Every discharge planner knows the fear: the patient who bounces back in 9 days. Unit One Health exists for that window — high-intensity in-home support starting with a first visit within 24–48 hours of discharge.
What We Handle
- Referral in seconds via our online form — no fax, no phone tag
- Referral acknowledged within 4 business hours
- AVA automated outreach engages the patient immediately post-discharge
- First in-home visit within 24–48 hours of discharge
- High-intensity coverage through the highest-risk window: visits, telehealth, med rec, SDOH support
- Day 7 PCP coordination and Day 14 transition summary — the loop closed
- Documentation designed to support CCM (99490), TCM (99495/99496), and RPM billing workflows
What This Means for Your Team
- Safer discharges, every time
- Fewer ED bounce-backs in the first 30 days
- One accountable partner instead of a fragmented handoff
How It Works
- Refer in seconds via our online form.
- We acknowledge your referral within 4 business hours and coordinate with your team.
- First in-home visit within 24–48 hours of discharge.
- 14-day high-intensity program (30-day extended support available) with the care loop closed.
Ready to partner?
Send your first referral today — we acknowledge every referral within 4 business hours.
Refer a Patient Now
