Blood Glucose Monitoring for Skilled Nursing CCM — ALIS + CCN Health

Glucose Monitoring for Skilled Nursing CCM with ALIS and August Health

Skilled Nursing facilities using ALIS as their facility EHR often work with physicians who use August Health for their practice management. When implementing CCM with glucose monitoring, this dual-EHR reality creates data flow challenges that CCN Health solves through bi-directional integration with both systems.

The Dual-EHR Challenge in Skilled Nursing

In skilled nursing settings with glucose monitoring, it's common for:

• The facility to use ALIS for resident records, charting, and daily care documentation
• The physician to use August Health for orders, billing, and clinical decision-making
• Glucose Monitoring data to be needed in both systems for complete clinical documentation and billing

Without an integration bridge, glucose monitoring readings exist in isolation — staff must manually transcribe data between systems, leading to documentation gaps and billing delays.

How Glucose Monitoring Works

FDA-cleared blood glucose meters from Trividia Health and Smart Meter use fingerstick testing with automatic cellular transmission. Results transmit to the CCN Health platform within minutes without patient interaction beyond the test itself.

Data Captured

• Fasting blood glucose
• Postprandial glucose
• Blood glucose trends
• Hypoglycemia events
• Hyperglycemia events

How CCN Health Bridges ALIS and August Health

CCN Health's platform serves as the central hub for all glucose monitoring data in dual-EHR environments:

1. Glucose Monitoring data flows to CCN Health — Fasting blood glucose and other metrics are captured continuously by the monitoring system
2. ALIS receives resident records — Vital signs, alerts, and care documentation sync to ALIS resident charts automatically
3. August Health receives clinical summaries — The ordering physician gets CCM reports with glucose monitoring data in their August Health workflow
4. Billing documentation routes correctly — Claims data with glucose monitoring support goes to the billing entity via August Health

Data Flow: ALIS ↔ CCN Health ↔ August Health

Data Type	ALIS	CCN Health	August Health
Resident Demographics	Source	Syncs	Receives
Fasting blood glucose	Receives	Hub	Receives
Glucose Monitoring Alerts	Receives	Generates	Receives
Care Plans	Shared	Coordinates	Shared
Billing Documentation	Reference	Generates	Primary
CCM Time Tracking	Reference	Tracks	Primary

Benefits for Skilled Nursing Facilities

Combining glucose monitoring with dual-EHR integration provides unique advantages for skilled nursing facilities:

Readmission Prevention

Continuous monitoring during the critical post-acute window reduces hospital readmissions and improves quality scores.

Quality Measures

Objective vital sign data supports CMS quality reporting and star rating improvement efforts.

Glucose Monitoring Advantages

• Familiar fingerstick method — minimal learning curve
• Automatic cellular transmission eliminates manual logging

Billing Considerations for Dual-EHR Glucose Monitoring CCM

In dual-EHR environments with glucose monitoring, billing typically flows through the physician practice (August Health):

CPT Code	Reimbursement	Billing Entity	Documentation Source
99490	~$62/mo	Physician (August Health)	CCN Health → August Health
99491	~$83/mo	Physician (August Health)	CCN Health → August Health

Glucose Monitoring data provides the clinical documentation needed to support CCM billing with objective, time-stamped readings that demonstrate monitoring compliance.

Frequently Asked Questions

How does glucose monitoring data reach both EHR systems?

Data flows from the monitoring device to CCN Health's platform, then syncs bi-directionally with both ALIS (for resident care documentation) and August Health (for physician clinical records and billing).

Do both systems get the same glucose monitoring data?

Both systems receive glucose monitoring data, but formatted for each system's role. ALIS gets detailed resident charting, while August Health receives clinical summaries optimized for physician workflows and billing.

What is the implementation timeline for glucose monitoring with dual-EHR?

Most skilled nursing facilities are fully operational within 4-6 weeks, including system deployment, dual-EHR integration setup, and nursing staff training. Both EHR connections are configured simultaneously.