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.
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 facility.
Tell us about your organization
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.
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 Charm Health, featuring bp monitoring technology. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
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.
BP Monitoring for Principal Care Management with Charm Health
Automated Blood Pressure Monitoring transforms how PCM programs operate with Charm Health. FDA-cleared automated cuffs from Smart Meter (iBloodPressure), Omron, Bodytrace, and Telli Health measure systolic/diastolic pressure and heart rate with a single button press. Readings transmit automatically via cellular gateway to the CCN Health platform.
How BP Monitoring Works
FDA-cleared automated cuffs from Smart Meter (iBloodPressure), Omron, Bodytrace, and Telli Health measure systolic/diastolic pressure and heart rate with a single button press. Readings transmit automatically via cellular gateway to the CCN Health platform.
Vitals and Data Captured
- Systolic blood pressure
- Diastolic blood pressure
- Heart rate
- Mean arterial pressure
- Pulse pressure
Key Advantages
- One-button operation — no technical skill required
- Automated cellular transmission eliminates manual recording
- Multiple daily readings capture true BP patterns vs. office visits
- Threshold alerts for hypertensive urgency (>180/120) within 2 minutes
- Medication titration guided by objective trending data
BP Monitoring vs. Traditional Monitoring
| Factor | BP Monitoring | Traditional Methods |
|---|---|---|
| Readings Per Day | Multiple scheduled readings | 1-2 manual checks |
| Data Accuracy | Validated FDA-cleared devices | Subject to observer technique |
| Trend Visibility | Real-time dashboards and alerts | Paper logs reviewed at appointments |
| Staff Burden | Automated — no manual charting | Manual BP check and documentation |
| Response Time | < 2 min alerts for critical readings | Discovered at next scheduled check |
| White Coat Effect | Eliminated — readings at rest | Artificially elevated in clinic |
Ideal Use Cases
- Hypertension management in any care setting
- Heart failure fluid status tracking
- Post-stroke blood pressure optimization
- CKD-related hypertensive nephropathy
BP Monitoring in PCM Programs
When integrated with CCN Health's PCM program through Charm Health, bp monitoring data flows automatically into the EHR and contributes to:
- Clinical Documentation — Monitoring data documented for care plan updates
- Billing Compliance — Data transmissions count toward 99425 requirements
- Alert Workflows — Abnormal readings trigger notifications to care staff via Charm Health
- Cross-Program Use — BP Monitoring data available across RPM, CCM, and other programs
Billing & Reimbursement
BP Monitoring data contributes to PCM billing requirements:
| 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 bp monitoring data flow to Charm Health?
BP Monitoring data is captured automatically and transmitted to the CCN Health platform, which syncs bi-directionally with Charm Health. No manual entry is required.
Does bp monitoring qualify for PCM billing?
Yes. BP Monitoring data transmissions count toward the monitoring requirements for PCM CPT codes when combined with CCN Health's clinical oversight services.
What is the implementation process?
CCN Health handles the full setup: sensor deployment, alert configuration, Charm Health integration, staff training, and ongoing support.


Technology that stays in the background — so care stays in the foreground.
Why CCN Health
Why Healthcare 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 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 Charm Health
Your program data flows directly into Charm Health — 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.
Charm Health
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 implementation, billing, and clinical workflows.
Yes. CCN Health connects with Charm Health EHR so that device readings and care coordination data sync directly into patient charts for independent practices.
PCM focuses on patients with a single high-risk chronic condition, billed under CPT codes 99424 and 99425, covering care coordination and management services.
Patients use an FDA-cleared connected blood pressure cuff that automatically transmits readings to CCN Health's platform, enabling clinicians to track trends and intervene early on hypertension or hypotension.
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 Principal Care Management for your facility.
Tell us about your organization
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.
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.

