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04Billing

Appointment Creation Athena Integration Explanation

Follow the month's work becoming billable appointments on the Athena Health schedule. Four steps. In active development.

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Step by step
1

A month of readings and care calls happens, at home, in the facility, wherever Margaret is.

Nobody logs any of this by hand. It adds up as care happens.

Real lifeCCN HealthAthena Health
Real life· where the reading happens
Margaret · the month's work
Margaret at home taking her blood pressure
Readings taken16 days
Care calls with the team22 min

How it works

What happens

At month-end, CCN Health figures out which patients have a billable encounter and will create the matching appointment in Athena Health, one per encounter, so the billing side already exists in the chart.

How it works

The month-end run checks the monitoring activity against real CPT thresholds: 99454 needs 16 or more reading days, 99457 needs 20 or more monitoring minutes, 99458 each additional 20, and CCM 99490 needs 30 minutes of care management. For each threshold met, CCN will create the corresponding appointment in Athena Health so a claim can be raised against it.

The benefit to your practice

Your billing team will stop creating encounters by hand. Every billable encounter will already exist in the chart, ready to bill, every month. This capability is in active development.

What you get

  • Appointments will be auto-created in Athena Health every month
  • One per billable encounter: RPM and CCM follow-ups
  • Computed against real CPT thresholds: reading days and monitoring minutes
  • In active development: we're building it now