Discharges arrive around the clock from every hospital. Zynix starts outreach from the ADT message, books the follow-up visit and routes clinical questions to your nurses by rule.
Every discharge opens the same short window. For transitional care management, CMS expects an interactive contact within 2 business days and a face-to-face visit within 7 or 14 days. Patients go home with new medications, half-remembered instructions and a follow-up visit that may not be booked.
Coordinators call the patients who were flagged at discharge first. The patient who looked stable, whose medication change wasn’t flagged and whose visit was never confirmed, is the one who waits, and too often the one who comes back through the ED.
Agents do the outreach and the scheduling. Nurses take the clinical questions and the TCM contact.
The discharge opens a care plan. An ADT message from any connected hospital is matched to the patient’s record and opens a post-discharge care plan the same day.
The agent calls or texts. It confirms the patient is home, reviews the discharge instructions and collects the medication list. Patients it can’t reach go to a care coordinator.
A nurse takes the clinical work. Red-flag answers and medication discrepancies are escalated by rule. The interactive TCM contact stays with your licensed clinical staff.
The follow-up visit is booked. ZynSchedule books the visit inside the 7- or 14-day window, and reminders go out before it.
The plan closes when the visit is documented. Coordinators see who was reached, who was escalated and which visits are still open.
Agents escalate, clinicians decide. Agents follow the escalation rules your team sets and hand clinical questions to a licensed clinician. They don’t diagnose or recommend treatment.
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