MatrixCare Integration
Principal Care Management with CCN Health's MatrixCare Integration
How CCN Health delivers Principal Care Management through seamless MatrixCare integration — automated documentation, real-time alerts, and Medicare billing built in.
Schedule a DemoCCN Health provides a certified Principal Care Management (PCM) integration with MatrixCare. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
What is Principal Care Management with MatrixCare?
With CCN Health's MatrixCare 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
- Condition Identification — Identify a single high-complexity chronic condition requiring ongoing management
- Specialist Care Plan — Develop condition-specific management plan with measurable goals
- Focused Monitoring — Disease-specific metrics tracked and trended over time
- MatrixCare Integration — Specialist coordination data and care plans sync with MatrixCare automatically
- Billing Automation — Time tracking for CPT 99424-99427 documented automatically
Key Features
| Feature | Details |
|---|---|
| EHR Integration | Bi-directional sync with MatrixCare |
| 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 MatrixCare for PCM?
Yes. CCN Health has a certified integration with MatrixCare that enables bi-directional data flow. Vital signs and clinical data automatically appear in MatrixCare 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.
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 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.”
Common Questions
Frequently Asked Questions
Everything you need to know about Principal Care Management — 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 Team
Get Started
Ready to bring Principal Care Management to your organization?
See how CCN Health can improve patient outcomes and generate new Medicare revenue — all within the EHR your staff already uses.