Thank you for your inquiry regarding CMS68v12: Documentation of Current Medications in the Medical Record. The measure does not currently assess if a patient has been newly prescribed medications in the qualifying encounter when determining inclusion in the measure numerator. As stated in the measure specifications’ numerator description, qualifying encounters where the eligible clinician attests to documenting, updating, or reviewing the patient's current medications are included in the measure numerator. Scenario 1 should be included in the numerator as medication reconciliation was performed. Based on the information provided, Scenarios 2, 3, and 4 would not qualify for numerator inclusion as medication reconciliation was not performed. We hope this helps.