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Transitional Care Management: The Case for Incorporating Automated Patient Communications

Medicare’s billing codes for Transitional Care Management (99495/99496) highlight the importance of timely post-discharge contact with patients by provider offices, and timely face-to-face follow up and evaluation by TCM providers. Incorporating automated patient communications can facilitate efficient and effective handoffs, and support a consistent track of care to help providers earn TCM reimbursements and avoid hospital readmission penalties.

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