{"product_id":"transitional-care-management-tcm-reduce-readmissions-improve-outcomes-and-capture-post-discharge-revenue","title":"Transitional Care Management (TCM): Reduce Readmissions, Improve Outcomes, and Capture Post‑Discharge Revenue","description":"\u003cp\u003eTransitional Care Management (TCM) — Subscription. Readmissions ↓, TCM capture ↑\u003c\/p\u003e\n\u003cp\u003eThe \u003cstrong\u003eTCM service\u003c\/strong\u003e by Remote Practice Managers, Inc. streamlines post‑discharge care coordination—helping practices reduce readmissions, improve patient outcomes, and maximize reimbursement through compliant Transitional Care Management billing.\u003c\/p\u003e\n\u003cdiv\u003e\n\u003cp\u003e💲 \u003cstrong\u003e$6,500.00 per month (per practice location)\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eIncludes patient identification, outreach, workflow integration, compliance support, and monthly dashboards.\u003c\/li\u003e\n\u003cli\u003eOptional add‑on: \u003cstrong\u003e$1,500.00 per month\u003c\/strong\u003e for advanced analytics, multilingual patient outreach, and quarterly provider training workshops.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003ch2\u003eTransitional Care Management (TCM)\u003c\/h2\u003e\n\u003cp\u003e\u003cstrong\u003eEngagement:\u003c\/strong\u003e Subscription | \u003cstrong\u003eDelivery Time:\u003c\/strong\u003e 2-3 weeks | \u003cstrong\u003eTier:\u003c\/strong\u003e Essential\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eProject Summary:\u003c\/strong\u003e Closes post-discharge gaps and speeds follow-up.\u003c\/p\u003e\n\u003ch3\u003eDeliverables\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003eADT tracking\u003c\/li\u003e\n\u003cli\u003e2-day outreach\u003c\/li\u003e\n\u003cli\u003eVisit scheduling\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eROI Impact:\u003c\/strong\u003e Readmissions ↓, TCM capture ↑\u003c\/p\u003e\n\u003cp\u003e\u003cem\u003eGreat For:\u003c\/em\u003e Primary care \u0026amp; multispecialty\u003c\/p\u003e\n\u003chr\u003e\n\u003cp\u003eHospital discharges are one of the most vulnerable points in a patient’s care journey. Without structured follow‑up, patients risk complications, readmissions, and poor outcomes. At the same time, practices often miss out on valuable reimbursement opportunities tied to Transitional Care Management (TCM) services.\u003c\/p\u003e\n\u003cp\u003eThe \u003cstrong\u003eTransitional Care Management (TCM)\u003c\/strong\u003e service provides a turnkey framework to ensure your practice delivers high‑quality post‑discharge care while capturing the full financial value of TCM billing.\u003c\/p\u003e\n\u003ch3\u003eWhat’s Included:\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003ePatient Identification \u0026amp; Enrollment\u003c\/strong\u003e\n\u003cul\u003e\n\u003cli\u003eAutomated reports flag eligible patients discharged from inpatient or observation stays.\u003c\/li\u003e\n\u003cli\u003eOutreach protocols to engage patients within the required 2‑day window.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCare Coordination \u0026amp; Follow‑Up\u003c\/strong\u003e\n\u003cul\u003e\n\u003cli\u003eStructured phone calls to assess patient status, medication reconciliation, and care needs.\u003c\/li\u003e\n\u003cli\u003eScheduling of timely follow‑up visits (within 7–14 days, per CMS requirements).\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eWorkflow Integration\u003c\/strong\u003e\n\u003cul\u003e\n\u003cli\u003eStandardized templates and checklists for providers and staff.\u003c\/li\u003e\n\u003cli\u003eSeamless integration with EHR and scheduling systems.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCompliance \u0026amp; Documentation\u003c\/strong\u003e\n\u003cul\u003e\n\u003cli\u003eGuidance on meeting CMS requirements for TCM billing (CPT 99495, 99496).\u003c\/li\u003e\n\u003cli\u003eAudit‑ready documentation support to protect against compliance risk.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRevenue Optimization\u003c\/strong\u003e\n\u003cul\u003e\n\u003cli\u003eAccurate coding and billing workflows to ensure maximum reimbursement.\u003c\/li\u003e\n\u003cli\u003eIdentification of additional billable opportunities (e.g., chronic care management).\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePerformance Monitoring\u003c\/strong\u003e\n\u003cul\u003e\n\u003cli\u003eDashboards tracking TCM completion rates, readmission reductions, and revenue impact.\u003c\/li\u003e\n\u003cli\u003eMonthly executive reports with actionable recommendations.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eWhy It Matters\u003c\/h3\u003e\n\u003cp\u003eEvery missed TCM opportunity is both a \u003cstrong\u003eclinical risk and a financial loss\u003c\/strong\u003e. By implementing structured TCM workflows, your practice can reduce costly readmissions, improve patient satisfaction, and capture thousands in additional reimbursement annually. The \u003cstrong\u003eTCM service\u003c\/strong\u003e transforms post‑discharge care from a compliance burden into a \u003cstrong\u003estrategic advantage\u003c\/strong\u003e.\u003c\/p\u003e\n\u003chr\u003e\n\u003ch2\u003e🏥 Before \u0026amp; After TCM Snapshot\u003c\/h2\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003e\u003cstrong\u003eBefore (Unmanaged Transitions of Care)\u003c\/strong\u003e\u003c\/th\u003e\n\u003cth\u003e\u003cstrong\u003eAfter (With TCM Optimization Service)\u003c\/strong\u003e\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003ePatients discharged without timely follow‑up\u003c\/td\u003e\n\u003ctd\u003ePatients contacted within 2 days and scheduled for follow‑up visits\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eHigh readmission rates due to poor coordination\u003c\/td\u003e\n\u003ctd\u003eReduced readmissions through structured outreach and care management\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMissed CMS reimbursement for TCM codes (99495, 99496)\u003c\/td\u003e\n\u003ctd\u003eConsistent, compliant billing captures new recurring revenue\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eManual, inconsistent workflows burden staff\u003c\/td\u003e\n\u003ctd\u003eStandardized templates and automated processes streamline operations\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eProviders unaware of patient discharge status\u003c\/td\u003e\n\u003ctd\u003eReal‑time alerts and dashboards keep providers informed\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDocumentation gaps create compliance risk\u003c\/td\u003e\n\u003ctd\u003eAudit‑ready documentation ensures CMS compliance\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eLeadership lacks visibility into post‑discharge outcomes\u003c\/td\u003e\n\u003ctd\u003eExecutive reports link TCM performance to financial and clinical results\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003chr\u003e\n\u003ch2\u003e🏥 Value Proposition Callout Box – Transitional Care Management (TCM)\u003c\/h2\u003e\n\u003cp\u003e\u003cstrong\u003eWhy Choose Transitional Care Management?\u003c\/strong\u003e Because every missed follow‑up after discharge is both a patient safety risk and a lost revenue opportunity.\u003c\/p\u003e\n\u003cp\u003e✅ \u003cstrong\u003eReduce Readmissions\u003c\/strong\u003e – Structured outreach and timely follow‑up visits lower costly hospital readmissions. ✅ \u003cstrong\u003eCapture Post‑Discharge Revenue\u003c\/strong\u003e – Compliant TCM billing (CPT 99495, 99496) ensures your practice is reimbursed for the care you already provide. ✅ \u003cstrong\u003eStrengthen Patient Trust\u003c\/strong\u003e – Proactive engagement improves satisfaction, continuity of care, and long‑term loyalty.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eResult:\u003c\/strong\u003e A turnkey TCM framework that transforms post‑discharge care from a compliance burden into a \u003cstrong\u003estrategic advantage—improving outcomes, protecting revenue, and enhancing patient relationships.\u003c\/strong\u003e\u003c\/p\u003e\n\u003c\/div\u003e","brand":"Remote Practice Managers","offers":[{"title":"Default Title","offer_id":46731344117990,"sku":"RPM-CARE-023","price":623671.57,"currency_code":"INR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0468\/3182\/9145\/files\/rpm-ai-11079.png?v=1760075338","url":"https:\/\/shop.remotepracticemanagers.com\/en-in\/products\/transitional-care-management-tcm-reduce-readmissions-improve-outcomes-and-capture-post-discharge-revenue","provider":"Remote Practice Managers","version":"1.0","type":"link"}