Transitional Care Management

Purpose Built

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.

Successful TCM programs can receive up to on average $236.52 per discharged patient, which can be combined with Chronic Care Management (CCM) services in 2022. CrossTx allows the tracking of TCM and CCM services concurrently creating compelling value for clinics.

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

Either CPT code 99495 or 99496 can be used based on patient complexity and date of encounter.


5 Benefits for TCM

Level up using industry leading turnkey solutions. for:


Reduced Readmissions


Higher Quality of Care


Patient Loyalty


Financial Reimbursement


Combined Billing with Chronic Care Management (CCM)

Transitional Care Management

What They’re Saying


Request Demo

Learn how you can boost care coordination for at risk patients and immediately start boosting revenues.