From Medsien

Remote patient monitoring (RPM) programs (a subcategory of homecare telehealth), retrieve patient health status and data readings from automated personal devices a patient has or wears at home (e.g.heart or glucose monitor).

Transitional Care Management is a program designed to support and track Medicare patients in the 30 days following discharge from a hospital or treatment facility.

The Centers for Medicare and Medicaid Services (CMS) defines chronic conditions as those in which the patient is at significant risk of death, acute exacerbation/decompensation, or functional decline, and are expected to last until the death of the patient.