High-Performance TCM
Maximize TCM revenue with proactive outreach
Automate your TCM outreach to satisfy CMS requirements and identify at-risk patients instantly, while protecting your staff’s time.
Leading health systems trust CipherHealth to drive outcomes
A TCM program that scales with volume, not headcount.
With discharge volumes rising and nursing vacancy rates holding steady, manual outreach is mathematically impossible to sustain. CipherHealth flips the model: we automate the routine check-ins so your clinicians only intervene when clinical judgment is actually required.
- Audit confidence Every attempt is automatically logged and can be viewed directly in your EHR.
- Personalized safety net Reach out to all discharged patients in their preferred language and modality.
- Top-of-license practice Eliminate administrative dial-time.
Focus on the patients who need it most.
Simplify the process
A seamless workflow that secures the billable code without manual intervention.
1
Capture the
2-day window
Trigger automated interactive voice and SMS text outreach immediately upon discharge. Secure the contact requirement for billing before the patient even settles in at home.
- 100% outreach rate: No patient falls through the cracks.
- Audit trail: Timestamped proof of attempt for CMS.
2
Triage by acuity,
not alphabet
Our system flags patient issues and pain signals instantly, routing only at-risk patients to your work queues.
- Allows nurses to intervene only when clinical judgment is required.
3
Automate the
revenue cycle
We write back directly to the EHR via HL7. If the outreach happened, the billing code is supported. No manual data entry, no missed revenue opportunities.
- Billing ready: Supports CPT 99495/99496 automatically.
- Zero friction: Data flows into your existing system of record.
See how one health system achieved:
X4
Increase in patient outreach volume
100%
Automated documentation in the EHR
26%
Increase in year-over-year billing capture
Don’t miss out on revenue you have already earned.
Every missed 2-day contact is a billable code lost. Access our ROI calculator to model the impact of shifting from manual calls to automated workflows.
What the calculator reveals:
- Annual labor savings (FTE reallocation)
- Net new revenue (captured CPT codes)
- Readmission penalty avoidance
