Improve Patient Outcomes and Lower Readmission Rates with Transitional Care Management
let us show you how- Improve Patient Outcomes
- Earn New, Recurring Revenues
- Ensure Healthcare Continuity
- Start In Less Than 4 Weeks
Leverage Transitional Care Management Reduce Readmission Rates
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Rapid Patient Engagement & Outreach
Make contact with patient, benificiary or caregiver within 2 business days after discharge.
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Rapid Onboarding
Retrieve and Review Patient Discharge Information for TCM Intake as an extension of our practice.
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Scalable Operations
Trinovation’s trained staff can identify and intake patients at scale to eliminate gaps in patient care and reduce readmission during critical periods.
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Flexible Partner Models
Trinovation provides TCM specialists either as a staff augmentation or as an captive extension of your team.
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Full Transparency & Reporting
Unique text needed here. Trinovation provides TCM specialists either as a staff augmentation or as an captive extension of your team.
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Trained Healthcare Professionals
TCM Services require trained staff to increase quality of outcomes and manage care complexity.
Transition Care Management that makes an Impact on Patient Outcome and continually improve Practice Performance
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A unique approach
- Transition of care management can help patients transition from hospital to home in a seamless fashion.
- Our transitional care program focuses on enhancing primary care doctors and specialists’ ability to perform outreach and close the gap from home to hospital to reduce readmission as much as 86%.
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Delivered with care
- Our trained transition of care coordinator team provides a vital service during a critical time to help clinicians focus on the important thing, delivering care.
- Trinovation TCM service handles the nuances of CMS guidelines for transitional care management including transitional care billing and medicare.
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Driving real outcomes
- We operate with full-reporting transparency so that we deliver CMS transitional care management in the full lifecycle, including transiiton of care CPT coding to transitional care management billing so that you can maximize reimbursement revenue.
- Trinovation’s transition of care medical group team will deliver monthly reporting so you can keep track of performance.
Provide Transition Care to Eliminate Gaps During a Critical Patient Care Period
Trinovaton is a turn-key Transitional Care Management seervice that combines our established workflows and care coordination services to help you meet the complex requirements of Medicare’s new Transitional Care Management: CPT code 99495 for Moderate Complexity (within 14 days) and CPT code 99496 for high complexity (within 7 days). Acting as a seamless extension of your practice, we deliver enhanced levels of care to help patients needing care after discharge including from nursing homes, inpatient rehabilitation centers, long-term care hospitals, inpatient acute care hospitals, and inpatient psychiatric hospitals.
- We work in concert with your practice;
- Trinovation handles the TCM workflow;
- Highly experienced, certified clinical team;
- Perform all non face-to-face care coordination;
Significant Reimbursement Revenue Opportunity
Trinovation provides all of the benefits of Chronic Care Management, with none of the hassle. With an average reimbursement of $40.82, Medicare’s Chronic Care Management bill code 99490 affords practices the opportunity to create a new profit center while improving the experience and clinical outcomes for patients.
- National average for moderately complex care is $167.04 per patient per month while the rate for high compelxity is $236.52;
- Providing TCM for just 10 moderately complex TCM events for 10 patients a month can net an additional $1670 per month or over $20,000 a year;
- Avoid CMS penalties for exceessive readmission;
- Leverage our establish processes and workflows to ramp-up this Transitional Care Management in a cost effective manner;
Ramp-up in Less Than 4 Weeks
With Trinovation’s rapid on-boarding process, medical practices can stand up their Chronic Care Management program in less than two weeks. From obtaining patient data to customizing our care pathway platform to meet the practice’s unique approach, each step of the process has been designed to require the least amount of time and effort from your practice.
- No software or hardware to purchase
- No new staff to hire
- Contingency-based pricing – your bottom line is our bottom line
Ensure Healthcare Continuity
“Trinovation provides all of the benefits of Chronic Care Management, with none of the hassle. With an average reimbursement of $201.78, Medicare’s Transitioanl Care Management bill code 99496 and 99495 affords practices the opportunity to create a new profit center while improving the experience and clinical outcomes for patients.
- Improve on STAR and HEDIS Measures;
- Lower needless readmissions;
- Assist patient transition seamlessly from hospital, nursing facility, or other qualifying healthcare setting.
Transitional Care Management Process
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Prepare for TCM
Trinovation’s transition of care management services focuses on working within your EHR to identify elegible patients within the 7 or 14 day window.
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Perform outreach
Care coordination and transition management need not be difficult, a transition of care coordinator will assist in the transition of care from hospital to home.
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Perform TCM interaction
The transition of care coordinator will perform the interaction with the patient, caregiver, or benficiary and ensure all stakeholders are informed.
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Complete coding and billing
Trinovation staff are fully trained in CMS guidelines for transitional care management and handle the record keeping, transitional care management coding, forms or records for payers of TCM like medicare or private insurance, and finally transitional care management billing.
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