PCM + Nephrology
Principal Care Management for Nephrology — August Health + CCN Health
Specialized PCM protocols for Nephrology — integrated with August Health, powered by CCN Health. Evidence-based workflows, automated documentation, and Medicare billing.
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Share details about your facility, current EHR setup, and what you're looking to achieve.
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CCN Health provides a certified Principal Care Management (PCM) integration with August Health optimized for nephrology practices, featuring weight monitoring technology. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Principal Care Management for Nephrology with August Health
Nephrology practices managing chronic kidney disease (stages 3-5) and end-stage renal disease can leverage CCN Health's PCM integration with August Health for disease-specific monitoring, automated documentation, and compliant billing.
Nephrology Conditions Managed
- Chronic kidney disease (stages 3-5)
- End-stage renal disease
- Nephrotic syndrome
- Hypertensive nephropathy
- Diabetic nephropathy
Weight Monitoring for Nephrology
Cellular-connected weight scales from Bodytrace, Withings, and Tenovi-compatible devices capture daily weight with no buttons required — patients simply step on the scale. Readings transmit automatically for heart failure fluid tracking and nutrition monitoring.
This technology is particularly valuable for nephrology patients because it provides daily weight, weight trends over time, day-over-day weight change data that directly informs clinical decision-making.
Clinical Protocols
- Strict blood pressure control (target < 130/80)
- Daily weight monitoring for fluid overload detection
- Threshold alerts for weight gain > 2 lbs/day or BP > 160/100
- Glucose monitoring for diabetic nephropathy patients
Key Monitoring Metrics
| Metric | Clinical Significance |
|---|---|
| Blood pressure | Tracked and trended for nephrology management |
| Daily weight (fluid balance) | Tracked and trended for nephrology management |
| Blood glucose (for diabetic nephropathy) | Tracked and trended for nephrology management |
| SpO2 | Tracked and trended for nephrology management |
| Heart rate | Tracked and trended for nephrology management |
Recommended Devices for Nephrology
| Device | Use Case |
|---|---|
| Blood pressure monitor | Nephrology monitoring |
| Weight scale | Nephrology monitoring |
| Blood glucose meter | Nephrology monitoring |
| Pulse oximeter | Nephrology monitoring |
Relevant ICD-10 Codes
- N18.x (Chronic kidney disease)
- N04 (Nephrotic syndrome)
- I12.x (Hypertensive CKD)
- E11.22 (T2DM with diabetic CKD)
Clinical Evidence
RPM-based blood pressure management in CKD patients has demonstrated slower disease progression and reduced cardiovascular events by 15-25%.
Billing & Reimbursement
| 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 PCM support nephrology practices?
CCN Health's PCM integration provides nephrology-specific monitoring protocols, automated documentation in August Health, and compliant Medicare billing for chronic kidney disease (stages 3-5) and related conditions.
What devices are recommended for nephrology PCM?
For nephrology patients, CCN Health recommends blood pressure monitor, weight scale, blood glucose meter based on the specific conditions being managed.
Can PCM data integrate with specialist workflows?
Yes. All PCM data flows into August Health and is available for specialist review, care plan updates, and cross-program coordination.
Nephrology
Nephrology Protocols — clinical workflows configured to evidence-based guidelines and risk thresholds.
Specialist Coordination — automated alerts and reporting to referring specialists and primary care teams.
Outcome Tracking — longitudinal vitals data mapped to Nephrology-specific quality measures.
Clinical Documentation — automated notes that satisfy specialist coding and audit requirements.
Purpose-built for Nephrology workflows — integrated with the EHR your facility already uses.
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 Nephrology Programs 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 August Health
Your program data flows directly into August 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.
August 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 Nephrology — implementation, billing, and clinical workflows.
Yes. CCN Health integrates with August Health to deliver RPM data directly into resident records, supporting senior care practices with automated vital sign documentation.
PCM focuses on patients with a single high-risk chronic condition, billed under CPT codes 99424 and 99425, covering care coordination and management services.
Connected digital scales automatically transmit weight readings to CCN Health's platform, enabling early detection of fluid retention changes critical for heart failure and kidney disease management.
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 Nephrology program.
Tell us about your organization
Share details about your Nephrology program, 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 Nephrology program?
See how CCN Health can improve patient outcomes, support specialist coordination, and generate new Medicare revenue — all within the EHR your staff already uses.