PCM + Cardiology
Principal Care Management for Cardiology — MatrixCare + CCN Health
Specialized PCM protocols for Cardiology — integrated with MatrixCare, powered by CCN Health. Evidence-based workflows, automated documentation, and Medicare billing.
CCN Health provides a certified Principal Care Management (PCM) integration with MatrixCare optimized for cardiology practices. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Principal Care Management for Cardiology with MatrixCare
CCN Health's PCM program integrates with MatrixCare to provide cardiology-specific clinical protocols, device monitoring, and automated Medicare billing for cardiology patient populations.
Cardiology Conditions Managed
- Heart failure (HFrEF and HFpEF)
- Hypertension
- Atrial fibrillation
- Coronary artery disease
- Post-MI management
Clinical Protocols
- Daily blood pressure and weight monitoring
- Threshold alerts for BP > 180/110 or weight gain > 3 lbs/day
- Medication titration based on trending data
- Heart failure decompensation early warning protocols
Key Monitoring Metrics
| Metric | Clinical Significance |
|---|---|
| Blood pressure (systolic/diastolic) | Tracked and trended for cardiology management |
| Heart rate and rhythm | Tracked and trended for cardiology management |
| Daily weight (fluid retention) | Tracked and trended for cardiology management |
| SpO2 levels | Tracked and trended for cardiology management |
| Heart rate variability | Tracked and trended for cardiology management |
Recommended Devices for Cardiology
| Device | Use Case |
|---|---|
| Blood pressure monitor | Cardiology monitoring |
| Weight scale | Cardiology monitoring |
| Pulse oximeter | Cardiology monitoring |
| Xandar Kardian sensorless (HR, RR) | Cardiology monitoring |
Relevant ICD-10 Codes
- I50.x (Heart failure)
- I10 (Essential hypertension)
- I48.x (Atrial fibrillation)
- I25.x (Chronic ischemic heart disease)
Clinical Evidence
Studies show RPM reduces heart failure readmissions by 25-38% and improves blood pressure control rates by 15-20% compared to usual care.
Billing & Reimbursement
| 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
How does PCM support cardiology practices?
CCN Health's PCM integration provides cardiology-specific monitoring protocols, automated documentation in MatrixCare, and compliant Medicare billing for heart failure (hfref and hfpef) and related conditions.
What devices are recommended for cardiology PCM?
For cardiology patients, CCN Health recommends blood pressure monitor, weight scale, pulse oximeter based on the specific conditions being managed.
Can PCM data integrate with specialist workflows?
Yes. All PCM data flows into MatrixCare and is available for specialist review, care plan updates, and cross-program coordination.
Cardiology
Cardiology Protocols — clinical workflows configured to evidence-based guidelines and risk thresholds.
Specialist Coordination — automated alerts and reporting to referring specialists and primary care teams.
Outcome Tracking — longitudinal vitals data mapped to Cardiology-specific quality measures.
Clinical Documentation — automated notes that satisfy specialist coding and audit requirements.
Purpose-built for Cardiology workflows — integrated with the EHR your facility already uses.
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 Cardiology Programs Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Seamless EHR Integration
How CCN Health Works Inside MatrixCare
Your program data flows directly into MatrixCare — 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.
MatrixCare
Charts & Care Plans
What Flows Between Systems
Patient Demographics
High-risk conditions, specialist data, and medications
Condition Tracking
Disease-specific metrics monitored and trended
Specialist Coordination
Referral data and specialist notes synchronized
Care Plans
Condition-specific treatment plans inform monitoring
Time Tracking
Care management minutes tracked for billing compliance
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.”
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
~$70
Monthly
Each additional 30 minutes of PCM clinical staff time
~$54
Monthly (additional)
Common Questions
Frequently Asked Questions
Everything you need to know about Cardiology — implementation, billing, and clinical workflows.
Yes. CCN Health integrates with MatrixCare to deliver monitoring data into post-acute care workflows, supporting RPM and CCM programs across skilled nursing and senior living.
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 TeamGet Started
Ready to bring Principal Care Management to your Cardiology program?
See how CCN Health can improve patient outcomes, support specialist coordination, and generate new Medicare revenue — all within the EHR your staff already uses.