Successful Patients
Returned Patients
Chronic Care Patients
Transition Care Management – A Strategic Health Care Companion
Utilize tools to record Utilize tools to record patient communications, monitor and report discharge activities, and bridge care gaps to effectively manage transitions of care.
Transitional Care Management (TCM services ) deal with transitioning from an inpatient to a community setting. Following admission to the hospital or another type of inpatient facility (such as a skilled nursing facility), the patient can be adjusted to a new diagnosis, a change in their medication regimen, or another medical emergency. Family physicians generally manage transitional care.
High Risk Management
Transitional care management guarantees that individuals with medical conditions that pose a high risk will get the care they require. Patients are attended to as soon as they are released from a hospital or other facility.
Acquiring And Examining Discharge Data
This could be, for instance, a discharge summary or records pertaining to continuity of care. It also established and maintained relationships with medical specialists to provide continuity of care. A patient’s primary needs can be identified to arrange the necessary medical services.
Diagnostic Testing
Determine whether therapies, diagnostic testing, or a follow-up on previous appointment results are necessary—aid in making appointments with healthcare professionals and services. Patients can reduce their risk of readmission by receiving the essential care and attending appointments following discharge.
Supplying Guidance And Encouragement For Following A Treatment Plan
This could be pretty helpful for the patient, their family, guardian, and caregiver. In accordance with the patient’s condition, education that supports independent living, everyday activities, and self-management may also be given.
TCM Improving Patients Health
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Notify Stakeholders At Each Turn
Distribute discharge summaries that detail each phase of the patient’s transition. Utilize reports to back up TCM billing claims and ensure payment.
Make Invoicing Simpler
Assign Transitional Care Management CPT codes automatically, such as 99495 and 99496. This makes the invoices and billing easier.
Monitor The Transitions Of The Patients
To facilitate workflow and inform every care team member, record calls with patients. Monitoring the transitions of the patients helps them live a healthy life.
Need to learn more about our Transition Care Management Solution? Start a conversation now and get your answers instantly!
Our TCMMission
Caresync Health integrates with mobile applications, data exchanges, remote monitoring tools, and electronic health records for comprehensive patient care.
Simplified Procedure
We expedited the delivery of care by utilizing information technology and artificial intelligenc
Sector-Leading Solutions
Our goal is to create market-leading solutions that utilize our cutting-edge, tried-and-true technologies to deliver outstanding value to our clients.
Formulating A Successful Care Strategy
Plans for transitional care management are easy to establish, modify, and update.
Clinical Guidance Support
Caresync Health keeps a dedicated Security & Compliance team to make sure that privacy is embedded into all of our people, systems, and relationships with outside parties.
AWV Service - A Strategic Virtual Health Care Partner
Cost Management And Safety
In order to guarantee continuity of care and lower the risk of readmission to the hospital, safe and effective patient transitions are guaranteed.
Value-Based Healthcare
By assisting patients in navigating the healthcare system following their hospital discharge, TCM can provide benefits.
A Single Resolution for Various Complexities
Collaborating with digital Transitional care programs may establish harmony with patient care when and how it’s needed. Our solution provides a comprehensive method for handling causes with intricate needs.
Smooth App Access
Log in to our app to schedule an appointment with the doctor when needed. Reach out to us right away if you’re having trouble with the password or login. We’ll find a solution quickly.
Why TCM Is So Important
TCM services guarantee that following the patient’s discharge from a hospital or other healthcare facility, patients immediately get the care they require. Continuity of care helps patients transfer more efficiently, which enhances care and quality of life. Also, transitional care management lowers costs by preventing needless readmissions.
- •Risk-Free Collaboration: No upfront investment for CCM, software, hiring staff, and training
- •Eligible Patient Identification: We’ll do the legwork of identifying all your patients that are eligible for Medicare Chronic Care Management.
- •Complementary Claims Submission & Billing: We’ll take care of the claims and submit them to Medicare for reimbursement. We will also resolve any denials on those claims.
- •Easy EHR Integration: Regardless of your EHR system, Neolytix’s chronic care management platform integrates flawlessly into all of the EHRs in the country, like Epic, Athena, eCW, Cerner, etc.
- •Device Management & Distribution: Well take care of distributing the Medicare-Approved devices to your patient and take good care of training them.
Speak to a Specialist
Schedule a FREE consultation with one of our specialists to learn how Caresync Health TCM can empower healthcare providers to expand patient care and optimize reimbursement revenue.
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