Medication reconciliation post inpatient discharge

Simply Healthcare Plans, Inc. (Simply) reimburses providers for Medicare Advantage members.

Currently, Simply reimburses providers $25 for medication reconciliation within 31 days of inpatient discharge for Medicare Advantage members (where the discharge date is day #1) to receive reimbursement for medication reconciliation; documentation must be:

• Conducted by clinician: MD, DO, PA, NP, RN, or clinical pharmacist.
• Notated in chart the inpatient stay, admission, hospitalization, or name of the facility.
• Billed with CPT^® code 1111F.

Please note a face-to-face or telehealth visit is not required.

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