Primary Care Streams turns every hospital discharge into a tracked, deadline-aware workflow — so your practice captures the follow-up, meets TCM requirements, and bills with confidence.
How it works
An ADT or discharge record flows in and opens a transitional care journey automatically — no manual intake.
The two-business-day outreach clock starts. Log the contact and the countdown clears itself.
Medication reconciliation and the face-to-face visit window are tracked against TCM deadlines.
Once every requirement is met, the encounter is flagged eligible with the right CPT level.
Compliance
TCM has strict timing and documentation rules. Primary Care Streams encodes them into the workflow so your team always knows what is due, what is overdue, and what is ready to bill.
Every discharge carries a live countdown for interactive contact and the follow-up visit, so nothing slips past the TCM window.
Records collection, medication reconciliation, and visit completion are captured as structured, auditable steps.
Business Associate terms are accepted before any PHI is touched, and the workspace is scoped to your practice.
When a discharge meets every TCM requirement, Primary Care Streams marks it billing-ready with the correct CPT level — turning careful follow-up into reimbursed care.