HealthArc's Transitional Care Management Services provide support to patients as they move between different healthcare settings or stages of care, promoting seamless transitions, enhancing results, and minimizing potential complications.


Approximately 1 in 5 Medicare beneficiaries in the US are readmitted in the hospital within 30 days of discharge.


An efficient TCM program is estimated to prevent up to 76% of the readmission rates and in-turn uplift patient outcomes.

Transitional Care Management

What is Transitional Care Management?

Transitional Care Management (TCM) typically focuses on the post-discharge period when patients transition from a hospital or other healthcare facility to their home or another setting. It aims to support patients during this critical period to reduce the likelihood of readmissions, and complications, and improve overall health outcomes.

"An expert care that adapts to the speed of life"

Why choose HealthArc's Transitional Care Management?

Our HIPAA-compliant cloud-based software application is designed specifically for managing patients in care transitions. It automates your entire care transition workflow – from enrolling the patient and creating the electronic care plan to reconciling medications, scheduling & documenting phone calls, and generating reports needed for billing purposes.


Key Features

ease of use

Ease Of Use

Allowing ease of use and incorporation into existing workflow


Interactive Contact

Initiating an interactive contact with the patient within the first two days of discharge.


Discharge Summary

Reviewing the discharge summary and discharge instructions with the patient or caregiver.

easy care

Easy Care Transfer

Coordinating care with other health care professionals who may assume or resume care.


Education Transfer

Providing seamless knowledge transfer to the patient or caregiver.

care Coordination

Care Coordination

Determining any needs that exist by coordinating care with community organizations for the patient.


Medication Reconcillation

Providing medication reconcillation.

follow up

Follow-up reminder

Scheduling and automatically reminding the patient of required physician follow-ups or additional services.

How it Works

Our solutions acts as an enabler to schedule face-to-face appointments, extend care remotely, access real time patient-health information through bi-directional integration with EHRs.

An interactive dashboard with access to patient information and various tools for providers to deliver TCM activities efficiently.

During the transition period from an inpatient hospital to the community setting, TCM servicing generally fall into three categories.

How it Works

Interactive Contact

This can be made via email, telephone, or face-to-face contact within 2 business days following a patient's discharge to a community settings.

non face to face

Non face-to-face Service

Obtaining/reviewing discharge information, connecting with healthcare professionals, education and support for scheduling follow up, treatment regimen adherence and medication management.


Face-to-face Visits

Face-to-face visits may also be completed, generally within 7 to 14 days depending on Medical decision complexity of the patient being discharged from the hospital.

Dive Deeper into HealthArc's Offerings

Discover more about our products/services by downloading our comprehensive brochure. Whether you’re a potential client, partner, or just curious about what we offer, Our brochure provides detailed insights into our offerings, values, and commitment to excellence.

Associated CPT Codes by CMS Remote Therapeutic Monitoring?

CPT Code 99495

It includes:
• Communication within 2 days of discharge
• At least moderate medical decision making
• Face-to-face visit, within 14 calendar days of discharge

Average payment – $167
CPT Code 99496

It includes:
• Communication within 2 days of discharge
• At least moderate medical decision making
• Face-to-face visit, within 7 calendar days of discharge

Average payment – $236
** Payments vary with subject to specific locations. Please refer

Frequently Asked Questions

What are the most prevalent forms of patient data gathered by TCM?

Transitional Care Management (TCM) collects patient data encompassing medical history, current health status, medications, care plans, contact details, appointments, and insurance/billing information. This data is crucial for seamless transitions between healthcare settings, minimizing complications, and optimizing health outcomes.

What are some typical TCM stages?

Transitional Care Management (TCM) involves identifying eligible patients, assessing their needs, coordinating care, managing medications, providing education and support, monitoring progress, and planning transitions. These stages aim to optimize patient outcomes and enhance care quality during healthcare transitions.

Who is eligible for TCM services?

Patients transitioning from an inpatient hospital stay, skilled nursing facility, or similar healthcare settings to their home or another care setting are typically eligible for Transitional Care Management (TCM) services.

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How can HealthArc help you?

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