Medication Reconciliation Documentation
IMPACT Act ready med rec at every transition point. We document admission, transfer, and discharge medication reconciliation, resolve home vs hospital list discrepancies, and run F-Tag 760 audit-clean records inside PointClickCare and MatrixCare. 800+ providers trust us. Pilot in 2 weeks.
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0:48Discrepancies at admission and discharge drive MS-DRG 884 readmissions .
Med rec is the single most-cited transition-of-care defect on state surveys, ADRs, and corporate audits. Three pressures hit every transition workflow in SNFs and home health agencies.
Home vs hospital list discrepancies
The hospital discharge summary often skips OTC, supplements, and PRN medications the resident actually took at home. Missing doses, duplicate therapeutic classes, and dose conflicts surface in the first 48 hours after admission.
F-Tag 760 medication errors
F-Tag 760 cites medication errors that reach the resident. An unreconciled admission med list, a missed dose at transfer, or an incomplete discharge med rec is a foreseeable F-Tag 760 deficiency on the next state survey window.
MS-DRG 884 readmission risk
Medication-related readmissions show up under MS-DRG 884 and adjacent DRGs. Unresolved discrepancies at SNF admission and at home health SOC drive 30-day readmissions and shrink your VBP and HHVBP performance score.
Tell us about your agency.
Send us your situation and our team will scope the right setup, usually within one business day. No obligation.
What is medication reconciliation documentation ?
Medication reconciliation documentation is a remote workflow team that reviews the resident's home medication list, the hospital discharge medication list, and the new SNF or home health order set, then documents every match, every change, and every clinical discrepancy in the EMR. Not a generic scribe. A trained med rec specialist who understands the IMPACT Act expectations for SNFs, the transition-of-care rules under F-Tag 760, and the MS-DRG 884 readmit risk that follows an unreconciled list.
What your med rec specialist actually handles, day to day
Pick the transition queues that hurt most. Your specialist absorbs them. Your floor nurses, MDS coordinator, and DON focus on residents.
Admission med rec
Reviews hospital discharge summary, prior-to-admission list, and new SNF order set. Builds the reconciled admission list. Flags discrepancies for the admitting nurse.
Intra-facility transfer
Reconciles medication changes during level-of-care transfers, including SNF to LTC, sub-acute to long-stay, and unit moves. Captures hold-and-resume orders.
Discharge med rec
Builds the discharge medication reconciliation document. Provides the resident or family with a clean post-discharge list aligned with the discharge summary.
Discrepancy resolution
Routes discrepancies to the prescriber. Captures the clinical decision. Documents resolution in the EMR with date, time, and prescriber name.
IMPACT Act items
Confirms medication review and reconciliation items required under the IMPACT Act for SNFs. Aligns documentation with MDS Section N coding.
F-Tag 760 audit prep
Audits the chart for F-Tag 760 medication error indicators. Tracks high-risk medication classes including anticoagulants, insulin, and opioids.
30-day readmit prevention
Flags unresolved discrepancies that drive MS-DRG 884 medication-related readmissions. Coordinates with the case manager on high-risk residents.
Electronic med rec workflow
Runs the electronic med rec module in PointClickCare and MatrixCare. Imports surescripts data, reviews fill history, and reconciles e-prescription records.
Med rec-trained specialists, not generic scribes
Most outsourcing companies offer transcription staff and call them med rec specialists. We do not. Our med rec specialists are tested on IMPACT Act expectations, F-Tag 760 medication error rules, discrepancy resolution workflow, and EMR-specific med rec modules before they touch a live record.
IMPACT Act trained, not generic
Every specialist passes an assessment on IMPACT Act med rec items for SNFs, F-Tag 760 medication error definitions, MS-DRG 884 readmit drivers, and PointClickCare or MatrixCare med rec modules before placement.
Stacked compliance posture
HIPAA, SOC 2 Type II, ISO 27001, and HITRUST. PHI handling aligned with 45 CFR 164.514 de-identification standards. Ask your current vendor for proof of all four. We will wait.
2-Week Risk-Free Pilot
Industry offers no trial. We give you 14 days of live med rec work at the same rate. Cancel before day 14, owe nothing. No annual contracts after.
Staffingly vs DIY in-house vs generic scribe vs onshore BPO
The real cost math for a single full-time med rec specialist role at a mid-size SNF or home health agency.
From "let's talk" to live in 1 to 2 weeks
Six steps. Each one is documented. Nothing is mysterious.
Discovery call (15 min)
Tell us which transition pain is loudest. Admission backlog? Discharge med rec gaps? F-Tag 760 audit prep? We map it on a shared call.
BAA + EMR access
Business associate agreement signed. Role-based access provisioned in PointClickCare, MatrixCare, HCHB, or WellSky CareInsights.
Workflow shadow (2 to 3 days)
Your specialist shadows your admitting nurse, MDS coordinator, or case manager. Discrepancy resolution rules captured. Tone matched.
Parallel pilot starts
Week 2 to 3. Your specialist runs alongside your team. Daily 15-minute sync. You see every reconciliation, every discrepancy, every prescriber query.
Decision point (end of week 2)
Pilot results reviewed. Go or no-go. No penalty if you cancel. Most providers keep going.
Full handoff, cadence locked
Discrepancy resolution rate, readmit risk flags, and discharge med rec completion KPIs in your inbox. Weekly review. Monthly QA audit.
How your med rec specialist's day actually looks
A real shift, hour by hour. Times shown in your local time. We rotate coverage so your transition queues are never dark during business hours.
Trained on every post-acute EMR your team actually uses
Onboarding time per EMR shown. Standard systems go live in 5 to 7 business days. Complex multi-module setups add 3 to 5 days for med rec module configuration.
How Staffingly works, in practice
Inside the workA trained Staffingly specialist works inside your existing platform, with clear escalation back to your team.
One Flat Weekly Rate. No Surprises.
Dedicated senior care schedulers at a fixed weekly cost. Per scheduler FTE, per week. No contracts, no minimums, no hidden fees.
Want to compare against an in-house hire? Use the savings calculator.
Frequently asked questions
How do you handle IMPACT Act medication reconciliation in SNFs?
The IMPACT Act requires SNFs to perform and document medication review and reconciliation at admission, transfer, and discharge. Our med rec specialist runs each transition through a documented review of the prior-to-admission list, the discharge summary, and the new order set.
How are medication discrepancies resolved?
Discrepancies route to the prescriber through your standard query channel inside the EMR. Our specialist captures the clinical decision, documents the resolution with prescriber name and timestamp, and posts the reconciled entry to the active medication list.
What is F-Tag 760 and how does med rec reduce exposure?
F-Tag 760 cites SNFs for medication errors that reach the resident. A documented med rec workflow at every transition catches the discrepancies before they reach the resident and gives state surveyors the paper trail they look for.
Which transition points do you cover?
Every transition that creates a medication change opportunity. Admission, intra-facility transfer including level-of-care change, return from observation, discharge to home or a lower level of care, and re-admission within 30 days.
How does this affect MS-DRG 884 readmission risk?
Medication-related readmissions concentrate in MS-DRG 884 and adjacent DRGs. Unresolved discrepancies at SNF admission and at home health SOC drive 30-day returns. Documented reconciliation closes the highest-risk discrepancies before discharge planning.
Do you support electronic med rec inside PointClickCare and MatrixCare?
Yes. Our specialists run the electronic med rec module inside PointClickCare and MatrixCare. We import surescripts medication history when available, review fill history, and reconcile e-prescription records with full audit logging.
How does pricing work for med rec?
Per specialist FTE, per week. Per-skill pricing. No setup fees. $399 Standard, $349 Volume (3 or more), $299 Enterprise (10 or more). Add or remove specialists by the week. No annual contracts.
What does the 2-week risk-free pilot cover?
14 days of live med rec work inside your EMR at the same per-week rate. Cancel before day 14, owe nothing. No annual contracts after. Book the pilot through the calendar on this page.
President and CEO, Staffingly, Inc. 25+ years in IT consulting and healthcare BPO operations. One of the earliest US operators to set up an RPO/BPO delivery network in India. Leads AI-driven home care workflows that help agencies, home health providers, and multi-branch operators cut admin cost without compromising care.
