• Annual Wellness Visit (Age 65+)

• Chronic Care Management (Age 65+)

• Transitional Care Management (Medicare Patients)

• Diagnose and treat common health conditions

• Management of Chronic Conditions

• Medication management

• Physicals

• Referrals to specialists and other community service

In order to qualify for TCM, the patient must be discharged from a qualifying service setting sucIn order to qualify for TCM, the patient must be discharged from a qualifying service setting such as a skilled nursing facility, inpatient acute care hospital, partial hospitalization, hospital outpatient observation, or inpatient psychiatric hospital. The patient must also have a documented medical record that indicates that the patient requires additional support from a physician, a non-physician provider, or other clinical staff. The primary goal of TCM is to ensure that there are no gaps in the patient's care. As such, the TCM service provider will assist with medical decision-making during the transition period. The level of medical decision-making required to meet the individual patient's needs will be determined by factors such as the number of possible diagnoses or management options, the amount or complexity of medical records and diagnostic tests, and the risk of significant complications.h as a skilled nursing facility, inpatient acute care hospital, partial hospitalization, hospital outpatient observation, or inpatient psychiatric hospital. The patient must also have a documented medical record that indicates that the patient requires additional support from a physician, a non-physician provider, or other clinical staff. The primary goal of TCM is to ensure that there are no gaps in the patient's care. As such, the TCM service provider will assist with medical decision-making during the transition period. The level of medical decision-making required to meet the individual patient's needs will be determined by factors such as the number of possible diagnoses or management options, the amount or complexity of medical records and diagnostic tests, and the risk of significant complications.

• Anxiety

• Asthma

• ADHD

• COPD/emphysema

• Congestive heart failure (CHF)

• Depression

• Diabetes

• Hypertension (high blood pressure)

• High cholesterol

• Insomnia

• Osteoarthritis

• Thyroid Problems

Medicare beneficiaries may be eligible for Chronic Care Management Services. These Care Management Services include a monthly 20-minute phone call  between you and our provider to help maintain your health. During these calls, we review your medications, and any changes or concerns that you may have with your overall health. It is our goal that these calls keep you healthy to avoid potential hospitalizations in the future. If you are a Medicare beneficiary and you would like to receive this Medicare benefit, please click the link above to complete the consent form and enroll in the program.

• Point of Care Tests

  • Pregnancy Test

  • Glucose Check

• Lab services collected by the Nurse Practitioner and sent to either LabCorp and Pathgroup

  • Urine Collection/Urine Test/STD Test

  • Lab Draws:  A1C, CBC, CMP, TSH, lipid panel, PSA, etc.

  • Pregnancy Test

  • Wound Culture

• Mobile diagnostic services provided by:  Trident Care at Home

  • Xray

  • Ultrasound

  • EKG