Importance of Medication Reconciliation
Most medication reconciliations are done through patient reporting or by a report from the pharmacy.
This relies on the patient to recall all of their medications correctly or assumes that all medications picked up from the pharmacy are being taken
Prescriptions that are filled, but never taken
Prescriptions not taken as directed
Medications taken that were prescribed for someone else
OTC medications not reported
Sample prescriptions provided by a specialist
Simple urine screening which answers:
Is the patient taking all of their medications?
Is the patient taking prescriptions or OTCs which are not prescribed or reported?
Real Benefits to You and Your Patients
300+ prescriptions and OTC medications / metabolites
1/1.5M error rate or 1/10,000 patients results
hour turnaround for most results
$75 out of pocket cost if not covered by insurance
Who is eligible?
Any patient with 2 or more chronic conditions
COPD, CHF, CKD, Diabetes, Hypertension, Hyperlipidemia, etc.
Same criteria as Chronic CareManagement- All CCM patients are eligible
Covered Medicare and Medicare Advantage plans
Approved by Medicare to be billed up to 12 times/year
Typically utilized 4 times/year as a maximum
Most appropriate to incorporate into
Annual Wellness Visits
Post-hospital follow-ups (for TCM medication reconciliation compliance)
Office visits for CCM patients
Patients with a high number of prescriptions, multiple specialists, known medication management issues, etc
How many medication consultations could you administer each month?
The number of consultations is generally equal to about 15% of the total number of Medicare patients your practice treats.