Take action to ensure compliant documentation, avoid missed reporting and support continuity of care
What you need to know.
Use the TRC and FMC Provider Checklist to support compliance with:
- Transitions of Care (TRC).
- Follow-Up After Emergency Department Visit (FMC).
The checklist outlines:
- Required timelines.
- Documentation standards.
- Billing guidance.
This resource supports accurate reporting, timely follow-up and reduced care gaps
Compliance Reminder
Physicians and practitioners are responsible for ensuring all qualifying services are completed, documented and submitted in accordance with plan requirements. This checklist does not replace documentation or submission requirements.
Provider Action Required
Incorporate this checklist into workflows to:
- Ensure timely post-discharge and post-emergency department follow-up.
- Maintain complete and compliant documentation.
- Support accurate measure reporting and performance.
Access the Checklist
The TRC and FMC provider checklist is available at https://bit.ly/WC-HEDIS under Hospital.
This information applies to Independent Practice Associations (IPAs), Physicians and Practitioners.
