TCM Solution
Post-Discharge Follow-Up, Automated
Positive Check contacts patients within 24-48 hours of discharge — satisfying Transitional Care Management requirements and catching complications before they become readmissions.
$178
Revenue / Patient
99495
TCM Within 2 Days
24-48h
Contact Window
~20%
Readmission Risk Reduced
What Is Transitional Care Management?
Transitional Care Management (TCM) is a Medicare-reimbursed service designed to reduce hospital readmissions by ensuring patients receive timely follow-up after discharge. CPT 99495 requires that a clinical staff member contacts the patient within two business days of discharge.
The 30-day post-discharge window is when patients are most vulnerable to complications, medication errors, and avoidable readmissions. CMS Hospital Readmissions Reduction Program (HRRP) penalties make this a financial imperative as well as a clinical one. The challenge: ensuring every discharged patient gets timely outreach when discharge volumes fluctuate daily.
How Positive Check Supports Post-Discharge Care
Automated calls within the critical 48-hour window, every time.
Automated 48-Hour Contact
Patients are contacted within 24-48 hours of discharge — satisfying the initial patient contact requirement for CPT 99495 without manual scheduling.
Structured Check-In Calls
Calls assess medication understanding, follow-up appointment awareness, symptom changes, and home safety — the key areas that prevent readmissions.
Immediate Escalation
If a patient reports confusion about medications, new symptoms, or missed follow-ups, care teams are alerted immediately for same-day intervention.
Readmission Risk Reduction
Consistent post-discharge engagement catches complications early, reducing 30-day readmission rates and HRRP penalty exposure.
TCM Billing Code
2026 Medicare national average reimbursement rate for Transitional Care Management.
| CPT Code | Description | 2026 Rate |
|---|---|---|
| 99495 | TCM — post-discharge follow-up contact within 2 business days, moderate medical decision complexity | $178 |
TCM is billed once per patient per discharge event during the 30-day post-discharge period.
Why Providers Choose Positive Check for TCM
Guaranteed patient contact within the 48-hour CMS window
No staffing bottlenecks during high-discharge periods
Structured calls assess medication, symptoms, and follow-up plans
Immediate alerts for patients at risk of complications
$178/patient revenue for a single post-discharge call sequence
Reduces 30-day readmission rates and HRRP penalty exposure
Works alongside existing discharge planning workflows
Combine with RPM/CCM for ongoing monitoring after initial TCM contact