CipherHealth
Solutions by Outcome

Revenue Growth & TCM Capture

Structured follow-up programs that document transitional care management, reduce no-shows, and close care gaps — recovering revenue your organization is leaving on the table.

By the numbers
26%
Increase in TCM billing capture
$3M
Revenue recovered annually
30%
Fewer patient no-shows
Capabilities

Turn every patient interaction into recoverable revenue

TCM Billing Automation

Automated post-discharge outreach documents the interactive contact required for CPT 99495/99496 billing, ensuring every eligible encounter is captured.

No-Show Reduction

Multi-channel appointment reminders with one-tap confirm or cancel fill your schedule and recover revenue lost to empty slots.

Care Gap Closure

Proactive outreach identifies and closes overdue screenings, preventive visits, and chronic care check-ins that generate reimbursable encounters.

Scheduling Optimization

Automated waitlist management and backfill workflows keep appointment slots full, maximizing daily patient volume without adding staff.

Referral Management

Track referral completion rates and automate follow-up with patients who haven't scheduled, closing referral leakage that drains downstream revenue.

ROI Tracking

Unified financial dashboards tie engagement activity to revenue impact so you can prove the business case for every program.

Reliable execution

Bill for Every Eligible Transition

CipherHealth automates the required interactive contact within 2 business days of discharge and the follow-up visit within 7–14 days, documenting each step for clean TCM claims submission.

Learn about financial solutions
TCM billing workflow dashboard showing capture rates
Proven impact

Stop Leaving Money on the Table

From no-show reduction to care gap closure and referral completion, CipherHealth identifies and recovers revenue opportunities across the patient journey that manual processes miss.

See how it works
Stop Leaving Money on the Table (variant 2)
Proven impact

Reduce Penalties and Avoidable Costs

Readmission prevention, improved quality scores, and better payer performance protect your bottom line from value-based care penalties and avoidable utilization costs.

Explore outcomes
Reduce Penalties and Avoidable Costs (variant 3)
We recovered over $3 million in TCM billing in the first year with CipherHealth. The automated documentation made it easy for our team to capture every eligible encounter without adding work.
DC
David Chen
CFO, Pacific Health Partners
Get started

Grow revenue with every patient touchpoint.

Schedule a personalized demo and discover how CipherHealth helps health systems capture TCM billing, reduce no-shows, and drive sustainable revenue growth.