ALIS
CCN Health

PCM for Independent Living

Principal Care Management for Independent Living — Powered by ALIS + CCN Health

Purpose-built PCM for Independent Living communities. CCN Health integrates directly with ALIS to automate clinical workflows and capture every eligible reimbursement.

1
High-Risk Condition Focus
$70+
Monthly Revenue
Per Patient
20%
ER Visit Reduction
99.9%
Platform Uptime

Every facility is different. Let's find the right fit for yours.

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Quick Answer

CCN Health provides a certified Principal Care Management (PCM) integration with ALIS designed specifically for independent living communities, bridging both ALIS and matrixcare systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.

Deep Dive

PCM for Independent Living with ALIS and MatrixCare

Many independent living communities use ALIS as their facility EHR while the ordering physician or medical director uses MatrixCare for their practice. This dual-EHR reality creates challenges for PCM programs — clinical data lives in two systems that don't natively talk to each other. CCN Health solves this by integrating with both systems simultaneously.

The Dual-EHR Challenge in Independent Living

In independent living settings, 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
  • PCM data to be needed in both systems for complete clinical documentation

Without an integration bridge, wellness staff must manually enter data in both systems, leading to documentation gaps, billing delays, and clinical risk.

How CCN Health Bridges ALIS and MatrixCare

CCN Health's platform sits between both EHR systems, serving as a central hub for all PCM data:

  1. Device data flows to CCN Health — Vital signs from monitoring devices are captured by the CCN Health platform
  2. ALIS receives resident records — Vital signs, alerts, and care documentation sync to ALIS resident charts
  3. MatrixCare receives clinical summaries — The ordering physician gets PCM reports, clinical observations, and billing-ready documentation in their MatrixCare workflow
  4. Billing documentation routes correctly — Claims data goes to the billing entity (physician practice via MatrixCare) with supporting clinical documentation

Data Flow: ALIS ↔ CCN Health ↔ MatrixCare

Data Type ALIS CCN Health MatrixCare
Resident Demographics Source Syncs Receives
Vital Signs Receives Hub Receives
Clinical Alerts Receives Generates Receives
Care Plans Shared Coordinates Shared
Billing Documentation Reference Generates Primary
PCM Time Tracking Reference Tracks Primary

Why This Matters for Independent Living

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.

Minimal Disruption

Sensorless and simple-to-use devices require no lifestyle changes or technical skill.

Billing Considerations for Dual-EHR PCM

In dual-EHR environments, billing typically flows through the physician practice (MatrixCare):

CPT Code Reimbursement Billing Entity Documentation Source
99424 ~$70/mo Physician (MatrixCare) CCN Health → MatrixCare
99425 ~$56/mo Physician (MatrixCare) CCN Health → MatrixCare
99426 ~$80/mo Physician (MatrixCare) CCN Health → MatrixCare
99427 ~$64/mo Physician (MatrixCare) CCN Health → MatrixCare

CCN Health ensures all required documentation is routed to the correct system for compliant billing regardless of which entity submits the claim.

Frequently Asked Questions

Do both EHR systems get the same PCM data?

Both systems receive PCM data, but the content is tailored to each system's role. ALIS gets resident care documentation, while MatrixCare receives clinical summaries and billing records.

Who submits the Medicare claims?

Typically the physician practice bills through MatrixCare, with CCN Health providing all required documentation. The specific billing arrangement depends on your organization's structure.

Is there extra setup for dual-EHR integration?

CCN Health configures both integrations during the standard implementation period. The dual-EHR setup is part of our standard offering — no additional cost or extended timeline.

AI-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.

Resident receiving care in a senior living community
CCN Health

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.

01

EHR Integration

Bi-directional data sync with your existing EHR eliminates manual charting and reduces documentation errors.

02

Revenue Generation

Automated Medicare billing documentation captures every eligible reimbursement opportunity.

03

Clinical Outcomes

Real-time alerts and trending data enable early intervention before conditions deteriorate.

04

AI-Powered Efficiency

Intelligent workflows handle documentation, threshold management, and billing preparation — freeing clinical staff for direct patient care.

05

Family Engagement

Proactive monitoring gives families confidence in the quality of care being delivered.

06

Compliance & Reporting

Timestamped documentation supports regulatory compliance and quality measure reporting.

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.

Specialist Data

Condition Monitoring, Referrals

AI-Powered Platform

Intelligent data routing, anomaly detection, and automated documentation — working behind the scenes.

ALIS

Charts & Care Plans

What Flows Between Systems

01

Patient Demographics

High-risk conditions, specialist data, and medications

02

Condition Tracking

Disease-specific metrics monitored and trended

03

Specialist Coordination

Referral data and specialist notes synchronized

04

Care Plans

Condition-specific treatment plans inform monitoring

05

Time Tracking

Care management minutes tracked for billing compliance

06

Billing Documentation

CPT 99424/99425/99426/99427 records generated automatically

Every reading, every alert, every care plan update — available across all your programs. One integration, unlimited use cases.

ALIS + CCN Health

Let us show you what Principal Care Management looks like inside ALIS

A live walkthrough tailored to your Independent Living — your workflows, your EHR, your residents. No generic slides.

Infrastructure

Medicare Billing

Automated Medicare billing documentation — every qualifying encounter captured and coded.

Medicare Billing

Principal Care Management (PCM)

2 billing codes

First 30 minutes of clinical staff time for PCM

Single high-risk chronic condition30+ minutes of care managementCondition expected to last 3+ months

~$70

Monthly

Each additional 30 minutes of PCM clinical staff time

Additional 30+ minute incrementsRequires 99424 as base code

~$54

Monthly (additional)

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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.

PCM focuses on patients with a single high-risk chronic condition, billed under CPT codes 99424 and 99425, covering care coordination and management services.

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.

Most facilities are fully operational within 2–4 weeks. CCN Health handles device provisioning, EHR integration setup, staff training, and ongoing clinical support.

Still have questions? We're happy to walk you through anything.

Talk to Our Team
ALIS
CCN Health

Get Started

Ready to bring Principal Care Management to your Independent Living?

See how CCN Health can improve resident outcomes, preserve independence, support family engagement, and generate new Medicare revenue — all within the EHR your staff already uses.