naviHealth Care Transition Platform (formerly Curaspan) is joining CarePort, powered by WellSky.

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:

  1. Educate yourself on TCM requirements.

  2. 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

  3. 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
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