TCM billing focus. This model sizes TCM reimbursement capture and labor savings from automated outreach. Modeling network retention after discharge instead? Use the Leakage ROI Calculator →
Patient Volume
Patients eligible for TCM.
Weighted avg of 99495 (~$220) & 99496 (~$299).
Labor Costs
Time to dial, leave voicemail, or document.
Calls made before reaching patient or giving up.
Reach Rates
CipherHealth typically achieves 70-90%+ reach rates.
% of reached patients who attend the billable face-to-face visit.
Annual Labor Savings
By automating initial outreach, staff only manage exceptions.
Annual Net Revenue Increase
Driven by 0 additional billable patients per year.
Financial Impact Analysis
Annual Labor Costs
Annual TCM Revenue
| Metric (Monthly) | Current (Manual) | With CipherHealth | Variance |
|---|
Total Annual Financial Benefit
Labor Savings + Increased Reimbursement Revenue