Transitional Care Management that closes the gap after discharge.
Clinical medication reconciliation
HIPAA Business Associate
Documentation inside your EHR
CPT 99495 / 99496
What Zenith handles per episode
The time-sensitive post-discharge work, tracked so nothing is missed.
Discharge tracking
Find out when your patients are admitted and discharged.
Two-business-day contact
Reach the patient or caregiver within the required window.
Medication reconciliation
Compare discharge medicines with the current list and flag differences.
Discharge record review
Gather and organize the summary for your provider.
Follow-up visit scheduling
Book the face-to-face visit within the required timeframe.
Community referrals
Arrange home health, equipment and support services.
How it works
Three steps from the first call to a program running inside your EHR.
Book a 15-minute call01
Catch the discharge
We monitor admission and discharge notices and open a TCM case.
02
Contact, reconcile, schedule
Required outreach and medication work happen inside the deadline.
03
Document and bill
Your practice bills TCM after the visit. Zenith invoices for the labor.
Who we serve
Eligibility is confirmed per patient and per payer at the time of service. The guidance below shows who this service is built for.
Eligible practices
Hospitalist and Hospital Medicine groups, Cardiology, Primary Care, and Internal Medicine, any practice managing patients immediately after hospital discharge.
Patients who can be billed
Patients recently discharged from an acute care hospital, inpatient psychiatric unit, skilled nursing facility, or long-term care hospital, returning to the community. Requires contact within 2 business days of discharge and a face-to-face visit within 7 to 14 days depending on complexity.
What’s billed
| CPT | What it covers | ~Rate |
|---|---|---|
| 99495 | Moderate complexity, face-to-face visit within 14 days | ~$220 |
| 99496 | High complexity, face-to-face visit within 7 days | ~$299 |
Only one TCM code is billed per patient per 30-day period. The interactive contact within two business days of discharge is mandatory: miss that window and the episode isn't billable at all.
$220-$299 / episode
One of Medicare's highest-paying care-management codes. Figures are 2026 national averages and vary by locality.
Plug in your real numbers to see the figure for your panel, the calculator runs entirely in your browser.
Estimate your panel sizeTransitional Care Management (TCM) resources
After the 30-day TCM period, many patients move into ongoing Chronic Care Management.
Transitional Care Management (TCM): common questions
Related care management services
Fifteen minutes to see if it fits.
We’ll walk through how Transitional Care Management (TCM) works for your practice, confirm the fit, and tell you honestly whether Zenith is the right partner.