Continuous Glucose Monitoring for Chronic Care Management — Inside athenahealth
CGM data flows directly into athenahealth through CCN Health — powering your CCM program with real-time insights and automated billing.
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CCN Health provides a certified Chronic Care Management (CCM) integration with athenahealth, featuring cgm integration technology. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Discovery call — we learn your workflows, EHR setup, and resident population.
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Go live with AI-powered monitoring, automated documentation, and billing — your team stays focused on care.
CGM Integration for Chronic Care Management with athenahealth
Continuous Glucose Monitoring Integration transforms how CCM programs operate with athenahealth. 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.
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.
Vitals and Data Captured
- Real-time glucose levels
- Glucose trends and rate of change
- Time-in-range metrics
- Hypoglycemia and hyperglycemia alerts
- Overnight glucose patterns
Key Advantages
- Continuous data (288 readings/day) vs. 2-4 fingerstick readings
- Real-time trend arrows showing glucose direction and speed of change
- Automated alerts for hypo/hyperglycemia before symptoms appear
- Eliminates painful and inconvenient fingerstick testing
- Improved HbA1c through actionable glucose data
CGM Integration vs. Traditional Monitoring
| Factor | CGM (Dexcom G7) | Traditional Glucose Meters |
|---|---|---|
| Readings Per Day | 288 (every 5 min) | 2-4 fingersticks |
| Trend Data | Real-time direction arrows | Point-in-time only |
| Overnight Monitoring | Continuous | Requires wake-up checks |
| Patient Comfort | Small sensor, changed every 10 days | Fingerstick lancets daily |
| Alert Capability | Predictive high/low alerts | Only at time of test |
| Staff Burden | Minimal — data auto-transmits | Manual testing and charting |
Ideal Use Cases
- Diabetes patients on insulin therapy
- Residents with hypoglycemia unawareness
- Endocrinology program management
- Skilled nursing post-acute diabetes stabilization
CGM Integration in CCM Programs
When integrated with CCN Health's CCM program through athenahealth, cgm integration data flows automatically into the EHR and contributes to:
- Clinical Documentation — Monitoring data documented for care plan updates
- Billing Compliance — Data transmissions count toward 99491 requirements
- Alert Workflows — Abnormal readings trigger notifications to care staff via athenahealth
- Cross-Program Use — CGM Integration data available across RPM, CCM, and other programs
Billing & Reimbursement
CGM Integration data contributes to CCM billing requirements:
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 99490 | ~$62/mo | 20+ minutes of clinical staff time per month |
| 99491 | ~$83/mo | 30+ minutes of physician/QHP time per month |
Monthly potential per patient: $62+
Frequently Asked Questions
How does cgm integration data flow to athenahealth?
CGM Integration data is captured automatically and transmitted to the CCN Health platform, which syncs bi-directionally with athenahealth. No manual entry is required.
Does cgm integration qualify for CCM billing?
Yes. CGM Integration data transmissions count toward the monitoring requirements for CCM CPT codes when combined with CCN Health's clinical oversight services.
What is the implementation process?
CCN Health handles the full setup: CGM sensor training, data flow setup, athenahealth integration, staff training, and ongoing support.
Technology that stays in the background — so care stays in the foreground.
Why CCN Health
Why Healthcare Facilities Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Seamless EHR Integration
How CCN Health Works Inside athenahealth
Your program data flows directly into athenahealth — 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.
athenahealth
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
Medicare Billing
Automated Medicare billing documentation — every qualifying encounter captured and coded.
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 athenahealth so that RPM data flows directly into patient charts, reducing manual documentation and improving care coordination.
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.
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.
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.
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