PCM · CGM
Continuous Glucose Monitoring for CCRC PCM — ALIS + CCN Health
Continuous Glucose Monitoring technology powering your PCM program in CCRC — fully integrated with ALIS. Real-time alerts, clinical workflows, and automated billing in one platform.
Hundreds of facilities just like yours have grown their Principal Care Management programs with CCN Health. .
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Tell us about your organization
Share details about your CCRC, current EHR setup, and what you're looking to achieve.
We'll review and respond
Our team will assess your needs and send you relevant information, case studies, or suggest next steps.
Connect when you're ready
When the time is right, we'll schedule a personalized demo tailored to your workflows.
Send Us a Message
We'll get back to you within 24 hours.
CCN Health provides a certified Principal Care Management (PCM) integration with ALIS designed specifically for ccrc campuses, featuring cgm integration technology, bridging both ALIS and epic systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
CGM Integration for CCRC PCM with ALIS and Epic
CCRC campuses using ALIS as their facility EHR often work with physicians who use Epic for their practice management. When implementing PCM with cgm integration, this dual-EHR reality creates data flow challenges that CCN Health solves through bi-directional integration with both systems.
The Dual-EHR Challenge in CCRC
In ccrc settings with cgm integration, it's common for:
- The facility to use ALIS for resident records, charting, and daily care documentation
- The physician to use Epic for orders, billing, and clinical decision-making
- CGM Integration data to be needed in both systems for complete clinical documentation and billing
Without an integration bridge, cgm integration readings exist in isolation — staff must manually transcribe data between systems, leading to documentation gaps and billing delays.
How CGM Integration Works
Dexcom G7 sensors measure interstitial glucose levels every 5 minutes via a small sensor inserted just beneath the skin, providing 288 readings per day without fingersticks.
Data Captured
- Real-time glucose levels
- Glucose trends and rate of change
- Time-in-range metrics
- Hypoglycemia and hyperglycemia alerts
- Overnight glucose patterns
How CCN Health Bridges ALIS and Epic
CCN Health's platform serves as the central hub for all cgm integration data in dual-EHR environments:
- CGM Integration data flows to CCN Health — Real-time glucose levels and other metrics are captured continuously by the Dexcom G7 sensor
- ALIS receives resident records — Vital signs, alerts, and care documentation sync to ALIS resident charts automatically
- Epic receives clinical summaries — The ordering physician gets PCM reports with cgm integration data in their Epic workflow
- Billing documentation routes correctly — Claims data with cgm integration support goes to the billing entity via Epic
Data Flow: ALIS ↔ CCN Health ↔ Epic
| Data Type | ALIS | CCN Health | Epic |
|---|---|---|---|
| Resident Demographics | Source | Syncs | Receives |
| Real-time glucose levels | Receives | Hub | Receives |
| CGM Integration Alerts | Receives | Generates | Receives |
| Care Plans | Shared | Coordinates | Shared |
| Billing Documentation | Reference | Generates | Primary |
| PCM Time Tracking | Reference | Tracks | Primary |
Benefits for CCRC Campuses
Combining cgm integration with dual-EHR integration provides unique advantages for ccrc campuses:
Continuum Coverage
One monitoring platform covers every care level — data follows the resident as acuity changes.
Transition Support
Continuous monitoring data informs care level transitions with objective health metrics.
CGM Integration Advantages
- Continuous data (288 readings/day) vs. 2-4 fingerstick readings
- Real-time trend arrows showing glucose direction and speed of change
Billing Considerations for Dual-EHR CGM Integration PCM
In dual-EHR environments with cgm integration, billing typically flows through the physician practice (Epic):
| CPT Code | Reimbursement | Billing Entity | Documentation Source |
|---|---|---|---|
| 99424 | ~$70/mo | Physician (Epic) | CCN Health → Epic |
| 99425 | ~$56/mo | Physician (Epic) | CCN Health → Epic |
| 99426 | ~$80/mo | Physician (Epic) | CCN Health → Epic |
| 99427 | ~$64/mo | Physician (Epic) | CCN Health → Epic |
CGM Integration data provides the clinical documentation needed to support PCM billing with objective, time-stamped readings that demonstrate monitoring compliance.
Frequently Asked Questions
How does cgm integration data reach both EHR systems?
Data flows from the Dexcom G7 to CCN Health's platform, then syncs bi-directionally with both ALIS (for resident care documentation) and Epic (for physician clinical records and billing).
Do both systems get the same cgm integration data?
Both systems receive cgm integration data, but formatted for each system's role. ALIS gets detailed resident charting, while Epic receives clinical summaries optimized for physician workflows and billing.
What is the implementation timeline for cgm integration with dual-EHR?
Most ccrc campuses are fully operational within 4-6 weeks, including CGM training, dual-EHR integration setup, and care staff training. Both EHR connections are configured simultaneously.
Discovery call — we learn your workflows, EHR setup, and patient population so nothing gets lost in translation.
We configure your platform around how your team actually operates — custom alert thresholds, EHR data mapping, and role-based permissions.
Go live with monitoring, automated documentation, and billing tailored to your practice — your team stays focused on care.
No one-size-fits-all templates. Every integration is configured for how your CCRC actually operates.
Configurable Alerts
Set thresholds that match your clinical protocols
Flexible Workflows
Adapt routing, documentation, and permissions to your team
Automated Compliance
Real-time audit trail and billing validation
Advanced technology working behind the scenes — so your team gets faster processing, smarter alerts, and effortless documentation without changing how they work.
Technology that stays in the background — so care stays in the foreground.
Why CCN Health
Why CCRC Facilities Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Questions?
Want to learn more about Principal Care Management for CCRC?
Our team can answer your questions and show you how it works with your current workflow.
Seamless EHR Integration
How CCN Health Works Inside ALIS
Your program data flows directly into ALIS — no exports, no manual entry, no disruption to your clinical workflow.
Specialist Data
Condition Monitoring, Referrals
Built Around How You Operate
Custom workflows, smart alerting, and automated documentation — advanced technology working behind the scenes so your team doesn't have to.
ALIS
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
Devices & Billing
FDA-cleared devices and automated Medicare billing — configured per resident, synced with the EHR.
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 implementation, billing, and clinical workflows.
Yes. CCN Health integrates with the ALIS platform so that RPM readings sync directly into resident records, streamlining clinical workflows for senior living communities.
CCN Health transmits device data to ALIS through a secure API, ensuring vitals are available to caregivers inside the EHR they already use every day.
PCM focuses on patients with a single high-risk chronic condition, billed under CPT codes 99424 and 99425, covering care coordination and management services.
CCRCs use RPM across all levels of care—from independent living to skilled nursing—providing a consistent monitoring platform that follows residents as their care needs evolve.
Continuous Glucose Monitoring (CGM) integration allows real-time glucose data from CGM sensors to flow into CCN Health's platform, providing comprehensive metabolic insights alongside other vitals.
Still have questions? We're happy to walk you through anything.
Contact Us
Prefer to Send a Message?
Not ready for a call? No problem. Drop us a message and we'll get back to you within 24 hours with answers to your questions about Principal Care Management for your CCRC.
Tell us about your organization
Share details about your CCRC, current EHR setup, and what you're looking to achieve.
We'll review and respond
Our team will assess your needs and send you relevant information, case studies, or suggest next steps.
Connect when you're ready
When the time is right, we'll schedule a personalized demo tailored to your workflows.
Send Us a Message
We'll get back to you within 24 hours.
Get Started
Ready to bring Principal Care Management to your CCRC?
See how CCN Health can improve resident outcomes, preserve independence, support family engagement, and generate new Medicare revenue — all within the EHR your staff already uses.