Transitional Care Management (TCM)

Humhealth has a complete and user-friendly workflow for a patient discharged from a Facility/Hospital for a smooth transition into patient’s home or an assisted living facility. It has a comprehensive template for Interactive Contact service and Face-to-Face Visit components.

The dashboard of TCM helps the Clinical staff to track the status at each stage right from discharge from a hospital until the completion of the TCM program for 30 days. It helps the Clinical staff to ensure all the steps are completed on-time without any delay.

1

Discharged from Hospital
2

Interactive Contact
3

Face-to-Face Visit
4

TCM Completed

Key Features

Medication reconciliation
Patient education
Avoid Hospital readmissions
Capture the list of durable medical equipments
Detailed TCM Summary report

Billing Codes

CPT Code
Billing code Description
Average Reimbursement

CPT Code

99495
Billing code Description
Transitional Care Management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge; Medical decision making of at least moderate complexity during the service period; Face-to-face visit, within 14 calendar days of discharge
Average Reimbursement

$176.50

HCPCS Code

99496
Billing Code Descriptors
Transitional Care Management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge; Medical decision making of high complexity during the service period; Face-to-face visit, within 7 calendar days of discharge
Average Reimbursement

$236.77

Transitional Care Management (TCM)

1

Discharged from Hospital

2

Interactive Contact

3

Face-to-Face Visit

4

TCM Completed

Key Features

Medication reconciliation

Patient education

Avoid Hospital readmissions

Capture the list of durable medical equipments

Detailed TCM Summary report

Billing Codes

CPT Code

99495

Billing code Description

Average Reimbursement

$176.50

HCPCS Code

99496

Billing Code Descriptors

Average Reimbursement

$236.77

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