Continuous Glucose Monitoring for Principal Care Management — Inside MatrixCare
CGM data flows directly into MatrixCare through CCN Health — powering your PCM program with real-time insights and automated billing.
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.
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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 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.
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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 Principal Care Management (PCM) integration with MatrixCare, featuring cgm integration 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.
CGM Integration for Principal Care Management with MatrixCare
CCN Health's integration brings cgm integration capabilities directly into your MatrixCare PCM workflow. Dexcom G7 sensors measure interstitial glucose levels every 5 minutes via a small sensor inserted just beneath the skin, providing 288 readings per day without fingersticks.
How CGM Integration Works
Dexcom G7 sensors measure interstitial glucose levels every 5 minutes via a small sensor inserted just beneath the skin, providing 288 readings per day without fingersticks.
Vitals and Data Captured
- Real-time glucose levels
- Glucose trends and rate of change
- Time-in-range metrics
- Hypoglycemia and hyperglycemia alerts
- Overnight glucose patterns
Key Advantages
- 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
- Eliminates painful and inconvenient fingerstick testing
- Improved HbA1c through actionable glucose data
CGM Integration vs. Traditional Monitoring
| Factor | CGM (Dexcom G7) | Traditional Glucose Meters |
|---|---|---|
| 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 |
| Staff Burden | Minimal — data auto-transmits | Manual testing and charting |
Ideal Use Cases
- Diabetes patients on insulin therapy
- Residents with hypoglycemia unawareness
- Endocrinology program management
- Skilled nursing post-acute diabetes stabilization
CGM Integration in PCM Programs
When integrated with CCN Health's PCM program through MatrixCare, cgm integration 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 MatrixCare
- Cross-Program Use — CGM Integration data available across RPM, CCM, and other programs
Billing & Reimbursement
CGM Integration 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 cgm integration data flow to MatrixCare?
CGM Integration data is captured automatically and transmitted to the CCN Health platform, which syncs bi-directionally with MatrixCare. No manual entry is required.
Does cgm integration qualify for PCM billing?
Yes. CGM Integration 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: CGM sensor training, data flow setup, MatrixCare 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 MatrixCare
Your program data flows directly into MatrixCare — 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.
MatrixCare
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 integrates with MatrixCare to deliver monitoring data into post-acute care workflows, supporting RPM and CCM programs across skilled nursing and senior living.
PCM focuses on patients with a single high-risk chronic condition, billed under CPT codes 99424 and 99425, covering care coordination and management services.
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.
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.
Get Started
Ready to bring Principal Care Management to your facility?
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.