CCM · CGM
Continuous Glucose Monitoring for Independent Living CCM — ALIS + CCN Health
Continuous Glucose Monitoring technology powering your CCM program in Independent Living — fully integrated with ALIS. Real-time alerts, clinical workflows, and automated billing in one platform.
Schedule a DemoHundreds of facilities just like yours have grown their Chronic Care Management programs with CCN Health. Let us show you how.
CCN Health provides a certified Chronic Care Management (CCM) integration with ALIS designed specifically for independent living communities, featuring cgm integration technology, bridging both ALIS and matrixcare systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
CGM Integration for Independent Living CCM with ALIS and MatrixCare
Independent Living communities using ALIS as their facility EHR often work with physicians who use MatrixCare for their practice management. When implementing CCM with cgm integration, this dual-EHR reality creates data flow challenges that CCN Health solves through bi-directional integration with both systems.
The Dual-EHR Challenge in Independent Living
In independent living settings with cgm integration, it's common for:
- The facility to use ALIS for resident records, charting, and daily care documentation
- The physician to use MatrixCare for orders, billing, and clinical decision-making
- CGM Integration data to be needed in both systems for complete clinical documentation and billing
Without an integration bridge, cgm integration readings exist in isolation — staff must manually transcribe data between systems, leading to documentation gaps and billing delays.
How CGM Integration Works
Dexcom G7 sensors measure interstitial glucose levels every 5 minutes via a small sensor inserted just beneath the skin, providing 288 readings per day without fingersticks.
Data Captured
- Real-time glucose levels
- Glucose trends and rate of change
- Time-in-range metrics
- Hypoglycemia and hyperglycemia alerts
- Overnight glucose patterns
How CCN Health Bridges ALIS and MatrixCare
CCN Health's platform serves as the central hub for all cgm integration data in dual-EHR environments:
- CGM Integration data flows to CCN Health — Real-time glucose levels and other metrics are captured continuously by the Dexcom G7 sensor
- ALIS receives resident records — Vital signs, alerts, and care documentation sync to ALIS resident charts automatically
- MatrixCare receives clinical summaries — The ordering physician gets CCM reports with cgm integration data in their MatrixCare workflow
- Billing documentation routes correctly — Claims data with cgm integration support goes to the billing entity via MatrixCare
Data Flow: ALIS ↔ CCN Health ↔ MatrixCare
| Data Type | ALIS | CCN Health | MatrixCare |
|---|---|---|---|
| Resident Demographics | Source | Syncs | Receives |
| Real-time glucose levels | Receives | Hub | Receives |
| CGM Integration Alerts | Receives | Generates | Receives |
| Care Plans | Shared | Coordinates | Shared |
| Billing Documentation | Reference | Generates | Primary |
| CCM Time Tracking | Reference | Tracks | Primary |
Benefits for Independent Living Communities
Combining cgm integration with dual-EHR integration provides unique advantages for independent living communities:
Wellness-Focused
Positioned as proactive wellness technology rather than medical monitoring, encouraging adoption.
Early Detection
Catch emerging conditions before they require assisted living or skilled nursing transitions.
CGM Integration Advantages
- Continuous data (288 readings/day) vs. 2-4 fingerstick readings
- Real-time trend arrows showing glucose direction and speed of change
Billing Considerations for Dual-EHR CGM Integration CCM
In dual-EHR environments with cgm integration, billing typically flows through the physician practice (MatrixCare):
| CPT Code | Reimbursement | Billing Entity | Documentation Source |
|---|---|---|---|
| 99490 | ~$62/mo | Physician (MatrixCare) | CCN Health → MatrixCare |
| 99491 | ~$83/mo | Physician (MatrixCare) | CCN Health → MatrixCare |
CGM Integration data provides the clinical documentation needed to support CCM billing with objective, time-stamped readings that demonstrate monitoring compliance.
Frequently Asked Questions
How does cgm integration data reach both EHR systems?
Data flows from the Dexcom G7 to CCN Health's platform, then syncs bi-directionally with both ALIS (for resident care documentation) and MatrixCare (for physician clinical records and billing).
Do both systems get the same cgm integration data?
Both systems receive cgm integration data, but formatted for each system's role. ALIS gets detailed resident charting, while MatrixCare receives clinical summaries optimized for physician workflows and billing.
What is the implementation timeline for cgm integration with dual-EHR?
Most independent living communities are fully operational within 4-6 weeks, including CGM training, dual-EHR integration setup, and wellness staff training. Both EHR connections are configured simultaneously.
Discovery call — we learn your workflows, EHR setup, and resident population.
CCN's AI engine configures optimal alert thresholds and EHR data mapping around your facility's patterns.
Go live with AI-powered monitoring, automated documentation, and billing — your team stays focused on care.
No one-size-fits-all templates. Every integration is configured for how your Independent Living actually operates.
Book a Discovery CallAI-Powered Alerts
Pattern recognition catches changes early
Smart Workflows
Automated routing and documentation
Automated Compliance
Real-time audit trail and billing validation
Advanced intelligence working behind the scenes — faster processing, smarter alerts, effortless documentation.


Technology that stays in the background — so care stays in the foreground.
Why CCN Health
Why Independent Living Facilities Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Seamless EHR Integration
How CCN Health Works Inside ALIS
Your program data flows directly into ALIS — no exports, no manual entry, no disruption to your clinical workflow.
Care Coordination
Calls, Assessments, Care Plans
AI-Powered Platform
Intelligent data routing, anomaly detection, and automated documentation — working behind the scenes.
ALIS
Charts & Care Plans
What Flows Between Systems
Patient Demographics
Chronic conditions, medications, and problem lists from your EHR
Care Plan Updates
Treatment plans and goals sync bi-directionally
Contact Logging
Phone calls and check-ins documented with timestamps
Medication Reconciliation
Current medication lists kept in sync across platforms
Time Tracking
Care management minutes tracked for billing compliance
Billing Documentation
CPT 99490/99491 records generated automatically
“Every reading, every alert, every care plan update — available across all your programs. One integration, unlimited use cases.”
Infrastructure
Devices & Billing
FDA-cleared devices and automated Medicare billing — configured per resident, synced with the EHR.
Medicare Billing
Chronic Care Management (CCM)
3 billing codes
First 20 minutes of clinical staff time for CCM services
~$62
Monthly
Each additional 20 minutes of CCM clinical staff time
~$47
Monthly (additional)
First 30 minutes of physician/QHP time for complex CCM
~$83
Monthly
Common Questions
Frequently Asked Questions
Everything you need to know about implementation, billing, and clinical workflows.
Yes. CCN Health integrates with the ALIS platform so that RPM readings sync directly into resident records, streamlining clinical workflows for senior living communities.
CCN Health transmits device data to ALIS through a secure API, ensuring vitals are available to caregivers inside the EHR they already use every day.
CCM is a Medicare program that reimburses providers for non-face-to-face care coordination for patients with two or more chronic conditions, billed under CPT codes 99490, 99439, and 99491.
Yes. RPM helps independent living residents proactively manage chronic conditions with minimal disruption, while giving clinical teams visibility into health trends that might otherwise go unnoticed.
Continuous Glucose Monitoring (CGM) integration allows real-time glucose data from CGM sensors to flow into CCN Health's platform, providing comprehensive metabolic insights alongside other vitals.
Still have questions? We're happy to walk you through anything.
Talk to Our Team