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Transitional Care Management (TCM) with Cooey Health

How TCM with Cooey Health Works

Patient Identification

Cooey Health assists in identifying patients who are transitioning between different levels of care and may benefit from TCM services.

Care Coordination

Cooey Health coordinates care between different healthcare providers, ensuring that all necessary medical information is transferred and that a comprehensive care plan is in place.

Follow-Up Visits

Cooey Health arranges and manages follow-up visits and communications with patients to ensure adherence to treatment plans and address any issues promptly.

Patient Education

Cooey Health provides patients with the necessary education and resources to manage their health effectively during the transition period.

Data Analysis

Cooey Health’s team analyzes patient data and provides detailed reports to your practice, highlighting any concerning trends or abnormalities.

Intervention

Based on the data analysis, your practice can make informed decisions, provide feedback, adjust treatment plans, or intervene promptly.

For your practice

Benefits of TCM with Cooey Health

1. Improved Patient Outcomes

Smooth Transitions: Ensures seamless transitions between different levels of care, reducing the risk of complications and hospital readmissions.
Proactive Management:
Enables proactive management of patients’ health during critical transition periods, leading to better health outcomes.

2. Enhanced Patient Engagement

Personalized Care Plans: Patients receive personalized care plans tailored to their specific needs during the transition period.
Continuous Support:
Patients receive continuous support and guidance, fostering a stronger patient-provider relationship.

3. Increased Practice Efficiency

Optimized Care Coordination: Streamlines the coordination of care among multiple providers, ensuring that patients receive the necessary services without delays.
Resource Allocation:
Efficiently allocate resources by focusing on high-risk patients, reducing unnecessary office visits, and streamlining follow-ups.

4. Cost-Effectiveness

Reduced Hospitalizations: Proactive management and continuous monitoring can reduce the need for emergency visits and hospital admissions, leading to cost savings.
New Revenue Stream:
Cooey Health's TCM services are covered by insurance and Medicare, providing additional revenue for your practice.

5. Data-Driven Decisions

Informed Care Plans: Access to comprehensive and up-to-date patient data allows for more personalized and accurate treatment plans.
Trend Analysis:
Identify long-term trends and patterns in patient health, which can inform clinical decisions and improve care quality.

6. Patient Satisfaction

Convenience: Patients appreciate the convenience of receiving coordinated care from home, reducing the need for frequent in-person visits.
Sense of Security:
Continuous monitoring provides patients with a sense of security, knowing that their health is being closely watched by their healthcare team.

Implementing TCM with Cooey Health

Choose Cooey Health

Partner with Cooey Health to provide reliable and user-friendly TCM services that integrate seamlessly with your electronic health record (EHR) system.

Train Your Staff

Ensure that your team is well-trained in using Cooey’s TCM technologies and interpreting the data.

Patient Education

Educate patients on the benefits of TCM, the importance of regular monitoring, and how TCM can improve their health during transitions.

Establish Protocols

Develop clear protocols for care coordination, patient communication, and intervention based on the data provided by Cooey Health.

Leverage Reimbursement

Cooey Health will assist you in understanding the reimbursement criteria and billing codes for TCM services to maximize financial benefits for your practice.

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