Understanding the Challenges in Transitional Care Management

Traditional transitional care management (TCM) is a labor-intensive, time-consuming process. It involves multiple stages, including patient data entry, appointment scheduling, follow-up calls, and medical billing - all performed manually. Consequently, the risks of human error and delays are high, which can negatively affect the patient and increase costs for the practice. By harnessing the power of workflow automation and AI, providers can streamline the transitional care steps within the revenue cycle management (RCM) cycle to improve patient outcomes and achieve significant cost savings.

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An Example of Automation in Transitional Care Management (TCM)

A common problem in the TCM process is the transfer of patient information to the office from the Hospital. In traditional workflows, during the last hospital encounter, a provider will provide patients with their clinic contact information and instructions to call the office to schedule a follow-up visit. On the practice side, that provider might also have to manually pass the patient’s information to his office staff, so they can be aware of the patient and the upcoming appointment. When TCM is built on manual steps, patient care can be negatively impacted by follow-up appointments that are either delayed or left unscheduled by someone forgetting to leave a note or make a call. Automating this process can lead to significant improvements in efficiency and patient care.

Effective RCM companies will help practices become more efficient by finding ways to automate transitional care. For example, pMD helps practices automate the TCM workflow by enabling providers to automatically pass follow-up appointment information to the scheduling team without relying on a manual hand-off. Automation means providers no longer have to spend time composing a message or dropping off patient notecards at the office, and the staff no longer have to play phone tag with providers to get information. By reducing manual processes, the chances of errors decrease significantly and staff save time, ensuring a more efficient revenue cycle.

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How pMD^® Can Help

At pMD^®, our mission is to streamline and optimize the patient care episode and the revenue cycle. Through our advanced, end-to-end practice management and revenue cycle solutions, we can help practices consolidate vendors, reduce costs, streamline workflows, improve patient care and satisfaction, and collect their maximum reimbursement more quickly.

Not sure what a vendor could do to improve your behavioral health billing? Contact pMD^® for a no-commitment financial impact analysis by our team of healthcare RCM experts free of charge!

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