Synthetic data prototype — no PHI. Numbers, names, and IDs are fabricated for design review only.
TCM Operations
TCM Operations
Track whether the pilot is meeting TCM requirements and operational handoffs from discharge to billing-ready packet.
Filters
TCM Workflow Timeline
Cohort progression from discharge to billing-ready
Discharge
114100%
Outreach
11096%
Interactive Contact
10794%
Med Reconciliation
3329%
TCM Encounter
3531%
Follow-Up Scheduling
3228%
Note Sent
2925%
Billing Ready
2825%
Outreach Outcomes
Distribution across all attempts
Days Discharge → TCM Encounter
Monthly average vs 14-day target
CPT Code Mix
99495 moderate vs 99496 high complexity
99495 (Moderate)
25 · 71%
99496 (High)
10 · 29%
TCM Completion Status by Procedure Group
Cohort breakdown across the TCM workflow
Click a segment to see the related members and episodes.
TCM Exceptions
Open work-queue items by category
Click a bar to see the related members and issues.
TCM Workflow — Episode Detail
1st contact overdueNote not sentBilling ready
114 episodes
| Episode / Patient | Discharge | 1st Outreach | Attempts | CPT Target | Encounter | Med Rec | F/U Sched | Note | Billing | Next Action |
|---|---|---|---|---|---|---|---|---|---|---|
| Jan 23, 2026 | Jan 23, 2026 0 bd | 3Reached | 99495 | Feb 04, 2026 Sofia Diaz | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Mar 03, 2026 | Mar 05, 2026 2 bd | 1Reached | 99496 | Mar 17, 2026 Jamal Carter | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Feb 07, 2026 | Feb 08, 2026 0 bd | 2Reached | 99495 | Feb 17, 2026 Felix Stone | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Feb 13, 2026 | Feb 13, 2026 0 bd | 3Reached | 99495 | Feb 25, 2026 Sofia Diaz | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Mar 25, 2026 | Mar 25, 2026 0 bd | 4Reached | 99495 | Apr 05, 2026 Jamal Carter | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Jan 26, 2026 | Jan 27, 2026 1 bd | 3Reached | 99495 | Feb 07, 2026 Naomi Reyes | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Feb 08, 2026 | Feb 09, 2026 1 bd | 2Reached | 99495 | Feb 15, 2026 Jamal Carter | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Feb 23, 2026 | Feb 23, 2026 0 bd | 2Reached | 99495 | Mar 04, 2026 Elena Rivera | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Feb 11, 2026 | Feb 12, 2026 1 bd | 3Reached | 99495 | Feb 23, 2026 Jamal Carter | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Jan 31, 2026 | None | 0 | 99495 | Feb 09, 2026 Naomi Reyes | ✓ | ✓ | Sent | Ready | Initiate outreach | |
| Feb 18, 2026 | Feb 20, 2026 2 bd | 4Reached | 99496 | Mar 01, 2026 Naomi Reyes | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Jan 24, 2026 | Jan 26, 2026 1 bd | 1Reached | 99495 | Feb 04, 2026 Jamal Carter | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Mar 07, 2026 | Mar 07, 2026 0 bd | 3Reached | 99496 | Mar 20, 2026 Naomi Reyes | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Feb 19, 2026 | Feb 21, 2026 1 bd | 2Reached | 99495 | Mar 01, 2026 Felix Stone | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Mar 10, 2026 | Mar 10, 2026 0 bd | 3Reached | 99495 | Mar 24, 2026 Jamal Carter | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Feb 12, 2026 | Feb 14, 2026 1 bd | 5Reached | 99495 | Feb 25, 2026 Elena Rivera | ✓ | ✓ | Not sent | — | Send note to USC | |
| Feb 11, 2026 | Feb 12, 2026 1 bd | 2Reached | 99495 | Feb 20, 2026 Jamal Carter | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Feb 08, 2026 | Feb 10, 2026 2 bd | 4Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 09, 2026 | Mar 10, 2026 1 bd | 4Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 02, 2026 | Mar 04, 2026 2 bd | 1Reached | 99496 | Mar 15, 2026 Jamal Carter | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Jan 06, 2026 | Jan 07, 2026 1 bd | 2Reached | 99495 | Jan 17, 2026 Jamal Carter | ✓ | Open | Not sent | — | Schedule follow-up visit | |
| Jan 10, 2026 | Jan 11, 2026 0 bd | 5Reached | 99496 | Jan 24, 2026 Naomi Reyes | ✓ | Open | Not sent | — | Schedule follow-up visit | |
| Jan 25, 2026 | Jan 25, 2026 0 bd | 2Reached | 99496 | Feb 08, 2026 Jamal Carter | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Jan 15, 2026 | Jan 17, 2026 1 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 28, 2026 | Mar 01, 2026 0 bd | 5Reached | 99495 | Mar 08, 2026 Elena Rivera | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Jan 21, 2026 | Jan 22, 2026 1 bd | 2Reached | 99495 | Jan 28, 2026 Elena Rivera | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Mar 15, 2026 | Mar 15, 2026 0 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 02, 2026 | Feb 05, 2026 3 bd · overdue | 1Reached | 99495 | Feb 16, 2026 Felix Stone | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Mar 17, 2026 | Mar 17, 2026 0 bd | 1Reached | 99495 | Mar 25, 2026 Jamal Carter | Pending | ✓ | Drafting | — | Complete med reconciliation | |
| Jan 14, 2026 | Jan 15, 2026 1 bd | 3Reached | 99495 | Jan 28, 2026 Sofia Diaz | Pending | Open | Drafting | — | Complete med reconciliation | |
| Mar 08, 2026 | Mar 10, 2026 2 bd | 4Reached | 99495 | Mar 18, 2026 Felix Stone | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Feb 03, 2026 | None | 0 | 99495 | — | — | — | — | — | Initiate outreach | |
| Mar 12, 2026 | Mar 13, 2026 1 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 27, 2026 | Jan 27, 2026 0 bd | 2Reached | 99496 | Feb 09, 2026 Sofia Diaz | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Mar 02, 2026 | Mar 05, 2026 3 bd · overdue | 1Reached | 99496 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 16, 2026 | Jan 16, 2026 0 bd | 1Unreached | 99496 | — | — | — | — | — | Re-attempt outreach | |
| Mar 23, 2026 | Mar 25, 2026 2 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 15, 2026 | Jan 17, 2026 1 bd | 4Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 09, 2026 | Feb 12, 2026 3 bd · overdue | 2Reached | 99496 | Feb 22, 2026 Elena Rivera | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Feb 28, 2026 | Feb 28, 2026 0 bd | 2Reached | 99495 | Mar 13, 2026 Sofia Diaz | ✓ | ✓ | Not sent | — | Send note to USC | |
| Jan 29, 2026 | Jan 30, 2026 1 bd | 4Reached | 99495 | Feb 06, 2026 Jamal Carter | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Mar 26, 2026 | Mar 27, 2026 1 bd | 1Reached | 99495 | Apr 02, 2026 Jamal Carter | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Jan 27, 2026 | None | 0 | 99495 | — | — | — | — | — | Initiate outreach | |
| Mar 25, 2026 | Mar 27, 2026 2 bd | 4Unreached | 99496 | — | — | — | — | — | Re-attempt outreach | |
| Feb 04, 2026 | None | 0 | 99495 | — | — | — | — | — | Initiate outreach | |
| Jan 16, 2026 | Jan 18, 2026 0 bd | 1Reached | 99496 | Jan 24, 2026 Felix Stone | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Feb 09, 2026 | Feb 11, 2026 2 bd | 3Reached | 99495 | Feb 16, 2026 Jamal Carter | ✓ | ✓ | Not sent | — | Send note to USC | |
| Feb 18, 2026 | Feb 18, 2026 0 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 01, 2026 | Feb 03, 2026 2 bd | 3Reached | 99496 | Feb 15, 2026 Sofia Diaz | ✓ | ✓ | Sent | Ready | Submit TCM claim | |
| Mar 10, 2026 | Mar 10, 2026 0 bd | 2Reached | 99496 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 14, 2026 | Feb 16, 2026 1 bd | 1Reached | 99496 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 26, 2026 | Jan 27, 2026 1 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 27, 2026 | Feb 27, 2026 0 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 12, 2026 | Feb 13, 2026 1 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 11, 2026 | Mar 12, 2026 1 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 10, 2026 | Feb 10, 2026 0 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 18, 2026 | Feb 23, 2026 3 bd · overdue | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 11, 2026 | Jan 11, 2026 0 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 28, 2026 | Mar 01, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 18, 2026 | Mar 20, 2026 2 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 23, 2026 | Jan 24, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 08, 2026 | Jan 08, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 17, 2026 | Jan 18, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 17, 2026 | Jan 19, 2026 1 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 06, 2026 | Jan 08, 2026 2 bd | 1Reached | 99496 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 11, 2026 | Jan 11, 2026 0 bd | 1Reached | 99496 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 12, 2026 | Feb 12, 2026 0 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 06, 2026 | Mar 07, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 13, 2026 | Jan 14, 2026 1 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 05, 2026 | Mar 09, 2026 2 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 16, 2026 | Mar 17, 2026 1 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 18, 2026 | Jan 22, 2026 4 bd · overdue | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 24, 2026 | Jan 27, 2026 2 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 08, 2026 | Jan 09, 2026 1 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 05, 2026 | Jan 07, 2026 2 bd | 3Reached | 99496 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 25, 2026 | Jan 26, 2026 1 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 19, 2026 | Jan 19, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 07, 2026 | Feb 07, 2026 0 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 08, 2026 | Feb 08, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 08, 2026 | Mar 08, 2026 0 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 22, 2026 | Mar 26, 2026 4 bd · overdue | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 17, 2026 | Feb 19, 2026 2 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 04, 2026 | Feb 06, 2026 2 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 11, 2026 | Feb 11, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 03, 2026 | Feb 08, 2026 3 bd · overdue | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 18, 2026 | Feb 21, 2026 2 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 03, 2026 | Feb 05, 2026 2 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 15, 2026 | Jan 20, 2026 3 bd · overdue | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 24, 2026 | Mar 26, 2026 2 bd | 2Reached | 99496 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 19, 2026 | Feb 20, 2026 1 bd | 2Reached | 99496 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 11, 2026 | Feb 13, 2026 2 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 20, 2026 | Mar 21, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 14, 2026 | Jan 17, 2026 2 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 05, 2026 | Jan 07, 2026 2 bd | 1Unreached | 99495 | — | — | — | — | — | Re-attempt outreach | |
| Mar 20, 2026 | Mar 20, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 21, 2026 | Mar 22, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 08, 2026 | Feb 08, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 21, 2026 | Feb 23, 2026 1 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 10, 2026 | Mar 15, 2026 3 bd · overdue | 2Reached | 99496 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 07, 2026 | Feb 09, 2026 1 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 02, 2026 | Mar 03, 2026 1 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 12, 2026 | Jan 16, 2026 4 bd · overdue | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 02, 2026 | Feb 05, 2026 3 bd · overdue | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 14, 2026 | Jan 16, 2026 2 bd | 3Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 06, 2026 | Mar 06, 2026 0 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 17, 2026 | Jan 17, 2026 0 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 25, 2026 | Feb 25, 2026 0 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 26, 2026 | Mar 26, 2026 0 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Mar 18, 2026 | Mar 23, 2026 3 bd · overdue | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 10, 2026 | Feb 11, 2026 1 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 20, 2026 | Jan 20, 2026 0 bd | 2Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Jan 11, 2026 | Jan 13, 2026 2 bd | 1Reached | 99495 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 01, 2026 | Feb 01, 2026 0 bd | 1Reached | 99496 | — | — | — | — | — | Schedule TCM encounter | |
| Feb 18, 2026 | Feb 21, 2026 2 bd | 2Reached | 99496 | — | — | — | — | — | Schedule TCM encounter |