RPM · CGM
Continuous Glucose Monitoring for Home Health RPM — MatrixCare + CCN Health
Continuous Glucose Monitoring technology powering your RPM program in Home Health — fully integrated with MatrixCare. Real-time alerts, clinical workflows, and automated billing in one platform.
Hundreds of facilities just like yours have grown their Remote Patient Monitoring programs with CCN Health. .
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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 Remote Patient Monitoring for your Home Health.
Tell us about your organization
Share details about your Home Health, 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.
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We'll get back to you within 24 hours.
CCN Health provides a certified Remote Patient Monitoring (RPM) integration with MatrixCare designed specifically for home health agencies, featuring cgm integration technology. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
CGM Integration for Home Health RPM with MatrixCare
CGM Integration brings a distinct advantage to RPM programs in home health agencies. CGM sensors (FreeStyle Libre 3, Dexcom G7) measure interstitial glucose via a small sensor inserted just beneath the skin, providing 288–1,440 readings per day without fingersticks. Combined with CCN Health's MatrixCare integration, patients benefit from continuous monitoring without additional clinical team burden.
Why CGM Integration for Home Health
Home Health agencies serve patients receiving skilled nursing or therapy services in their homes, often managing chronic conditions between agency visits. CGM Integration is particularly relevant because:
- Continuous data (288 readings/day) vs. 2-4 fingerstick readings
- Real-time trend arrows showing glucose direction and speed of change
- Automated alerts for hypo/hyperglycemia before symptoms appear
How CGM Integration Works
CGM sensors (FreeStyle Libre 3, Dexcom G7) measure interstitial glucose via a small sensor inserted just beneath the skin, providing 288–1,440 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
Benefits for Home Health Agencies
Between-Visit Monitoring
Continuous data capture fills the gaps between scheduled home visits with objective vital sign data.
Reduced Hospitalizations
Early alerts enable clinical response before conditions require emergency department visits.
Clinician Efficiency
Automated charting reduces documentation burden, allowing clinicians to focus on direct patient care.
CGM Integration vs. Traditional Approaches
| Factor | CGM | Traditional |
|---|---|---|
| Readings Per Day | 288 (every 5 min) | 2-4 fingersticks |
| Trend Data | Real-time direction arrows | Point-in-time only |
| Overnight Monitoring | Continuous | Requires wake-up checks |
| Patient Comfort | Small sensor, changed every 10 days | Fingerstick lancets daily |
| Alert Capability | Predictive high/low alerts | Only at time of test |
Common Conditions in Home Health
- heart failure
- COPD
- diabetes
- post-surgical
- wound care
- medication management
Billing & Reimbursement
CGM Integration data contributes to RPM billing in home health settings:
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 99453 | ~$19 | One-time device setup and patient education |
| 99454 | ~$50/mo | 16+ days of readings per 30-day period |
| 99457 | ~$48/mo | First 20 minutes of clinical monitoring time |
| 99458 | ~$38/mo | Each additional 20 minutes of clinical time |
Monthly potential per patient: $120+
Frequently Asked Questions
Is cgm integration suitable for home health patients?
Yes. CGM Integration is ideal for home health settings, where continuous data (288 readings/day) vs. 2-4 fingerstick readings.
How does cgm integration data reach MatrixCare?
Data flows automatically from the monitoring sensor to CCN Health's platform, then syncs bi-directionally with MatrixCare. No manual charting required.
What is the implementation timeline?
Most home health agencies are fully operational within 4 weeks including CGM training, MatrixCare integration, and clinical team training.
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 Home Health 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 Home Health Facilities Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Questions?
Want to learn more about Remote Patient Monitoring for Home Health?
Our team can answer your questions and show you how it works with your current workflow.
Seamless EHR Integration
How CCN Health Works Inside MatrixCare
Your monitoring data flows directly into MatrixCare — no exports, no manual entry, no disruption to your clinical workflow.
RPM Devices
CGM, Scales, BP, SpO2
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.
MatrixCare
Charts & Care Plans
What Flows Between Systems
Patient Demographics
Conditions, medications, and census sync from your EHR
Vital Observations
Device readings flow automatically into patient charts
Discharge & ADT Events
Admission and discharge events trigger protocol changes
Care Plans
Treatment plans inform monitoring thresholds and alerts
Billing Documentation
CPT-ready records generated for claims submission
Cross-Program Data
RPM data available for CCM, PCM, BHI — no re-entry
“Every reading, every alert, every care plan update — available across all your programs. One integration, unlimited use cases.”
Also integrates with
Infrastructure
Devices & Billing
FDA-cleared devices and automated Medicare billing — configured per resident, synced with the EHR.
Supported Devices
The Xandar Kardian sensor captures heart rate, respiratory rate, and room presence using radar technology — residents don't wear, charge, or interact with anything.
Medicare Billing
Remote Patient Monitoring (RPM)
4 billing codes
Initial setup and patient education on monitoring equipment
~$19
One-time
Device supply with daily recording or programmed alert transmission
~$50
Monthly
First 20 minutes of clinical staff time for RPM treatment management
~$50
Monthly
Each additional 20 minutes of RPM treatment management
~$40
Monthly (additional)
Common Questions
Frequently Asked Questions
Everything you need to know about implementation, billing, and clinical workflows.
Yes. CCN Health integrates with MatrixCare to deliver monitoring data into post-acute care workflows, supporting RPM and CCM programs across skilled nursing and senior living.
RPM uses FDA-cleared connected devices to collect patient vitals—such as blood pressure, weight, and glucose—outside of traditional clinical settings, enabling proactive care and early intervention.
The primary RPM CPT codes are 99453 (device setup), 99454 (monthly device supply/data transmission), 99457 (first 20 min clinical review), and 99458 (each additional 20 min).
Home health agencies use RPM to monitor patients between visits, receive real-time alerts for concerning readings, and document care coordination to support billing and compliance.
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 Remote Patient Monitoring for your Home Health.
Tell us about your organization
Share details about your Home Health, 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 Remote Patient Monitoring to your Home Health?
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.