athenahealth Integration

Principal Care Management with CCN Health's athenahealth Integration

How CCN Health delivers Principal Care Management through seamless athenahealth integration — automated documentation, real-time alerts, and Medicare billing built in.

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Quick Answer

CCN Health provides a certified Principal Care Management (PCM) integration with athenahealth. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.

Deep Dive

What is Principal Care Management with athenahealth?

With CCN Health's athenahealth integration, PCM programs become operationally simple. Vital sign data, clinical alerts, and care documentation flow automatically between systems.

Focused management of a single high-complexity chronic condition that requires frequent specialist-level attention. Ideal for conditions like advanced heart failure, complex diabetes, or stage 4+ CKD.

How It Works

  1. Condition Identification — Identify a single high-complexity chronic condition requiring ongoing management
  2. Specialist Care Plan — Develop condition-specific management plan with measurable goals
  3. Focused Monitoring — Disease-specific metrics tracked and trended over time
  4. athenahealth Integration — Specialist coordination data and care plans sync with athenahealth automatically
  5. Billing Automation — Time tracking for CPT 99424-99427 documented automatically

Key Features

Feature Details
EHR Integration Bi-directional sync with athenahealth
Devices Supported Blood pressure, weight, SpO2, glucose, sensorless
Alert Time Real-time notifications to care staff
Billing Codes 99424, 99425, 99426, 99427
Compliance HIPAA compliant, CMS-aligned documentation
Platform Uptime 99.9% availability

Supported Devices

Device Use Case Experience
Condition-Specific Devices Targeted monitoring Devices matched to the principal condition
Specialist Dashboard Disease tracking Trend views for condition-specific metrics

Clinical Benefits

  • Intensive management of high-risk conditions
  • Reduced ER visits through specialist-level oversight
  • Measurable improvement in disease-specific outcomes
  • Better coordination between primary and specialty care

Billing & Reimbursement

CCN Health automates Medicare PCM billing documentation:

CPT Code Reimbursement Requirements
99424 ~$70/mo 30+ minutes of clinical staff time per month
99425 ~$56/mo Each additional 30 minutes of clinical time
99426 ~$80/mo 30+ minutes of physician/QHP time
99427 ~$64/mo Each additional 30 minutes of physician time

Monthly potential per patient: $70+

Frequently Asked Questions

Does CCN Health integrate directly with athenahealth for PCM?

Yes. CCN Health has a certified integration with athenahealth that enables bi-directional data flow. Vital signs and clinical data automatically appear in athenahealth patient records.

What are the billing requirements for PCM?

99424 requires 30+ minutes of clinical staff time per month. CCN Health tracks all requirements automatically and generates documentation for compliant billing.

Can PCM data be used across other programs?

Yes. CCN Health's platform enables cross-program data sharing. PCM data is available for use in RPM, CCM, PCM, and BHI programs without re-entry.

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 Healthcare Organizations Choose CCN Health

Purpose-built technology that fits your clinical workflows and drives measurable outcomes.

EHR Integration

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

Revenue Generation

Automated Medicare billing documentation captures every eligible reimbursement opportunity.

Clinical Outcomes

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

AI-Powered Efficiency

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

Family Engagement

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

Compliance & Reporting

Timestamped documentation supports regulatory compliance and quality measure reporting.

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.

Specialist Data

Condition Monitoring, Referrals

AI-Powered Platform

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

athenahealth

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.

athenahealth + CCN Health

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

A live walkthrough tailored to your organization — your workflows, your EHR, your patients. No generic slides.

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Common Questions

Frequently Asked Questions

Everything you need to know about Principal Care Management — 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.

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

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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CCN Health

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See how CCN Health can improve patient outcomes and generate new Medicare revenue — all within the EHR your staff already uses.