Transitional Care Management
Keep High-Risk Patients Healthy and Safe at Home
Reinvent and transform the post-acute continuum of care. Interact with patients during the critical 30-day post discharge period to ensure quality of care.
Why choose healthviewX Transitional Care Management?
Our HIPAA compliant cloud-based software application designed specifically for managing patients in care transitions. Automate your entire care transition workflow - from enrolling the patient, creating the electronic care plan, reconciling medications, scheduling and documenting phone calls to generating reports needed for billing purposes.
Improved Outcomes
Lowered Mortality
Reduced Readmission
Reduced Care Cost
How It Works?
Our solution acts as an enabler to schedule face-to-face appointments, extend care remotely, access real time patient-health information through bi-directional integration with EHRs. An interactive dashboard with access to patient information and various tools for providers to deliver TCM activities efficiently.
During the transition period from an inpatient hospital to the patient's community setting, TCM services generally fall into three categories:
Interactive Contact
Connect with patients via email, phone, or in person within 2 business days of discharge to a community setting.
Non-face-to-face Services
Coordinate discharge review, healthcare connections, follow-up scheduling, treatment adherence, and medication management support.
Customized Reports
Simplify your transition by importing service data into your billing system and generating detailed reports on patient interactions and care plans.
Key Benefits of the healthviewX TCM Platform
Patient Engagement
Engage with transitional patients efficiently to seal the gaps in healthcare and the loss of potential revenue
Reduced Readmissions
CMS regulations can charge penalties for those service providers with high level of readmission rate
Secure Communication
A secure care orchestration platform for exchanging information between providers for improved care quality
Customizable Workflows
Simplify workflow with multiple automation touchpoints for every clinic depending on the requirements
Health Progress Review
Providers can monitor patients and review their progress during the 30-day period post discharge seamlessly
Dashboard and Reporting
Get a birds-eye view of every possible metric through a fully customizable analytics dashboard and reporting
Medicare Transitional Care Management (TCM) Reimbursement Codes
Physicians and qualified healthcare professionals such as certified nurse-midwives (CNMs), clinical nurse specialists (CNSs), nurse practitioners (NPs), and physician assistants (PAs) use current procedural terminology (CPT) codes for billing TCM services.
| Medicare Reimbursement Code | Description | RVU | Reimbursement Rate |
|---|---|---|---|
| CPT 99495 |
| RVU 2.11 | $175.76 |
| CPT 99496v |
| RVU 3.05 | $237.11 |