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Transitional Care Management – Made Easy

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to code for primary procedure)

Transitional Care Management from Digital Telehealth Solutions

Chronic Care empowers physicians, hospitals, and health systems to:

  • Deliver care beyond discharge by remotely monitoring patients.
  • Engage patients in their care and improve patient satisfaction.
  • Improve quality of care and lower cost of care.
  • Improve care coordination and track TCM metrics.
  • Distinguish themselves in a competitive landscape.

“This is the Holy Grail of Medicine. Everyone should have this.”

The Chronic Care solution enables hospitals to easily and cost-effectively monitor patients and coordinate care for continued recovery. Chronic Care displays alerts when an intervention is necessary to prevent readmission. By engaging patients in their care and by regularly monitoring their status post-discharge, Chronic Care helps to build your patients’ confidence in their recovery and in you.


Our team helps healthcare organizations implement and optimize TCM programs to generate a maximum return with minimal disruption.