Smarter Transitions After Discharge
Our Transitional Care Management solution helps healthcare providers deliver coordinated care during the critical 30-day period following a patient's discharge from an inpatient setting.
The First 30 Days: What Matters
Effective transitional care management is critical for preventing readmissions and ensuring continuity of care
Average Readmission Drop with TCM
Implementing a structured TCM program can significantly reduce hospital readmissions, improving patient outcomes and reducing costs.
Fully Supported Billing Codes
Our platform ensures you meet all requirements for Medicare TCM billing codes, maximizing reimbursement opportunities.
30-Day TCM Timeline
A structured approach to managing the critical transition period
Day 0: Discharge
Discharge data captured through EHR integration, triggering the TCM workflow.
Day 1: Initial Contact
Contact patient within 24 hours of discharge and conduct initial risk screening.
Day 7: Virtual Visit
Conduct a comprehensive virtual visit to assess recovery progress and medication adherence.
Day 14–30: Monitoring
Ongoing monitoring and follow-up to ensure successful transition and prevent readmission.
Integrated Features
Mahalo's TCM solution integrates seamlessly with our other care modules
Clinical Workflow
Automate clinical workflows to ensure consistent care delivery and documentation during the transition period.
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Patient Engagement
Keep patients engaged and informed during the critical transition period with our patient engagement tools.
Learn moreBilling Compliance
Ensure compliance with Medicare TCM billing requirements and maximize reimbursement opportunities.
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"Implementing Mahalo's TCM solution has transformed our post-discharge care process. We've seen a 32% reduction in readmissions and our patients report feeling more supported during their recovery. The automated workflows have also made it much easier for our staff to manage the complex TCM requirements."
Dr. Sarah Johnson
Chief Medical Officer, Riverside Health Network
Ready to Transform Your Transitional Care?
Implement our TCM solution and reduce readmissions while improving patient outcomes.
Request a Demo
Have questions about Transitional Care Management?
Visit our comprehensive FAQ page to learn more about TCM billing, workflows, and implementation.
View TCM FAQs