BHI + Nephrology
Behavioral Health Integration for Nephrology — MatrixCare + CCN Health
Specialized BHI protocols for Nephrology — integrated with MatrixCare, powered by CCN Health. Evidence-based workflows, automated documentation, and Medicare billing.
CCN Health provides a certified Behavioral Health Integration (BHI) integration with MatrixCare optimized for nephrology practices. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Behavioral Health Integration for Nephrology with MatrixCare
Nephrology practices managing chronic kidney disease (stages 3-5) and end-stage renal disease can leverage CCN Health's BHI integration with MatrixCare for disease-specific monitoring, automated documentation, and compliant billing.
Nephrology Conditions Managed
- Chronic kidney disease (stages 3-5)
- End-stage renal disease
- Nephrotic syndrome
- Hypertensive nephropathy
- Diabetic nephropathy
Clinical Protocols
- Strict blood pressure control (target < 130/80)
- Daily weight monitoring for fluid overload detection
- Threshold alerts for weight gain > 2 lbs/day or BP > 160/100
- Glucose monitoring for diabetic nephropathy patients
Key Monitoring Metrics
| Metric | Clinical Significance |
|---|---|
| Blood pressure | Tracked and trended for nephrology management |
| Daily weight (fluid balance) | Tracked and trended for nephrology management |
| Blood glucose (for diabetic nephropathy) | Tracked and trended for nephrology management |
| SpO2 | Tracked and trended for nephrology management |
| Heart rate | Tracked and trended for nephrology management |
Screening Instruments
| Instrument | Use Case | Details |
|---|---|---|
| PHQ-9 | Depression screening | 9-item questionnaire, scored 0-27, tracks severity and treatment response |
| GAD-7 | Anxiety screening | 7-item questionnaire, scored 0-21, identifies generalized anxiety disorder |
| PHQ-2 | Depression pre-screen | 2-item rapid screen, gateway to full PHQ-9 if positive |
| Columbia Suicide Severity Rating Scale | Suicide risk assessment | Structured interview for suicide ideation and behavior |
| Montreal Cognitive Assessment (MoCA) | Cognitive screening | 30-point test for mild cognitive impairment detection |
Relevant ICD-10 Codes
- N18.x (Chronic kidney disease)
- N04 (Nephrotic syndrome)
- I12.x (Hypertensive CKD)
- E11.22 (T2DM with diabetic CKD)
Clinical Evidence
RPM-based blood pressure management in CKD patients has demonstrated slower disease progression and reduced cardiovascular events by 15-25%.
Billing & Reimbursement
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 99484 | ~$48/mo | 20+ minutes of clinical staff time per month |
| 99492 | ~$163 | Initial psychiatric collaborative care (70+ min first month) |
| 99493 | ~$130/mo | Subsequent psychiatric collaborative care (60+ min) |
Monthly potential per patient: $48+
Frequently Asked Questions
How does BHI support nephrology practices?
CCN Health's BHI integration provides nephrology-specific monitoring protocols, automated documentation in MatrixCare, and compliant Medicare billing for chronic kidney disease (stages 3-5) and related conditions.
What devices are recommended for nephrology BHI?
For nephrology patients, CCN Health recommends blood pressure monitor, weight scale, blood glucose meter based on the specific conditions being managed.
Can BHI data integrate with specialist workflows?
Yes. All BHI data flows into MatrixCare and is available for specialist review, care plan updates, and cross-program coordination.
Nephrology
Nephrology 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 Nephrology-specific quality measures.
Clinical Documentation — automated notes that satisfy specialist coding and audit requirements.
Purpose-built for Nephrology 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 Nephrology 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.
BH Assessments
PHQ-9, GAD-7, Screenings
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
Behavioral health diagnoses, medications, and history from your EHR
Screening Scores
PHQ-9, GAD-7, and assessment results posted to patient charts
Intervention Notes
Behavioral health interventions documented and time-stamped
Care Coordination
Psychiatric consult notes and referral tracking
Time Tracking
BHI care management minutes tracked for 20-min threshold
Billing Documentation
CPT 99484/99492/99493 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
Behavioral Health Integration (BHI)
1 billing codes
Care management for behavioral health conditions
~$48
Monthly
Common Questions
Frequently Asked Questions
Everything you need to know about Nephrology — 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.
BHI enables billing for care management services for patients with behavioral health conditions, using CPT codes 99484, 99492, and 99493.
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 Behavioral Health Integration to your Nephrology 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.