CCM · Weight
Weight Monitoring for Senior Living CCM — ALIS + CCN Health
Weight Monitoring technology powering your CCM program in Senior Living — fully integrated with ALIS. Real-time alerts, clinical workflows, and automated billing in one platform.
Hundreds of facilities just like yours have grown their Chronic Care Management programs with CCN Health. .
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 Chronic Care Management for your Senior Living.
Tell us about your organization
Share details about your Senior Living, 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 Chronic Care Management (CCM) integration with ALIS designed specifically for senior living communities, featuring weight monitoring technology, bridging both ALIS and athenahealth systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Weight Monitoring for Senior Living CCM with ALIS and athenahealth
Senior Living communities using ALIS as their facility EHR often work with physicians who use athenahealth for their practice management. When implementing CCM with weight 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 weight monitoring, it's common for:
- The facility to use ALIS for resident records, charting, and daily care documentation
- The physician to use athenahealth for orders, billing, and clinical decision-making
- Weight Monitoring data to be needed in both systems for complete clinical documentation and billing
Without an integration bridge, weight monitoring readings exist in isolation — staff must manually transcribe data between systems, leading to documentation gaps and billing delays.
How Weight Monitoring Works
Cellular-connected weight scales from Bodytrace, Withings, and Tenovi-compatible devices capture daily weight with no buttons required — patients simply step on the scale. Readings transmit automatically for heart failure fluid tracking and nutrition monitoring.
Data Captured
- Daily weight
- Weight trends over time
- Day-over-day weight change
- Weekly and monthly averages
- Fluid retention indicators
How CCN Health Bridges ALIS and athenahealth
CCN Health's platform serves as the central hub for all weight monitoring data in dual-EHR environments:
- Weight Monitoring data flows to CCN Health — Daily weight and other metrics are captured continuously by the monitoring system
- ALIS receives resident records — Vital signs, alerts, and care documentation sync to ALIS resident charts automatically
- athenahealth receives clinical summaries — The ordering physician gets CCM reports with weight monitoring data in their athenahealth workflow
- Billing documentation routes correctly — Claims data with weight monitoring support goes to the billing entity via athenahealth
Data Flow: ALIS ↔ CCN Health ↔ athenahealth
| Data Type | ALIS | CCN Health | athenahealth |
|---|---|---|---|
| Resident Demographics | Source | Syncs | Receives |
| Daily weight | Receives | Hub | Receives |
| Weight Monitoring Alerts | Receives | Generates | Receives |
| Care Plans | Shared | Coordinates | Shared |
| Billing Documentation | Reference | Generates | Primary |
| CCM Time Tracking | Reference | Tracks | Primary |
Benefits for Senior Living Communities
Combining weight 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.
Weight Monitoring Advantages
- Step-on-and-go operation — no buttons, no apps required
- Critical for heart failure decompensation detection
Billing Considerations for Dual-EHR Weight Monitoring CCM
In dual-EHR environments with weight monitoring, billing typically flows through the physician practice (athenahealth):
| CPT Code | Reimbursement | Billing Entity | Documentation Source |
|---|---|---|---|
| 99490 | ~$62/mo | Physician (athenahealth) | CCN Health → athenahealth |
| 99491 | ~$83/mo | Physician (athenahealth) | CCN Health → athenahealth |
Weight Monitoring data provides the clinical documentation needed to support CCM billing with objective, time-stamped readings that demonstrate monitoring compliance.
Frequently Asked Questions
How does weight 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 athenahealth (for physician clinical records and billing).
Do both systems get the same weight monitoring data?
Both systems receive weight monitoring data, but formatted for each system's role. ALIS gets detailed resident charting, while athenahealth receives clinical summaries optimized for physician workflows and billing.
What is the implementation timeline for weight 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.
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 Senior Living 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 Senior Living Facilities Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Questions?
Want to learn more about Chronic Care Management for Senior Living?
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.
Care Coordination
Calls, Assessments, Care Plans
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
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
Devices & Billing
FDA-cleared devices and automated Medicare billing — configured per resident, synced with the EHR.
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 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.
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.
Residents use simple connected devices in their rooms. Readings transmit automatically to CCN Health's platform and into the facility's EHR, alerting staff to concerning trends before they become emergencies.
Connected digital scales automatically transmit weight readings to CCN Health's platform, enabling early detection of fluid retention changes critical for heart failure and kidney disease management.
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 Chronic Care Management for your Senior Living.
Tell us about your organization
Share details about your Senior Living, 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.

