Post-Discharge Follow-up
Transitional Care Management (TCM)
Reduce readmissions and generate revenue with structured 7/14-day workflows
Our TCM program streamlines timely outreach, face-to-face visits, and care coordination after hospital discharge—improving outcomes and capturing eligible reimbursement.
7/14-Day Pathway
Timely communication and follow-up visits
Built-in reminders and documentation support
Why TCM?
Post-discharge support that improves outcomes and cash flow
Revenue Opportunity
Capture TCM reimbursement with structured processes and documentation.
Reduce Readmissions
Proactive communication and timely visits reduce avoidable readmissions.
Compliance Support
Templates, reminders, and audit-ready documentation.
TCM Reimbursement Codes (CPT)
Common billing codes used for Transitional Care Management
Moderate Complexity
- 99495 - TCM services; communication within 2 business days of discharge and face-to-face visit within 14 days
High Complexity
- 99496 - TCM services; communication within 2 business days of discharge and face-to-face visit within 7 days
Codes and coverage may vary by payer; verify current CMS and payer policies for your locality. This is not legal or billing advice.
"Increased our revenue by $180K in first year with seamless implementation and excellent ongoing support."
Dr. Smith
Family Medicine Practice
"Implementation was seamless and staff training was excellent. Highly recommend for any practice looking to add CCM."
Sarah J.
Practice Administrator