Current Medication Reconciliation

We are a large 16 practice, multi-specialty database and are looking for ideas on how others manage the reconciliation of Current Medications.

Does anyone utilize the visit type setting of “Medication Reconciliation not necessary”? Successes or failures with this?

Any suggestions on how to prevent medications from ‘falling off’ the record into the ‘Unreconciled
Past Meds’ tab in Current Medications? Best way to clean that tab up?

All advice and suggestions are appreciated!