Transitional Care Management

JSON twin: https://www.healthaidb.com/software/transitional-care-management.json

Company Name

Smartlink Health

Product URL

https://www.smartlinkhealth.com/transitional-care-management/

Company URL

https://www.smartlinkhealth.com/

Categories

• care Coordination
• post-acute Care
• Care Team Coordination
• Post Acute Transitional Care

Summary

Smartlink Health's Transitional Care Management (TCM) platform streamlines post-discharge care, ensuring compliance and enhancing patient outcomes.

Description

Smartlink Health's TCM platform automates the entire workflow for managing post-discharge care, integrating with over 90 EHR systems to track activities, ensure compliance with Medicare requirements, and facilitate billing. It also receives automatic ADT notifications from Health Information Exchanges (HIEs), prepopulating patient records to reduce manual data entry. The platform is part of a comprehensive suite that includes Chronic Care Management (CCM), Annual Wellness Visits (AWV), and Collaborative Care Model (CoCM) services, all designed to improve care coordination and patient engagement.

Api Available

yes

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO
• SOC 2 Type I
• SOC 2 Type II
• ISO 27001
• GDPR
• HITECH
• SOC 2

Company Founding

2012

Company Offices

• United States

Compliance

• HIPAA
• SOC 2 Type I
• SOC 2 Type II
• ISO 27001
• GDPR
• HITECH
• SOC 2

Customers

Data Residency

US/EU regions

Data Standards

• HL7
• FHIR
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS

Features

• Automated transitional care management workflow
• Real-time patient tracking
• Integrated billing support
• Automatic ADT (Admission, Discharge, Transfer) notifications from HIEs
• Full EHR integration with over 90 systems
• Recording of all TCM activities
• Compliance with CMS billing codes 99495 and 99496
• Shift patients into Chronic Care Management (CCM) billing if TCM is not eligible

Id

SW2254

Integration Partners

Integrations

• Electronic Health Records (EHRs)
• Health Information Exchanges (HIEs)
• SimplePractice
• NC HealthConnex

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Chronic Care Management (CCM)
• Annual Wellness Visits (AWV)
• General Behavioral Health Integration (BHI)

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Consent management
• Anonymization
• Data minimization

Product Code

SW2254

Product Name

Transitional Care Management

Ratings

Regions Available

• United States

Related Urls

• https://elion.health/products/smartlink-tcm

Release Year

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit logs
• 2FA
• DLP

Specialties

• General Medicine
• Geriatrics
• Internal Medicine
• Family Medicine

Support Channels

System Requirements

Target Users

• clinicians
• nurses
• admins
• care managers

Training Options

Type

product

User Reviews

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Transitional Care Management",
  "company_name": "Smartlink Health",
  "product_url": "https://www.smartlinkhealth.com/transitional-care-management/",
  "company_url": "https://www.smartlinkhealth.com/",
  "related_urls": [
    "https://elion.health/products/smartlink-tcm"
  ],
  "product_code": "SW2254",
  "summary": "Smartlink Health's Transitional Care Management (TCM) platform streamlines post-discharge care, ensuring compliance and enhancing patient outcomes.",
  "description": "Smartlink Health's TCM platform automates the entire workflow for managing post-discharge care, integrating with over 90 EHR systems to track activities, ensure compliance with Medicare requirements, and facilitate billing. It also receives automatic ADT notifications from Health Information Exchanges (HIEs), prepopulating patient records to reduce manual data entry. The platform is part of a comprehensive suite that includes Chronic Care Management (CCM), Annual Wellness Visits (AWV), and Collaborative Care Model (CoCM) services, all designed to improve care coordination and patient engagement.",
  "categories": [
    "care Coordination",
    "post-acute Care",
    "Care Team Coordination",
    "Post Acute Transitional Care"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "admins",
    "care managers"
  ],
  "specialties": [
    "General Medicine",
    "Geriatrics",
    "Internal Medicine",
    "Family Medicine"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2012",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Automated transitional care management workflow",
    "Real-time patient tracking",
    "Integrated billing support",
    "Automatic ADT (Admission, Discharge, Transfer) notifications from HIEs",
    "Full EHR integration with over 90 systems",
    "Recording of all TCM activities",
    "Compliance with CMS billing codes 99495 and 99496",
    "Shift patients into Chronic Care Management (CCM) billing if TCM is not eligible"
  ],
  "optional_modules": [
    "Chronic Care Management (CCM)",
    "Annual Wellness Visits (AWV)",
    "General Behavioral Health Integration (BHI)"
  ],
  "integrations": [
    "Electronic Health Records (EHRs)",
    "Health Information Exchanges (HIEs)",
    "SimplePractice",
    "NC HealthConnex"
  ],
  "data_standards": [
    "HL7",
    "FHIR",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2 Type I",
    "SOC 2 Type II",
    "ISO 27001",
    "GDPR",
    "HITECH",
    "SOC 2"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO",
    "SOC 2 Type I",
    "SOC 2 Type II",
    "ISO 27001",
    "GDPR",
    "HITECH",
    "SOC 2"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization"
  ],
  "data_residency": "US/EU regions",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [],
  "release_year": "",
  "integration_partners": [],
  "id": "SW2254",
  "slug": "transitional-care-management",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/transitional-care-management.json"
  }
}