TCM Reimbursement Calculator

1. Determine Your Eligible Patients

According to CMS, a patient must be a Medicare beneficiary with two or more chronic conditions which place the patient at significant risk of death, acute exacerbation or functional decline.

Total number of Transitional Facilities in the practice

Patients per Transitional Facility

Total number of patients

% discharged that end up in CCM (average 15%)

% covered by Medicare (average 90%)

TCM eligible patients

2. Calculate Your Revenue Potential

Your potential revenue is the total number of eligible patients multiplied by your Medicare reimbursement rate.

Number of eligible patients

Monthly Revenue Potential

Annual Revenue Potential

Calculate Your Revenue Potential With Transitional Care Management Reimbursements

1. Determine Your Eligible Patients

2. Calculate Your Revenue Potential

Estimated Annual Revenue Potential With Transitional Care Management

Annual Revenue Potential -