Transitional Care Management

Eazydoc works to optimize your transitional care management (TCM) services in order to reduce preventable hospital readmissions, decrease costs for the health care system while increasing your revenue, and improve patient’s overall health and satisfaction.

Transitional Care Management

Eazydoc works to optimize your transitional care management (TCM) services in order to reduce preventable hospital readmissions, decrease costs for the health care system while increasing your revenue, and improve patient’s overall health and satisfaction.

47%

About 47% of healthcare organizations already use predictive analytics

25%

A majority of healthcare organizations believe that predictive analytics will save them 25% or more in annual costs over a five-year course

90%

A 2017 study found that about 90% of payer and provider organizations will adopt some type of big data analytics over the course of five years

20%

76%

$12B

of Medicare patients are readmitted within 30 days

of readmissions are because of poor transitions of care

Unnecessary readmissions cost Medicare about $12B every year

What is TCM?

TCM is comprised of three required components which must be administered during the first 30 days beginning the date the patient is discharged. The requirements are:

Interactive Contact

We will provide phone or email contact with the patient within two business days following their discharge.

Face -to-Face Visits

We will facilitate booking appointments within the designated timeframe dependant on the medical decision complexity.

Certain Non Face-to-Face Services

Our team will expertly manage the administrative and clinical services of TCM so that you can have more time to focus on caring for patients. Our services include but are not limited to:

  • Review discharge information
  • Enquire on pending diagnostic tests and treatments
  • Coordination amongst healthcare professionals who assume/reassume patient care
  • Provide education to the patient, family, and/or caregivers to support self-management
  • Schedule follow-ups with providers and services

What is TCM?

TCM is comprised of three required components which must be administered during the first 30 days beginning the date the patient is discharged. The requirements are:

Face -to-Face Visits

We will facilitate booking appointments within the designated timeframe dependant on the medical decision complexity.

Interactive Contact

We will provide phone or email contact with the patient within two business days following their discharge.

Certain Non Face-to-Face Services

Our team will expertly manage the administrative and clinical services, including but not limited to:

  • Review discharge information
  • Enquire on pending diagnostic tests and treatments
  • Coordination amongst healthcare professionals who assume/reassume patient care
  • Provide education to the patient, family, and/or caregivers to support self-management
  • Schedule follow-ups with providers and services

TCM Workflow

About 20% of Medicare patients in the U.S. are readmitted to the hospital within 30 days post discharge, and up to 76% of them could be prevented. Readmissions commonly occur due to a lack of timely follow-up appointments which are vital to tracking a patient’s health post discharge. 

TCM Benefits

Effective implementation of TCM will introduce a vast array of benefits to your practice and your patients, such as:

  • Fewer readmissions result in decreased attendant burdens and costs
  • Optimize revenue and procure sustainable financial potential
  • Optimized efficacy to improve patient satisfaction, engagement, and overall health outcomes
  • Enhanced documentation and recordkeeping of patient transitions and care
  • Increased awareness of and quicker access to discharge reports

TCM Implementation

We will help you implement an Inter-Organizational Data Exchange technology that provides notifications upon your patient’s discharge and enact TCM services into your practice by:

  • Preparing your practice for TCM
  • Performing patient outreach and engagement
  • Executing TCM non face-to-face interactions
  • Timely completion of coding and billing
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TCM Reimbursements & Codes

The Centers for Medicare and Medicaid Services (CMS) highlights the importance of this transitional period by offering a reimbursement payment plan for providers who implement TCM following a patient’s discharge from an inpatient hospital setting to their home or assisted living facility, with the goal to reduce avoidable readmissions and improve the patient’s health and quality of life.

CPT Code 99495 - $144.00
TCM services with:

  • Direct, phone, or electronic communication with the patient and/or caregiver within 2 business days of discharge;
  • At least moderate complexity of medical decision making during the service period; 
  • Face-to-face visit within 14 calendar days after discharge

CPT Code 99496 - $203.00
TCM services with:

  • Direct, phone, or electronic communication with the patient and/or caregiver within 2 business days of discharge; 
  • High complexity of medical decision making during the service period; 
  • Face-to-face visit within 7 calendar days after discharge

Why us

Eazydoc provides the best solutions for medical practices to improve patient volume and engagement, practice management, program implementation and much more. Our goal is to simplify the workflows and implement them seamlessly to your practice and ultimately release the burden of providers from complicated operation tasks as well as generate potential revenues.

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Get Free Assessment For Your Practice

Learn more about the solutions we offer

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.