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CipherHealth
Revenue & TCM Capture

Recover TCM revenue across the care transition.

Structured follow-up programs that document transitional care management, reduce no-shows, and close care gaps — recovering revenue your organization is leaving on the table.

Revenue impact health systems see

26%

lift in TCM billing capture

Interactive two-way communication post-discharge contact fulfills the interactive touchpoints required for CPT 99495/99496.

$3.1M

appointment revenue added with reminders

Clean claims, fewer no-shows, and closed referral loops compound into millions per year.

$15M

saved from post-discharge follow-up

Multi-channel reminders with one-tap confirm or cancel keep schedules — and revenue — full.

Reliable execution

Bill for Every Eligible Transition

CipherHealth automates the required interactive contact within 2 business days of discharge and confirms the follow-up visit within 7–14 days, documenting each step for clean TCM claims submission.

Learn about financial solutions
Patient receiving a post-discharge follow-up call at home
Proven impact

Stop Leaving Money on the Table

Longitudinal outreach timed to each patient's complexity keeps engagement consistent — cutting no-shows and surfacing revenue opportunities across the journey.

Model your TCM ROI
CipherHealth is our workforce extender. By using the system, we are able to scale the power of our care transitions team by bubbling up the patients most likely to experience a care barrier. This translates to better outcomes for our patients and a better experience for our team.
LW
Laura Wieloch, MS, RN
Executive Director, Midwest Region Care Management, Advocate Health
26%lift in TCM billing capture

FAQ

Frequently asked questions

What is CipherHealth's approach to tcm revenue capture?
CipherHealth helps health systems capture transitional care management revenue with workflows tied to a reported 26% TCM billing lift, $3.1M in added appointment revenue, and $15M in post-discharge follow-up savings.
What is transitional care management (TCM)?
Transitional care management is CMS-reimbursable follow-up for eligible Medicare patients after hospital discharge. CipherHealth automates outreach and documentation to help teams identify eligible patients and complete TCM workflows reliably.
Does CipherHealth integrate with Epic and other EHRs?
Yes. CipherHealth offers bidirectional integrations with Epic, Oracle Health (Cerner), MEDITECH, and 85+ EHR systems via HL7 and FHIR, keeping patient lists, documentation, and outcomes in sync with workflows your teams already run.
Get started

Grow revenue with every patient touchpoint.

Schedule a personalized demo and discover how CipherHealth helps health systems capture TCM billing, reduce no-shows, and drive sustainable revenue growth.