Transitional Care Management (TCM) with UrgentCare2Go
Bridging the Gap from Hospital to Home – Quality Care. Reduced Readmissions.
UrgentCare2Go® offers in-home and virtual Transitional Care Management (TCM) services to help patients safely transition after discharge from hospitals, skilled nursing facilities (SNFs), or other inpatient settings. We partner with hospitals, case managers, primary care physicians, and specialists to reduce readmissions, improve outcomes, and enhance patient satisfaction.
What Is TCM?
Transitional Care Management ensures patients receive timely follow-up after discharge to avoid complications and readmission. We provide:
Interactive contact within 2 business days of discharge
Face-to-face visit (in-home or virtual) within:
7 days for high-complexity (CPT 99496)
14 days for moderate-complexity (CPT 99495)
Medication reconciliation and care plan coordination
24/7 clinical support access after enrollment
Why Refer to UrgentCare2Go®?
Mobile Care Teams
Licensed providers visit patients at home for medical assessments, care coordination, and patient education.
Virtual TCM Options
Secure telehealth appointments available across Texas for added convenience and flexibility.
Streamlined Referrals
Easy online referral for hospitals, SNFs, and PCPs—no faxing or waiting required.
Reduces Readmissions
Our TCM follow-up reduces ER visits and unplanned hospital readmissions.
Fully Compliant Billing
Meets all CMS and commercial insurance TCM billing requirements.
Who Qualifies?
Patients recently discharged from:
Hospitals (inpatient or observation)
Skilled nursing facilities (SNFs)
Inpatient rehab or mental health facilities
At UrgentCare2Go®, we accept most major insurance plans including Medicare and Texas Medicaid using our billing company DK Physicians PLLC.
Providers
Meet Our Medical Staff
UrgentCare2Go®
provides comprehensive healthcare services for every member of your family, from the youngest to the oldest.
Our dedicated team includes Board Certified Family Medicine physicians and Physician Assistants
Nilesh
Nangrani
Family Medicine / Urgent Care
Des Moines University College
See All Offices +
Austin Office
Brownwood Office
Dallas-Fort Worth Office
El Paso Office
Houston Office
San Antonio Office
Lyndsey
Gonzalez
Family Medicine / Urgent Care
Baylor College of Medicine
See All Offices +
Austin Office
Brownwood Office
Dallas-Fort Worth Office
El Paso Office
Houston Office
San Antonio Office
Keali
Mullins
Primary Care / Internal Medicine
Maryville University
See All Offices +
Austin Office
Brownwood Office
Dallas-Fort Worth Office
El Paso Office
Houston Office
San Antonio Office
Saji
Pillai
Internal Medicine
Dr. B. R. Ambedkar Medical College
See All Offices +
Austin Office
Brownwood Office
Dallas-Fort Worth Office
El Paso Office
Houston Office
San Antonio Office
Aanchal
Shrestha
Family Medicine / Urgent Care
Arcadia University
See All Offices +
Austin Office
Brownwood Office
Dallas-Fort Worth Office
El Paso Office
Houston Office
San Antonio Office
Ali
Busoul
Family Medicine
Texas College
See All Offices +
Austin Office
Brownwood Office
Dallas-Fort Worth Office
El Paso Office
Houston Office
San Antonio Office
How to Refer a Patient
Call us at (817) 508-8169 or email Info@UrgentCare2Go.com. Let UrgentCare2Go help your patients recover safely at home—with fast, reliable follow-up care. Let me know if you'd like this in HTML format or integrated with your EHR referral system.