Comment on FR Doc # E9-31216

Meaningful use requires the ability to perform medication reconciliation at relevant encounters and each transition of care. The denominator for this objective is the number of relevant encounters and transitions of care for which the provider or an inpatient facility/department was a participant of during the reporting period. Transition of care is defined as transfer of a patient from one clinical setting to another or from one provider or hospital to another. My question is what is the expectation around capturing the denominator for physician practices? How would the EHR system demonstrate that the patient has been involved in a transfer of care?