CCM + Cardiology
Chronic Care Management for Cardiology — athenahealth + CCN Health
Specialized CCM protocols for Cardiology — integrated with athenahealth, powered by CCN Health. Evidence-based workflows, automated documentation, and Medicare billing.
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Share details about your facility, 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.
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When the time is right, we'll schedule a personalized demo tailored to your workflows.
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CCN Health provides a certified Chronic Care Management (CCM) integration with athenahealth optimized for cardiology practices, featuring weight monitoring technology. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Chronic Care Management for Cardiology with athenahealth
For cardiology patients in facilities using athenahealth, CCM enables continuous physiological monitoring with data flowing directly into the EHR.
Cardiology Conditions Managed
- Heart failure (HFrEF and HFpEF)
- Hypertension
- Atrial fibrillation
- Coronary artery disease
- Post-MI management
Weight Monitoring for Cardiology
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.
This technology is particularly valuable for cardiology patients because it provides daily weight, weight trends over time, day-over-day weight change data that directly informs clinical decision-making.
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 athenahealth, 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 athenahealth 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.
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 Cardiology Programs 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 your facility?
Our team can answer your questions and show you how it works with your current workflow.
Seamless EHR Integration
How CCN Health Works Inside athenahealth
Your program data flows directly into athenahealth — 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.
athenahealth
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 integrates with athenahealth so that RPM data flows directly into patient charts, reducing manual documentation and improving care coordination.
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.
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.
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.
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 Cardiology program.
Tell us about your organization
Share details about your Cardiology program, 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 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.