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Vertex powers Transitional Care Management with streamlined post-discharge workflows.
Our solution supports clinics in meeting CMS TCM billing criteria—including outreach within 2 business days, documentation of medical decision-making, and timely follow-up scheduling. All while freeing up staff time and driving meaningful revenue.
Core Features
Main Benefits of the TCM Support Solution Include:
Automated or manual discharge tracking.
Secure outreach using HIPAA-compliant tools (e.g., RingCentral).
Documentation templates aligned to 99495 (moderate) and 99496 (high) codes.
Escalation workflows built into the process.
Support for warm handoffs or direct scheduling.
Outcomes & ROI
Increase follow-up rates post-discharge.
Improve patient outcomes and continuity of care.
Save thousands of dollars in missed reimbursement per clinic annually.
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