Transitional Care Management (TCM) Support
TCM allows for services to be provided to a patient whose medical and/or psychosocial problems require moderate or high-complexity medical decision-making during transitions in care from an inpatient hospital setting (including acute hospital, rehabilitation hospital, long-term acute care hospital), partial hospital, observation status in a hospital, or skilled nursing facility/nursing facility, to the patient’s community setting (home, domicile, rest home, or assisted living).
American Academy of Family Physicians (AAFP), 2013
- Enhanced Billing Opportunity.
- Improve Patient Care & Health Outcomes
- Reduce Hospital Readmission
- Improve transitions and continuity of care