PCM + Pulmonology
Principal Care Management for Pulmonology — PointClickCare + CCN Health
Specialized PCM protocols for Pulmonology — integrated with PointClickCare, powered by CCN Health. Evidence-based workflows, automated documentation, and Medicare billing.
CCN Health provides a certified Principal Care Management (PCM) integration with PointClickCare optimized for pulmonology practices. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Principal Care Management for Pulmonology with PointClickCare
CCN Health's PCM program integrates with PointClickCare to provide pulmonology-specific clinical protocols, device monitoring, and automated Medicare billing for pulmonology patient populations.
Pulmonology Conditions Managed
- COPD
- Chronic asthma
- Pulmonary fibrosis
- Sleep apnea
- Post-COVID respiratory conditions
Clinical Protocols
- Continuous SpO2 and respiratory rate monitoring
- Threshold alerts for SpO2 < 88% or RR > 24
- Exacerbation detection via trending respiratory data
- Sleep apnea screening with overnight monitoring
Key Monitoring Metrics
| Metric | Clinical Significance |
|---|---|
| SpO2 levels | Tracked and trended for pulmonology management |
| Respiratory rate | Tracked and trended for pulmonology management |
| Peak expiratory flow | Tracked and trended for pulmonology management |
| Heart rate | Tracked and trended for pulmonology management |
| Sleep quality and apnea events | Tracked and trended for pulmonology management |
Recommended Devices for Pulmonology
| Device | Use Case |
|---|---|
| Pulse oximeter | Pulmonology monitoring |
| Xandar Kardian sensorless (RR) | Pulmonology monitoring |
| Blood pressure monitor | Pulmonology monitoring |
| Sleep monitor | Pulmonology monitoring |
Relevant ICD-10 Codes
- J44.x (COPD)
- J45.x (Asthma)
- J84.x (Pulmonary fibrosis)
- G47.3x (Sleep apnea)
Clinical Evidence
Remote monitoring of COPD patients reduces exacerbation-related hospitalizations by 20-30% and enables earlier intervention during acute episodes.
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 pulmonology practices?
CCN Health's PCM integration provides pulmonology-specific monitoring protocols, automated documentation in PointClickCare, and compliant Medicare billing for copd and related conditions.
What devices are recommended for pulmonology PCM?
For pulmonology patients, CCN Health recommends pulse oximeter, xandar kardian sensorless (rr), blood pressure monitor based on the specific conditions being managed.
Can PCM data integrate with specialist workflows?
Yes. All PCM data flows into PointClickCare and is available for specialist review, care plan updates, and cross-program coordination.
Pulmonology
Pulmonology 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 Pulmonology-specific quality measures.
Clinical Documentation — automated notes that satisfy specialist coding and audit requirements.
Purpose-built for Pulmonology 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 Pulmonology 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.
Specialist Data
Condition Monitoring, Referrals
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
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 Pulmonology — 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.
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