Transitional Care Management

Transitional Care Management (TCM)

Transitional Care Management
Here are some benefits of transitional care management (TCM):
  • Reduced readmissions: TCM can reduce potentially preventable readmissions and medical errors
  • Improved patient outcomes: TCM can improve patient outcomes and ensure that patients receive the care they need as they move from one healthcare setting to another
  • Higher quality of care: TCM can lead to better health outcomes, improved patient satisfaction, and fewer health complications
  • Continuity of care: TCM ensures continuity of care during the transition period, which can dramatically reduce the likelihood of  readmission

SERVICES COVERED:

Our TCM services include medication management, scheduling follow-up appointments, and ongoing interactions with the patient’s care team to assist coordinate the resources required to support the patient’s transition successfully and avoid readmission.

Follow up visit within 24-48 hrs after hospital discharge

Follow up labs 

3008/1823 if needed  

Face to Face for Home health 

30 days coverage