Executive Overview
Executive Overview
TCM to PCM bridge pilot performance, revenue capture, outcomes, containment, and data completeness.
Eligible Episodes
48 active
TCM Completion
33 encounters
PCM Conversion
25 enrolled
Billing Ready
TCM + PCM packets
Expected Revenue
allowed amount
Revenue Realization
$2.6k paid
USC Capture
16.7% leakage
RWE Completeness
avg across domains
Patient Journey Funnel
Eligible → Reached → TCM → PCM → Billed
Weekly Pilot Trend
Eligible episodes, TCM completed, PCM enrolled
Revenue Realization
Expected vs paid by month
Network Containment
USC capture vs external leakage
25 · 83%
5 · 17%
Outcomes
ED · readmits · complications
ED rate
12%
Satisfaction
4.35/5
Top Operational Risks
Open exceptions by severity & age
| Severity | Stage | Owner | Due |
|---|---|---|---|
| High TCM Overdue | Outreach | Felix Stone | 47d overdue |
| High Referral Leakage Risk | PCM Active | Liam Chen | 25d overdue |
| High Referral Leakage Risk | PCM Active | Elena Rivera | 8d overdue |
| High Billing Defect | PCM Active | Carmen Ortiz | 3d overdue |
| High TCM Not Scheduled | Outreach | Sofia Diaz | 7d |
| Medium No Discharge Feed | Outreach | Aisha Patel | 53d overdue |
| Medium Outreach Overdue | Outreach | Elena Rivera | 45d overdue |
Recent Patient Journey Activity
Latest discharged episodes with stage, NBA, and billing
| Patient | Episode | Stage | Next Action | Risk | Billing |
|---|---|---|---|---|---|
| Vincent RomeroUSC-900042 | EPI-2026-0042 DC Mar 26, 2026 | PCM Enrolled | Log additional PCM time this month | Low | Paid |
| Patricia EvansUSC-900005 | EPI-2026-0005 DC Mar 25, 2026 | Outreach | Resolve exception: TCM Not Scheduled | Medium | Draft |
| Xavier ThompsonUSC-900044 | EPI-2026-0044 DC Mar 25, 2026 | Outreach | — | High | Draft |
| Peggy LopezUSC-900037 | EPI-2026-0037 DC Mar 23, 2026 | Outreach | — | Medium | Draft |
| Irene DelgadoUSC-900029 | EPI-2026-0029 DC Mar 17, 2026 | TCM Complete | — | Medium | Draft |
| Grace BrooksUSC-900027 | EPI-2026-0027 DC Mar 15, 2026 | Outreach | — | Low | Draft |
| Laura HayesUSC-900033 | EPI-2026-0033 DC Mar 12, 2026 | Outreach | — | Medium | Draft |
| Karen ParkUSC-900015 | EPI-2026-0015 DC Mar 10, 2026 | PCM Active | Rework denied claim(s) | Low | Submitted |