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

Automated post-discharge contact documents 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.

Capabilities

Turn every patient interaction into recoverable revenue

TCM Billing Automation

Automated post-discharge outreach documents the interactive contact required for CPT 99495/99496 billing, ensuring every eligible encounter is captured.

No-Show Reduction

Multi-channel appointment reminders with one-tap confirm or cancel fill your schedule and recover revenue lost to empty slots.

Care Gap Closure

Proactive outreach identifies and closes overdue screenings, preventive visits, and chronic care check-ins that generate reimbursable encounters.

Scheduling Optimization

Automated waitlist management and backfill workflows keep appointment slots full, maximizing daily patient volume without adding staff.

Referral Management

Track referral completion rates and automate follow-up with patients who haven't scheduled, closing referral leakage that drains downstream revenue.

ROI Tracking

Unified financial dashboards tie engagement activity to revenue impact so you can prove the business case for every program.

Reliable execution

Bill for Every Eligible Transition

CipherHealth automates the required interactive contact within 2 business days of discharge and 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

From no-show reduction to care gap closure and referral completion, CipherHealth identifies and recovers revenue opportunities across the patient journey that manual processes miss.

Model your TCM ROI
Proven impact

Reduce Penalties and Avoidable Costs

Readmission prevention, improved quality scores, and better payer performance protect your bottom line from value-based care penalties and avoidable utilization costs.

Explore outcomes
Healthcare finance leaders reviewing revenue recovery and TCM performance dashboards
We recovered over $3 million in TCM billing in the first year with CipherHealth. The automated documentation made it easy for our team to capture every eligible encounter without adding work.
DC
David Chen
CFO, Pacific Health Partners
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.