Transitional Care Management
Our end-to-end solution for successful TCM Programs
The first 30 days after discharge from an inpatient setting are critical for the wellbeing of patients meeting moderate to high- complexity medical decision making criteria. Patients receiving all TCM services had 86.6% decreased odds of readmission compared to patients that did not.
CrossTx supports TCM programs reduces risk as patients return to their community and addresses their overall health equity and access to care.
TCM is effective at reducing readmissions, typically costing CMS approximately $26B annually. Moreover, CMS uses readmissions as a quality of care indicator and has initiated penalties for excessive readmission rates for over 2.5k hospitals.
The Interactive Contact
This must be made (or attempted) within 2 business days following the patient’s discharge from an inpatient, acute, skilled nursing or other approved setting.
Care Coordination Services
Non- face-to-face services, such as chart reviews, education, etc are provided for 30 days
A Face-To-Face Visit
5 Benefits for TCM
Level up using industry leading turnkey solutions. for:
Higher Quality of Care
Combined Billing with Chronic Care Management (CCM)
What They’re Saying
Kathy McQuade, RN, MSN
Carlinville Area Hospital
“CrossTx makes it easy to use, document, and track my chronic care patients. I am able to enter information related to patient care and print reports so that I know where I need to focus my time or efforts. The ability to include community resources and family members has helped gain better knowledge of patient conditions so that improved care is provided.”
Elizabeth Miller, CFO
Haskell Memorial Hospital
“Haskell Memorial is excited to be a part of the ongoing transition to Value-Based Care with utilizing our current staff members in Chronic Care Management, Transition of Care Management and other service lines. We are determined to continue improving the lives of our patients with measurable outcomes of success.”
Ella Helms, CEO
Cogdell Memorial Hospital
“The dedicated team’s process developed the Cogdell CCM Program infrastructure necessary to create an ideal system from the ground up. Appropriate resources were engaged, while eliminating any technological or workflow burdens from our providers. We will generate new revenue with increased patient engagement. Our team is committed to effective care for our Medicare Beneficiary population with multiple comorbidities.”
Nicole Talbert, RN
“We began our care coordination program with a small grant. The CrossTx platform helped us track and report auditable and accurate numbers for the grant, as well as receive significant reimbursements for Medicare Chronic Condition Management, leading to sustainability for our care coordination program. With CrossTx, we are able to accurately report on results to a grantee and generate significant reimbursement for Chronic Care Management with the same platform.”
Cobre Valley Regional Medical Center
“Working with the CrossTx platform gives us a compelling platform to communicate across various groups and teams resulting in a seamless, coordinated and holistic patient care. The CrossTx platform tracks all of our patient encounters and the associated time spent with each patient so billing at the end of the month is a breeze. The CrossTx platform helps us provide extraordinary care for our Medicare patients while maximizing our reimbursement from our care coordination program.”
Jeri Slover, RN
Hot Springs County Memorial Hospital
“I recently took over a Medicare chronic condition management program for this hospital involving five clinics. I have found the CrossTx platform to be very intuitive and easy to use. The software product has directly supported my jumping right into caring for our patients rather than spending time trying to learn a difficult to use piece of software.”
Learn how you can boost care coordination for at risk patients and immediately start boosting revenues.