Inside HealthArc’s Transitional Care Management (TCM) Software: Seamless Integration with RPM & CCM Platforms
%20Software%20Seamless%20Integration%20with%20RPM%20&%20CCM%20Platforms.png "Inside HealthArc’s Transitional Care Management (TCM) Software: Seamless Integration with RPM & CCM Platforms")
Transitional Care Management (TCM) bridges that critical gap, ensuring timely follow-up, medication reconciliation, and coordinated care. But for most clinics, manual tracking across multiple systems turns this opportunity into an administrative burden.
Enter HealthArc’s TCM software — a unified, automated, and analytics-driven platform that connects TCM, CCM, RPM, PCM, and MTM under one digital roof.
A Unified Care-Continuum Platform
HealthArc’s platform was built to eliminate silos between short-term and chronic-care programs. Providers can oversee every stage of the patient journey, from discharge to ongoing monitoring and long-term management.
Core Modules in HealthArc’s Integrated Ecosystem
Transitional Care Management (TCM) – Automates 2-day follow-ups, visit scheduling, and CPT 99495/99496 documentation.
Chronic Care Management (CCM) – Continues coordinated care for patients with ≥ 2 chronic conditions.
Remote Patient Monitoring (RPM) – Tracks vitals with cellular devices and sends real-time alerts.
Principal Care Management (PCM) – Supports single-condition patients after stabilization.
Medication Therapy Management (MTM) – Enables reconciliation and adherence tracking post-discharge.
Remote Therapeutic Monitoring (RTM) – Extends rehabilitation support for musculoskeletal or respiratory cases.
Each module communicates seamlessly, ensuring clinical continuity and complete billing capture.
1️⃣ TCM Automation that Drives Efficiency
Traditional TCM workflows demand multiple staff touchpoints: calls, documentation, scheduling, and billing. HealthArc’s automation handles these steps through rule-based triggers:
Automatic discharge import from EHR or hospital feed.
Instant eligibility check for CPT 99495/99496.
Follow-up scheduling alerts within 7 or 14 days.
Two-day outreach automation via call, SMS, or portal message.
Auto-generated billing reports ready for claim submission.
This removes manual bottlenecks and guarantees CMS-compliant documentation for every patient.
2️⃣ Integrated RPM: Real-Time Insight for High-Risk Patients
Once patients are discharged, their vitals can shift dramatically. HealthArc’s RPM integration ensures continuous monitoring without extra logins or exports.
Connects directly with cellular devices — blood-pressure cuffs, weight scales, pulse oximeters.
Displays live data in the same TCM dashboard.
Generates alerts for critical values so care teams can intervene early.
This proactive visibility turns TCM from a reactive compliance task into a predictive-care engine.
3️⃣ Smooth Transition into CCM and PCM
After 30 days, most TCM patients qualify for ongoing management under CCM or PCM.
HealthArc’s rules-based workflow automatically flags eligible patients and enrolls them into:
Monthly CCM (99490 / 99439) for multi-condition cases.
Focused PCM (99424 / 99425) for single-condition follow-up.
This ensures uninterrupted care and steady recurring revenue for providers.
4️⃣ Data Analytics & ROI Dashboard
The software’s analytics suite lets clinics measure clinical impact and financial returns in one place.
Key metrics include:
Number of patients per TCM code (99495 vs 99496).
Outreach completion rates within 2 business days.
Readmission reductions by diagnosis group.
Revenue earned from linked CCM and RPM episodes.
By consolidating these insights, administrators can forecast program ROI and justify staff allocation with precision.
5️⃣ Built-In Compliance & Audit Protection
HealthArc automatically maps every action to CMS requirements:
Two-day contact validation.
Documented face-to-face visit timing.
Complexity assessment notes for CPT 99495 or 99496.
Cross-program claim conflict checks (e.g., no overlap with CCM).
This built-in logic creates an audit-ready trail and protects against denials or recoupments.
6️⃣ Seamless Interoperability with Existing Systems
Providers don’t need to replace their EHR. HealthArc uses FHIR and HL7 interfaces to:
Sync patient demographics and encounter data.
Pull discharge summaries automatically.
Push TCM notes back into the EHR for a single record of truth.
That means zero duplicate entry, zero missed billing, and 100 % data consistency.
7️⃣ Staff Collaboration & Patient Engagement
The platform supports multi-user collaboration with task assignments for nurses, MAs, and care coordinators.
Patients receive secure portal access to:
Confirm appointments,
Update symptoms or medications, and
Communicate with their care team.
This engagement loop strengthens trust and improves HCAHPS scores.
8️⃣ ROI in Action
A 1000-patient practice using HealthArc’s TCM suite reported:
That’s a 92 % increase in TCM ROI while enhancing clinical outcomes across the care continuum.
9️⃣ Security & HIPAA Compliance
All data exchange and device integrations meet HIPAA, HITECH, and CMS security standards.
Features include:
Role-based access controls,
End-to-end encryption,
Audit logging and backup redundancy.
Providers retain peace of mind knowing that protected health information (PHI) remains secure throughout the care journey.
Conclusion
Modern care coordination demands integration — not just between systems, but between clinical goals and financial strategy.
With HealthArc’s Transitional Care Management software, providers can automate post-discharge workflows, connect TCM to RPM, CCM, PCM, MTM, and RTM, and turn every transition into a continuum of care and revenue.
The result is a streamlined path to better patient outcomes, stronger compliance, and a measurable increase in ROI — all within one platform built for tomorrow’s value-based healthcare.
Comments
Post a Comment