CCM · CGM
Continuous Glucose Monitoring for CCRC CCM — athenahealth + CCN Health
Continuous Glucose Monitoring technology powering your CCM program in CCRC — fully integrated with athenahealth. 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 athenahealth designed specifically for ccrc campuses, featuring cgm integration technology. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
CGM Integration for CCRC CCM with athenahealth
For ccrc campuses running CCM through athenahealth, cgm integration addresses a critical need: managing monitoring across multiple care levels on one campus. 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.
Why CGM Integration for CCRC
CCRC campuses serve residents across the full continuum of care — from independent living through assisted living, memory care, and skilled nursing — within a single campus. CGM Integration is particularly relevant because:
- 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
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
Benefits for CCRC Campuses
Continuum Coverage
One monitoring platform covers every care level — data follows the resident as acuity changes.
Transition Support
Continuous monitoring data informs care level transitions with objective health metrics.
Campus-Wide Insights
Aggregated data across all care levels supports operational planning and quality improvement.
CGM Integration vs. Traditional Approaches
| Factor | CGM | Traditional |
|---|---|---|
| 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 |
Common Conditions in CCRC
- hypertension
- diabetes
- heart failure
- COPD
- fall risk
- cognitive decline
Billing & Reimbursement
CGM Integration data contributes to CCM billing in ccrc settings:
| 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 resident: $62+
Frequently Asked Questions
Is cgm integration suitable for ccrc residents?
Yes. CGM Integration is ideal for ccrc settings, where continuous data (288 readings/day) vs. 2-4 fingerstick readings.
How does cgm integration data reach athenahealth?
Data flows automatically from the monitoring sensor to CCN Health's platform, then syncs bi-directionally with athenahealth. No manual charting required.
What is the implementation timeline?
Most ccrc campuses are fully operational within 4 weeks including CGM training, athenahealth integration, and care staff training.
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 CCRC 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 CCRC 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
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 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.
CCRCs use RPM across all levels of care—from independent living to skilled nursing—providing a consistent monitoring platform that follows residents as their care needs evolve.
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.
Talk to Our Team
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Ready to bring Chronic Care Management to your CCRC?
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.