Transitional Care Management

Take charge of the discharge for better care and lower cost.

Our Transitional Care Management (TCM) solution helps you provide TCM services as efficiently as possible. It’s a triple winner for patients, hospitals, and primary care providers.

Patients

Provide your patients a better care experience, help reduce their anxiety, and improve their adherence to treatment.

Hospitals

Reduce unnecessary readmissions, avoiding 30-day readmission penalty. Align with value-based care metrics.

Primary Care

Reduce unnecessary readmissions, increase potential for shared savings plus create new fee-for-service revenue.

CCM, BHI, AWV, and TCM. All in ONE platform.

Provide Medicare’s wellness and care management programs to patients from a single, comprehensive platform.

Providers

Proactively care for your behavioral health patients while creating a new revenue stream for the practice.

Case Management Services

Maintain a high level of productivity and customer satisfaction as you scale your business.

Transitional Care Management software by Smartlink Health displayed on a laptop screen.

Record and track all TCM activities against TCM requirements and ensure compliance for each patient
Count TCM activity time toward Chronic Care Management (CCM) billing in the event TCM is not billed
Receive automatic discharge notifications for each attributed patient from your state HIE (optional)
Leverage the same platform to manage Medicare’s Annual Wellness Visit, Chronic Care Management, and General Behavioral Health.
100% CMS compliant