatient discharges between January 1 - December 1, 2022. Only qualified staff (prescribing practitioner, clinical pharmacist, registered nurse, or physician assistant) can perform reconciliation. Document using appropriate CPT codes as referenced in 2022 PQIP Booklet. Contact QualityHEDIS@bcbsri.org with questions.