CCM + Cardiology
Chronic Care Management for Cardiology — PointClickCare + CCN Health
Specialized CCM protocols for Cardiology — integrated with PointClickCare, powered by CCN Health. Evidence-based workflows, automated documentation, and Medicare billing.
CCN Health provides a certified Chronic Care Management (CCM) integration with PointClickCare optimized for cardiology practices. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Chronic Care Management for Cardiology with PointClickCare
Cardiology practices managing heart failure (hfref and hfpef) and hypertension can leverage CCN Health's CCM integration with PointClickCare for disease-specific monitoring, automated documentation, and compliant billing.
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 |
|---|---|---|
| 99490 | ~$62/mo | 20+ minutes of clinical staff time per month |
| 99491 | ~$83/mo | 30+ minutes of physician/QHP time per month |
Monthly potential per patient: $62+
Frequently Asked Questions
How does CCM support cardiology practices?
CCN Health's CCM integration provides cardiology-specific monitoring protocols, automated documentation in PointClickCare, and compliant Medicare billing for heart failure (hfref and hfpef) and related conditions.
What devices are recommended for cardiology CCM?
For cardiology patients, CCN Health recommends blood pressure monitor, weight scale, pulse oximeter based on the specific conditions being managed.
Can CCM data integrate with specialist workflows?
Yes. All CCM data flows into PointClickCare 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 PointClickCare
Your program data flows directly into PointClickCare — no exports, no manual entry, no disruption to your clinical workflow.
Care Coordination
Calls, Assessments, Care Plans
AI-Powered Platform
Intelligent data routing, anomaly detection, and automated documentation — working behind the scenes.
PointClickCare
Charts & Care Plans
What Flows Between Systems
Patient Demographics
Chronic conditions, medications, and problem lists from your EHR
Care Plan Updates
Treatment plans and goals sync bi-directionally
Contact Logging
Phone calls and check-ins documented with timestamps
Medication Reconciliation
Current medication lists kept in sync across platforms
Time Tracking
Care management minutes tracked for billing compliance
Billing Documentation
CPT 99490/99491 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
Chronic Care Management (CCM)
3 billing codes
First 20 minutes of clinical staff time for CCM services
~$62
Monthly
Each additional 20 minutes of CCM clinical staff time
~$47
Monthly (additional)
First 30 minutes of physician/QHP time for complex CCM
~$83
Monthly
Common Questions
Frequently Asked Questions
Everything you need to know about Cardiology — implementation, billing, and clinical workflows.
Yes. CCN Health has a direct integration with PointClickCare, allowing vital-sign data from RPM devices to flow automatically into resident charts without manual entry.
Device readings are transmitted to CCN Health's platform and then pushed into PointClickCare via API, appearing alongside existing clinical documentation for a unified workflow.
CCM is a Medicare program that reimburses providers for non-face-to-face care coordination for patients with two or more chronic conditions, billed under CPT codes 99490, 99439, and 99491.
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 Chronic 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.