RAI Manual v1.20.1Coding Instructions
•
Code 0, No: if at discharge to a subsequent provider, your facility did not provide the
resident’s current reconciled medication list to the subsequent provider, or the resident
was not discharged to a subsequent provider.
•
Code 1, Yes: if at discharge to a subsequent provider, your facility did provide the
resident’s current reconciled medication list to the subsequent provider.
A2121: Provision of Current Reconciled Medication List to
Subsequent Provider at Discharge (cont.)
Manual page A-44RAI Manual v1.20.1Coding Tips
, based on discharge location item A2105.
2. If yes, determine whether, at the time of discharge, your facility provided a current
reconciled medication list to the resident’s subsequent provider.
Coding Instructions
•
Code 0, No: if at discharge to a subsequent provider, your facility did not provide the
resident’s current reconciled medication list to the subsequent provider, or the resident
was not discharged to a subsequent provider.
•
Code 1, Yes: if at discharge to a subsequent provider, your facility did provide the
resident’s current reconciled medication list to the subsequent provider.
A2121: Provision of Current Reconciled Medication List to
Subsequent Provider at Discharge (cont.)
Coding Tips
•
Subsequent provider—For the purposes of coding this item, a subsequent provider is
based on the discharge locations in A2105 and defined as any of the following:
02.
Nursing home (long-term care facility)
03.
Skilled nursing facility (SNF, swing beds)
04.
Short-term general hospital (acute hospital, IPPS)
05.
Long-term care hospital (LTCH)
06.
Inpatient rehabilitation facility (IRF, free standing facility or unit)
07.
Inpatient psychiatric facility (psychiatric hospital or unit)
08.
Intermediate care facility (ID/DD facility)
09.
Hospice (home/non-institutional)
10.
Hospice (institutional facility)
11.
Critical access hospital (CAH)
12.
Home under care of organized home
health service organization
•
While the resident may receive care from other
providers after discharge from your facility, such as
primary care providers, other outpatient providers, and
residential treatment centers, these locations are not
considered to be a subsequent provider for the purpose
of coding this item.
Current Reconciled Medication list—This refers to a
list of the resident’s current medications at the time of
discharge that was reconciled by the facility prior to the
resident’s discharge.
•
Your facility should be guided by current standards of care and any applicable
regulations and guidelines (e.g., Requirements of Participation) in determining what
information should be included in a current reconciled medication list.
2 A portal is a secure online website that gives providers, patients, and others convenient, 24-hour access to personal
health information from anywhere with an Internet connection. Using a secure username and password, providers
and patients can view health information such as current medications, recent doctor visits and discharge
summaries. Retrieved from https://www.healthit.gov/faq/what-patient-portal April 2, 2019.
DEFINITION
MEANS OF PROVIDING A
CURRENT RECONCILED
MEDICATION LIST
Providing the current reconciled
medication list at the time of
transfer or discharge can be
accomplished by any means,
including active means (e.g., by
mail, electronically, or verbally)
and more passive means (e.g., a
common electronic health record
[EHR]), giving providers access
to a portal).
2
A2121: Provision of Current Reconciled Medication List to
Subsequent Provider at Discharge (cont.)
Additional Considerations for Important Medication List Content
•
The following information on the important content that may be included in a reconciled
medication list is provided as guidance. This guidance does not dictate what information
should be included in your facility’s current reconciled medication list in order to code 1,
Yes, that a current reconciled medication list was provided to the subsequent provider.
The completeness of this reconciled medication list is left to the discretion of the
providers who are coordinating this care with the resident.
Manual page A-44