◈ Transitional Care Management · CPT 99495 & 99496

The 30 days after discharge decide if your patient goes back.

About one in five Medicare patients is readmitted within a month. You — their own practice — are best placed to prevent it, and Medicare pays $20–40K a year to do it. The documentation bar is why most never collect. This app clears it.

99495 · visit ≤14 days · ~$201 99496 · visit ≤7 days · ~$273
Free to register · under 10 minutes · no contract · no IT project
The billable window — the clock runs itself
0
Day 0
Discharge
Lands on your worklist
2
≤ 2 days
Contact
Outreach, logged
7·14
Day 7 / 14
Visit
Timed to the code
30
Day 30
Billed
Audit-ready, filed
1 in 5
Medicare patients readmitted within 30 days
$20–40K
a year for an independent practice
Across America
covering patients nationwide
The window

A discharge isn't the finish line. It's the edge of a cliff.

New prescriptions that don't match the old list. A follow-up that never gets booked. That's the path from recovering to readmitted — and it runs through the weeks that land on your desk.

1 in 5

Medicare patients are back in the hospital within 30 days. The practice that knows them is best placed to stop it.

The bar

It pays — but only if you can prove every step.

Miss one element and the whole episode pays nothing. That's why this work drifts to health-system teams meeting your patient for the first time.

≤ 2 business days

Interactive contact

A real two-way check-in — logged and timestamped, not implied.

≤ 7 or 14 days

Face-to-face visit

7 days for high complexity, 14 for moderate. In person or telehealth.

For 30 days

Care oversight

Reconciliation, follow-up, and the coordination that prevents a readmission.

At the end

Audit-proof record

Every element present, mapped line by line to the code you bill.

How it works

The clock runs itself.

No care-management department to build. The app watches every deadline and assembles the record. Your practice just sees the patient.

DAY 0

The discharge arrives

Your patient appears on the worklist with the clock already running.

DAY 1–2

The contact, handled

The app reaches your patient in your practice's voice — every touch timestamped.

DAY 7–14

The visit, timed

Scheduling tracks both windows so the right code is earned, not guessed.

DAY 30

The file closes itself

An audit-ready record, mapped to the code. You review and submit.

“The thirty days after discharge are when patients slip. This is the first tool that actually helps me catch them — and document it properly so it counts.”
— A primary care doctor on the platform
The part no one else can do

We confirm your patient actually stayed home.

Once a patient leaves the hospital, their own doctor usually never finds out if they went back. For thirty days, Transitions of Care watches — pulling from the hospital and the health plan — and tells you what happened.

CLINICALLY

You know if they recovered — not just assume it.

If your patient was readmitted, you find out and can act. If they stayed well, that outcome is confirmed — the thing you most want to know about a patient you just sent home, and the thing you normally never learn.

FOR BILLING

The episode is verified, not just attested.

A clean 30-day window is what the episode turns on. We confirm it against real hospital and plan data before you bill — so what you submit is backed by the outcome, not an assumption.

Your practice can't see this. PanelMD can — because it sees your patient across every source, not just what happened in your office. That's the superpower Transitions of Care runs on.

The math

Per episode. Per year. Yours.

Medicare pays this because a readmission costs far more.

~$23K
2 discharges / week
~$34K
3 discharges / week
~$57K
5 discharges / week

National averages. Actual rates vary by locality and payer.

CPT 99495
~$201/ episode
Moderate complexity. Contact plus a visit within 14 days, with 30 days of oversight.
CPT 99496
~$273/ episode
High complexity. Contact plus a visit within 7 days, with 30 days of oversight.
Your worklist3 open episodes
MA
M. Alvarez
Discharged yesterday · St. Anne's Regional
Contact · 6h
DO
D. Okafor
Day 5 · visit window open
Visit · Thu
JT
J. Tran
Day 28 · monitoring complete
Closes Fri
Why it works

You're not chasing codes. You're keeping people home.

Medicare pays for this because the care works — catching a patient in the first thirty days is what keeps them out of the hospital. You're finally getting paid for the safety net you should already be running.

Funded onboarding

Your state may have already paid your way.

States standing up rural care-transitions networks are funding provider onboarding. Register during a funded window and Transitions of Care stays free for your practice — forever, in writing.

Check your stateRegister your practice

Standard registration stays open everywhere — no funding required.

Runs on PanelMD — verified provider identity and records

Provide the care your patients need.

The follow-up you should already be running — cleared, documented, and worth $20–40K a year.

Register your practice