Transitional Care Management for Modern Clinics

Improve billing, protect your revenue. Start transitional care management today.

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Problems Doctors Face in Transitional Care Billing

Many practices deal with this daily stress. Staff must chase timelines, hunt down documents, and manually log patient activity. The process becomes time-consuming, full of paperwork, and risky for practices already short on admin support. With each missed billing code or forgotten deadline, your team loses money for work that’s already been done. Every call, visit, and transition counts — but tracking it all without a system in place can get messy fast. You’re left with inconsistent claims, unpaid time, and growing frustration. It’s not about working harder — it’s about billing smarter.

Core Tools and Features

A Smart Billing Tool, Not a Treatment Provider. This platform is not a clinic. It provides revenue cycle management tools. It supports medical billing for providers. SmartCare360 offers tech, not care or prescriptions. It tracks, submits, and manages billing tasks. Everything works through one dashboard. It’s designed for healthcare professionals but focused on simplifying billing not delivering care. Doctors stay in control of patient care, while SmartCare360 handles the complexity of TCM billing. You won’t need to install complicated software or learn a new system. It works alongside what you already use. The goal isn’t to replace your team, it’s to reduce their burden. From reminders to submissions, it makes every step of billing clearer, quicker, and more accurate.

Built-In Templates

Covers key stroke management steps, from triage to recovery.

Code Automation

Aligns your documentation with CPT codes automatically.

Stroke History in One View

Tracks past visits, events, and care plans in one place.

Fast Billing Dashboard

Views pending items and gets claim alerts in real time.

Secure Cloud Access

HIPAA-compliant storage keeps stroke records safe and ready.

A Smart Billing Tool, Not a Treatment Provider

This platform is not a clinic. It provides revenue cycle management tools. It supports medical billing for providers. SmartCare360 offers tech, not care or prescriptions. It tracks, submits, and manages billing tasks. Everything works through one dashboard.
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Designed for Transitional Care Management

The tool handles transition care management steps. It tracks 30-day discharge periods. It alerts you about CPT deadlines. It guides you with transitional care management guidelines. You can focus on care, not billing. When patients leave hospitals or skilled nursing facilities, your responsibility doesn’t stop there. You’re already doing follow-ups, calls, and monitoring recovery. This tool ensures you’re able to bill for all of that correctly and on time. You get easier access to specialists, connected care from home, and no more juggling paper notes or spreadsheets. It simplifies billing so you can focus on your patients’ transition back to health.

Better Cash Flow, Less Stress

Increase Revenue Easily

Use transitional care management CPT codes correctly. Avoid missed charges. Bill for work you already do. Track all post-discharge calls. Submit every eligible claim.

Save Time on Every Case

No more spreadsheets. No more manual tracking. The tool records calls and visits. It reminds you of billing windows. It logs transition care management activity automatically.

Stay Fully Compliant

Get reminders for documentation. Follow transitional care management guidelines closely. The tool warns about errors. It ensures all CMS rules are met. Stay audit-ready with zero stress.

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Scalable for All Practice Sizes

Solo doctors can use this easily. Larger groups get team tracking features. You don’t need new software. It works with your current system. All clinics benefit from simplified billing. It’s designed for healthcare professionals but focused on simplifying billing not delivering care. Doctors stay in control of patient care, while SmartCare360 handles the complexity of TCM billing. You won’t need to install complicated software or learn a new system. It works alongside what you already use. The goal isn’t to replace your team it’s to reduce their burden. From reminders to submissions, it makes every step of billing clearer, quicker, and more accurate.

How This Platform Helps You

The platform tracks calls and visits. It logs care transitions automatically.
It supports all remote care billing. It works well with EHR systems. It’s easy to train your team. It’s fast to set up.
You already provide transitional care.
Now bill for it without stress.
This tool tracks follow-up calls.
It alerts you about care timelines.
It simplifies transitional care management codes.
It prevents billing gaps.
It improves cash flow, not your workload.
With everything tracked in real-time, no deadline is missed. No billing window is forgotten. The platform makes your workflow cleaner and faster — and improves your revenue without creating more tasks.

Supported Services

Every case is tracked from start to finish. No deadlines missed.

Sign Up Today

Stop missing payments. Start getting paid for real work. You already offer transitional care. Now manage billing the right way.

Doctors Lose Money Without TCM Billing

You may already be doing the work.
But you might not be getting paid.
That’s where transitional care management helps.
It converts your follow-up care into revenue.
No need to change your workflow.

Stay Compliant and Get Paid Faster

The platform tracks calls and visits. It logs care transitions automatically.
It supports all remote care billing.It works well with EHR systems.
It’s easy to train your team.
It’s fast to set up.

Platform Summary

FAQ's

What is transitional care management?

It helps patients after hospital discharge. It supports safe, smooth transitions.
Transitional care management (TCM) helps patients after they leave a hospital or care facility. It focuses on follow-up care during the 30 days after discharge. The goal is to support safe, smooth transitions back home and prevent readmissions. It includes phone check-ins, medication review, and care coordination.

What are transitional care management codes?

CPT 99495 and 99496. They are used to bill follow-up services.Transitional care billing uses CPT codes 99495 and 99496. These codes cover post-discharge care, including:
A phone call within two business days
A follow-up office visit (within 7 or 14 days)
Care coordination for the full 30 days
When used properly, they help doctors bill for care they already provide.
How do I follow transitional care management guidelines?
To stay compliant with CMS rules:
Make sure you contact the patient within two business days of discharge
Schedule and complete an in-person visit within 7 or 14 days
Document all phone calls, care planning, and follow-up actions

How do I follow transitional care management guidelines?

To stay compliant with CMS rules:

  • Make sure you contact the patient within two business days of discharge

  • Schedule and complete an in-person visit within 7 or 14 days

  • Document all phone calls, care planning, and follow-up actions

Proper documentation and timely care are key for successful billing.

Can I use transitional care management for remote care?

Yes. You can bill for transitional care that includes remote services.
Phone calls, care coordination, and follow-up planning done virtually all qualify. As long as CMS requirements are met, remote communication counts toward transitional care management activities.

Will this work with my current system?

Yes. SmartCare360 is designed to fit into your existing workflow.
It works with most EHR platforms and does not require switching systems. Your practice can keep using the tools you already know, while adding powerful billing support on top.

What is the difference between transition care management and TCM?

They mean the same. Both refer to post-discharge care billing.

Does this cover compliance needs?

Yes, it includes regular billing updates and rule checks.

Start Billing the Smart Way

Doctors care for patients after discharge. Now they can bill for it. Use transitional care management to close gaps. Stay compliant. Grow revenue. Get started today.