Blood Glucose Monitoring for Remote Patient Monitoring — Inside Epic
Blood Glucose data flows directly into Epic through CCN Health — powering your RPM 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 Remote Patient Monitoring 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 Remote Patient Monitoring (RPM) integration with Epic, featuring glucose monitoring 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.
Glucose Monitoring for Remote Patient Monitoring with Epic
For organizations running RPM programs through Epic, glucose monitoring adds a critical monitoring dimension. 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.
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.
Vitals and Data Captured
- Fasting blood glucose
- Postprandial glucose
- Blood glucose trends
- Hypoglycemia events
- Hyperglycemia events
Key Advantages
- Familiar fingerstick method — minimal learning curve
- Automatic cellular transmission eliminates manual logging
- Real-time alerts for dangerous highs (>300) and lows (<70)
- Lower cost than CGM for stable diabetes management
- Ideal for patients who do not need continuous monitoring
Glucose Monitoring vs. Traditional Monitoring
| Factor | Glucose Monitoring | Traditional Methods |
|---|---|---|
| Test Method | Fingerstick with auto-upload | Fingerstick with manual logging |
| Data Transmission | Cellular — instant to platform | Paper log or manual entry |
| Alert Capability | Real-time hypo/hyperglycemia alerts | No alerting — reviewed later |
| Cost | Lower than CGM | Similar test strip costs |
| Clinical Oversight | 24/7 monitoring with escalation | Reviewed at appointments |
| Compliance Tracking | Automatic — every test logged | Relies on patient recording |
Ideal Use Cases
- Type 2 diabetes on oral medications
- Stable insulin-managed diabetes
- Pre-diabetes monitoring programs
- Skilled nursing glucose management
Glucose Monitoring in RPM Programs
When integrated with CCN Health's RPM program through Epic, glucose monitoring data flows automatically into the EHR and contributes to:
- Clinical Documentation — Monitoring data documented for care plan updates
- Billing Compliance — Data transmissions count toward 99454 requirements
- Alert Workflows — Abnormal readings trigger notifications to care staff via Epic
- Cross-Program Use — Glucose Monitoring data available across RPM, CCM, and other programs
Billing & Reimbursement
Glucose Monitoring data contributes to RPM billing requirements:
| 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
How does glucose monitoring data flow to Epic?
Glucose Monitoring data is captured automatically and transmitted to the CCN Health platform, which syncs bi-directionally with Epic. No manual entry is required.
Does glucose monitoring qualify for RPM billing?
Yes. Glucose Monitoring data transmissions count toward the monitoring requirements for RPM CPT codes when combined with CCN Health's clinical oversight services.
What is the implementation process?
CCN Health handles the full setup: sensor deployment, alert configuration, Epic 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 Remote Patient Monitoring 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 Epic
Your monitoring data flows directly into Epic — 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.
Epic
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.”
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 Epic via secure APIs, enabling RPM device data and care management documentation to flow into Epic's enterprise health records.
CCN Health transmits device readings and care coordination notes to Epic through FHIR-based APIs, ensuring clinical data is available within existing Epic workflows.
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).
Patients use a connected blood glucose meter to take readings that transmit automatically to CCN Health's platform, supporting diabetes management with real-time trend visibility for clinicians.
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 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 Remote Patient Monitoring 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.