MRP: Medication Reconciliation Post-Discharge
Med rec within 30 days post-discharge by prescriber-equivalent (NP, PA, RN, pharmacist).
Measure description
Med rec within 30 days post-discharge by prescriber-equivalent (NP, PA, RN, pharmacist).
Eligible population
Members discharged from inpatient
Performance drivers
Star measure for MA plans.
Documentation & PA strategy
Document med rec during post-discharge visit; CPT 99495/99496 (TCM) compatible.
Why HEDIS matters for prior authorization
Health plans align prior authorization criteria with HEDIS measures: documenting your patient meets the HEDIS definition often streamlines or eliminates PA hurdles. For Medicare Advantage in particular, plans are heavily incentivized via Star Ratings to push members and providers toward measure compliance, which translates into faster approvals for measure-aligned services.
Frequently asked questions
What does HEDIS measure MRP measure?
Med rec within 30 days post-discharge by prescriber-equivalent (NP, PA, RN, pharmacist).
What drives performance on this measure?
Star measure for MA plans.
How should clinicians document for this measure?
Document med rec during post-discharge visit; CPT 99495/99496 (TCM) compatible.
What is the eligible population?
Members discharged from inpatient
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