You have TCM Revenue on the table. We help capture it.

Medicare projections grounded in NORC/ASPE (2023) and AJMC (2024) peer-reviewed claims data. Commercial estimates are illustrative — no equivalent national claims study exists for private payer TCM uptake. Reimbursement rates, coverage, and capture rates vary by contract. TCM CPT 99495/99496 recognized by Medicare, Medicare Advantage (Part B parity required), and most major commercial payers. This tool is for illustrative purposes only.

* CMS TCM requirements — met by Dimer Connect and AiMe. CMS requires that Transitional Care Management services include: (1) an interactive contact with the patient and/or caregiver, as appropriate, within 2 business days of discharge, using telephone, Advanced Communication Technology, or face-to-face interaction (42 C.F.R. § 410.78; CPT 99495/99496 code descriptor); and (2) a face-to-face visit within 7 calendar days of discharge for CPT 99496 (medical decision-making of high complexity) or within 14 calendar days for CPT 99495 (medical decision-making of moderate complexity). Dimer Connect fulfills the required post-discharge interactive contact through its bi-directional patient communication platform, and AiMe, Dimer’s AI care navigation technology, actively identifies and routes eligible patients to schedule the required face-to-face visit within the applicable 7- or 14-day window. Together, these capabilities operationalize the non-face-to-face care management services required throughout the 30-day TCM period.