Family Medical Therapies

TRANSITION CARE

Compassionate Transitional Care in Rossville, GA

We Provide House Calls To Recently Discharged Patients To Deliver Follow-up Care

Deviating from discharge orders and delays in follow-up care increase the chances of a patent having to be readmitted to the hospital. Re-admissions place a lot of stress on patients, their families, and the entire healthcare system.

We work with patients and hospitals, before the patient is discharged, to plan their transitional medical care. Then immediately following discharge we provide them with follow up care at home in Rossville and the surrounding communities.

Family Medical Therapies PLLC Transition Care offers a house call, hands-on transition care model (not TeleMedicine) for managing patient through their critical recovery phases following surgery and/or hospitalization. Our care team works with the patient and discharging facility before the discharge occurs so that the transitional medical care can be planned. Upon discharge, we immediately conduct a follow-up visit to the patient’s home in order to assess the condition of the patient, in addition to any environmental and social factors that may affect the patient’s recovery. Any insight that is gained from the follow-up house call visit helps the care team with coordinating with the primary care physician and discharging facility, determining if there need to be any modifications made to the discharge care plan based on the individual post-discharge circumstances of the patient, or whether it should be implemented the way it was designed initially.

We implement or revise care plans as well as monitor patients based on a risk frequently basis to minimize any deviations or lapses from the care plan, and take any necessary corrective action based on how the patient responds to the treatment, in as close as possible to real time.

Finally, we work with the primary care physician of the patient receiving our Transition Care service to ensure good coordination of care and a hand-off that is smooth when the transition comes to an end if the patient desires. Patients who are receiving Transition Care service from us typically request us to take over primary care responsibilities, which we happily do.

Better Rossville Transitional Care. Better Outcomes.

Planning before discharge, immediate follow-up care, as well as effective hand-off following transitional care, all help to decrease the chances that the patient will have to readmitted to the hospital, lower overall care costs and increase the chances that the patient will make a complete recovery.

Payment and Costs

For Medical Facilities and Hospitals that participate in Family Medical Therapies Transition Care Program, we bill a participating hospital based on agreed-upon rates. There are some cases where the entire cost of the Transition Care services might not be covered by the Medical Facility or Hospital. In those cases, the patient or their insurance company is billed for the remainder.

Transition Care for Patients in the Rossville Area

Transition Care is also available for patients following hospitalization or surgery. We bill the patient’s insurance company (for a participating plan) for our services.

Not homebound. No insurance. No problem.

You also can directly pay us and then get a claim failed with your Health Insurance Plan. A home visit starts at $99 plus any applicable trip fees. We also accept all major credit cards and checks. No cash, please.

Family Medical Therapies PLLC Transition Care is ideal for:

  • Case Managers Planning Patient Care
  • Discharge Planners Planning Patient Discharge
  • Hospital Administrators Focused on Improving Outcomes
  • Post-Operative Patients Preparing For Discharge

Transition Care Plus patients get access to the full spectrum of primary care medical services for acute, chronic and urgent conditions.

We offer transitional care for post discharge and post-operative patients for:

  • Chronic respiratory failure including Tracheotomies and Ventilator Management
  • Coronary Artery Disease
  • Congestive Heart Failure
  • Acute Myocardial Infarction AMI
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Joint Replacement e.g. knee and hip
  • Wound Care Management
  • Coronary Artery Bypass Graft (CABG)
  • Pneumonia
  • Stroke
  • General Surgeries and Hospitalizations (internal medicine, gynecology, cardiorespiratory, cardiovascular, and neurology services)

We coordinate the following services through high-quality, reliable providers:

  • Discharging Facility
  • Home nursing services and home health aids
  • Phlebotomy (blood draws) and laboratory services
  • Mobile diagnostics and Imaging including X-Rays (digital radiography), 12 lead electrocardiograms (EKGs), ultrasound, mammograms and pacemaker checks
  • Pharmacy and prescription management services (medications delivered to your home)
  • Durable medical equipment such as walkers, wheelchairs and more
  • IV therapy, such as antibiotics and other medications
  • Physical, occupational and speech therapy and social work services
  • Oxygen and respiratory therapy

Costs and Payment

For Hospitals and Medical Facilities participating in the Transition Care Plus Program, we will bill the participating hospital based on agreed rates. In some cases the full cost of Transition Care Plus may not be covered by the Hospital or Medical Facility and the patient and/or patient insurance will be billed the remaining portion.

Transition Care for Individual Patients

We also provide Transitional Care for Individual Patients following surgery or other hospitalization. We will bill patients insurance (for participating plans) for this services.

No insurance. Not homebound. No problem.

You can pay us directly, and file a claim with your Health Plan. Visits start at $99 plus applicable trip fees and we accept checks and all major credit cards. No cash please.

Benefits of Family Medical Therapies PLLC Transition Care