MatrixCare
CCN Health

RTM + Nephrology

RTM for Nephrology — MatrixCare + CCN Health

Specialized RTM protocols for Nephrology — integrated with MatrixCare, powered by CCN Health. Evidence-based workflows, automated documentation, and Medicare billing.

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Quick Answer

CCN Health provides a certified Remote Therapeutic Monitoring (RTM) integration with MatrixCare optimized for nephrology practices. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.

Clinical Deep Dive

Remote Therapeutic Monitoring for Nephrology with MatrixCare

CCN Health's RTM program integrates with MatrixCare to provide nephrology-specific clinical protocols, therapy tracking, and automated Medicare billing for nephrology patient populations.

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

Therapeutic Outcome Measures

Outcome Use Case Details
Pain Assessment Post-surgical, chronic pain Visual analog scale, tracked daily for trending
Range of Motion Joint replacement, MSK rehab Goniometer readings for joint mobility tracking
Functional Status ADL improvement tracking Standardized assessments of daily living activities
Respiratory Function COPD, asthma management Peak flow, inhaler usage, symptom scoring
Medication Adherence Therapy compliance Self-reported adherence with automated reminders

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
98975 ~$19 Initial setup and patient education for RTM device
98976 ~$50/mo 16+ days of respiratory therapy monitoring data
98977 ~$50/mo 16+ days of MSK therapy monitoring data
98980 ~$48/mo First 20 minutes of treatment management services
98981 ~$38/mo Each additional 20 minutes of treatment management

Monthly potential per patient: $100+

Frequently Asked Questions

How does RTM support nephrology practices?

CCN Health's RTM 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 RTM?

For nephrology patients, CCN Health recommends blood pressure monitor, weight scale, blood glucose meter based on the specific conditions being managed.

Can RTM data integrate with specialist workflows?

Yes. All RTM data flows into MatrixCare and is available for specialist review, care plan updates, and cross-program coordination.

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 Nephrology Programs Choose CCN Health

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

01

EHR Integration

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

02

Revenue Generation

Automated Medicare billing documentation captures every eligible reimbursement opportunity.

03

Clinical Outcomes

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

04

AI-Powered Efficiency

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

05

Family Engagement

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

06

Compliance & Reporting

Timestamped documentation supports regulatory compliance and quality measure reporting.

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.

RPM Devices

CGM, Scales, BP, SpO2

AI-Powered Platform

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

MatrixCare

Charts & Care Plans

What Flows Between Systems

01

Patient Demographics

Conditions, medications, and census sync from your EHR

02

Vital Observations

Device readings flow automatically into patient charts

03

Discharge & ADT Events

Admission and discharge events trigger protocol changes

04

Care Plans

Treatment plans inform monitoring thresholds and alerts

05

Billing Documentation

CPT-ready records generated for claims submission

06

Cross-Program Data

RPM data available for CCM, PCM, BHI — no re-entry

Every reading, every alert, every care plan update — available across all your programs. One integration, unlimited use cases.

MatrixCare + CCN Health

Let us show you what RTM looks like inside MatrixCare

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

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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.

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
MatrixCare
CCN Health

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Ready to bring RTM 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.