26-758m Meet TRC and FMC Requirements: Required Documentation and Timelines

Date: 06/29/26

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 HEDIS Measures & Billing Codes under Hospital Follow Up.

This information applies to Participating Physician Groups (PPGs), Physicians and Practitioners.