Blood Glucose Monitoring for Senior Living PCM — ALIS + CCN Health

Glucose Monitoring for Senior Living PCM with ALIS and MatrixCare

Senior Living communities using ALIS as their facility EHR often work with physicians who use MatrixCare for their practice management. When implementing PCM with glucose monitoring, this dual-EHR reality creates data flow challenges that CCN Health solves through bi-directional integration with both systems.

The Dual-EHR Challenge in Senior Living

In senior living settings with glucose monitoring, it's common for:

• The facility to use ALIS for resident records, charting, and daily care documentation
• The physician to use MatrixCare for orders, billing, and clinical decision-making
• Glucose Monitoring data to be needed in both systems for complete clinical documentation and billing

Without an integration bridge, glucose monitoring readings exist in isolation — staff must manually transcribe data between systems, leading to documentation gaps and billing delays.

How Glucose Monitoring Works

FDA-cleared blood glucose meters from Trividia Health and Smart Meter use fingerstick testing with automatic cellular transmission. Results transmit to the CCN Health platform within minutes without patient interaction beyond the test itself.

Data Captured

• Fasting blood glucose
• Postprandial glucose
• Blood glucose trends
• Hypoglycemia events
• Hyperglycemia events

How CCN Health Bridges ALIS and MatrixCare

CCN Health's platform serves as the central hub for all glucose monitoring data in dual-EHR environments:

1. Glucose Monitoring data flows to CCN Health — Fasting blood glucose and other metrics are captured continuously by the monitoring system
2. ALIS receives resident records — Vital signs, alerts, and care documentation sync to ALIS resident charts automatically
3. MatrixCare receives clinical summaries — The ordering physician gets PCM reports with glucose monitoring data in their MatrixCare workflow
4. Billing documentation routes correctly — Claims data with glucose monitoring support goes to the billing entity via MatrixCare

Data Flow: ALIS ↔ CCN Health ↔ MatrixCare

Data Type	ALIS	CCN Health	MatrixCare
Resident Demographics	Source	Syncs	Receives
Fasting blood glucose	Receives	Hub	Receives
Glucose Monitoring Alerts	Receives	Generates	Receives
Care Plans	Shared	Coordinates	Shared
Billing Documentation	Reference	Generates	Primary
PCM Time Tracking	Reference	Tracks	Primary

Benefits for Senior Living Communities

Combining glucose monitoring with dual-EHR integration provides unique advantages for senior living communities:

No Wearables Required

Xandar Kardian sensorless monitoring captures vitals without devices residents need to wear, preserving independence and dignity.

Revenue Generation

Medicare reimbursement adds new revenue per resident per month with automated billing documentation.

Glucose Monitoring Advantages

• Familiar fingerstick method — minimal learning curve
• Automatic cellular transmission eliminates manual logging

Billing Considerations for Dual-EHR Glucose Monitoring PCM

In dual-EHR environments with glucose monitoring, billing typically flows through the physician practice (MatrixCare):

CPT Code	Reimbursement	Billing Entity	Documentation Source
99424	~$70/mo	Physician (MatrixCare)	CCN Health → MatrixCare
99425	~$56/mo	Physician (MatrixCare)	CCN Health → MatrixCare
99426	~$80/mo	Physician (MatrixCare)	CCN Health → MatrixCare
99427	~$64/mo	Physician (MatrixCare)	CCN Health → MatrixCare

Glucose Monitoring data provides the clinical documentation needed to support PCM billing with objective, time-stamped readings that demonstrate monitoring compliance.

Frequently Asked Questions

How does glucose monitoring data reach both EHR systems?

Data flows from the monitoring device to CCN Health's platform, then syncs bi-directionally with both ALIS (for resident care documentation) and MatrixCare (for physician clinical records and billing).

Do both systems get the same glucose monitoring data?

Both systems receive glucose monitoring data, but formatted for each system's role. ALIS gets detailed resident charting, while MatrixCare receives clinical summaries optimized for physician workflows and billing.

What is the implementation timeline for glucose monitoring with dual-EHR?

Most senior living communities are fully operational within 4-6 weeks, including system deployment, dual-EHR integration setup, and care staff training. Both EHR connections are configured simultaneously.