Transitional Care Management Billing
The revenue you don’t know you are missing
Ambulatory providers have a unique opportunity to not only transform patient care in their community but to drive more revenue while doing it. By conducting transitional care management (TCM) services, providers can be better compensated for providing coordinated and connected care and delivering value to their patient populations.
Inefficiencies in TCM billing can be attributed to a variety of reasons such as staffing shortages, data inconsistencies from unreliable ADT feeds or a complicated HIE, and gaps in visibility into care settings and technology.
CarePort's TCM Billing Revenue Calculator
How much additional revenue could your practice capture by efficiently billing for TCM?
Surprised? CarePort, powered by WellSky, can help you get started.
We have clients, like Allegheny Health Network, already seeing results.
Even if your practice is already doing some TCM billing today, you could potentially be missing out on additional revenue because it can be confusing and difficult to manage. CarePort helps by simplifying workflows and providing real-time, actionable data from multiple settings of care.
Inefficiencies in TCM billing can be attributed to a variety of reasons such as staffing shortages, data inconsistencies from unreliable ADT feeds or a complicated HIE, and gaps in visibility into care settings and technology.
Get started today:
Educate yourself on TCM requirements.
Invest in a technology partner. CarePort, powered by Wellsky, help providers simplify transitional care management with:
Real-time notifications of patient admissions and discharges from acute and post-acute facilities
Daily worklists of patient discharges for follow-up, including acute discharges outside of your own system
Patient engagement improvements, like prompt follow-ups and medication reconciliation
Communicating electronically with post-acute and community providers, saving time and resources from manual processes
Connect with a CarePort solutions specialist to assess the technology needed to succeed with TCM billing. Fill out the form to find out how.
Find the revenue your practice could be missing while seamlessly giving your patients the coordinated care they need.
Connect with a CarePort solutions specialist to assess the technology needed to succeed with TCM billing.
Find the revenue your practice could be missing while seamlessly giving your patients the coordinated care they need.
Transitional Care Management Billing
Challenges
- Lack of real-time visibility into hospital and post-acute admissions/discharge events; HIEs can be hit or miss
- Extreme fragmentation of post-acute and home-based providers
- Staffing challenges exacerbate ability to coordinate care for both physicians, post-acute and home-based providers
- Little transparency into the quality of post-acute and home-based providers
- Missed patient engagement opportunities and low visibility of unknown ACO patients
Opportunities
- Value-based care contracts provide new revenue opportunities
- Medicare reimbursements for fee-for-service patients
- Increase in available government programs for PPCs
- Achieve better visibility into acute and post-acute facility discharges to enhance TCM outreach and billing
- Elevate your participation in risk-based programs by engaging with unknown patients
Blog: Achieving Transitional Care Management success
As hospitals and health systems increasingly rely on ambulatory care providers to support patient care outside the four walls of a hospital, ambulatory providers must work to ensure a patient’s successful transition and recovery when moving from one care setting to another – such as from the hospital to the home.
Webinar: How Allegheny Health Network tracks patients, results with CarePort
AHN/Physician Partners of Western Pennsylvania’s Practice Transformation initiative increases TCM encounters by 49% year-over-year, increasing revenue 44%.
CAIPA Partners with CarePort® to Optimize Transitional Care Management Processes
CAIPA aims to better coordinate care, drive improved patient outcomes, and achieve operational efficiencies for providers.