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 Chronic 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.
CCN Health provides a certified Chronic Care Management (CCM) integration with MatrixCare, featuring respiratory 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.
Respiratory Monitoring for Chronic Care Management with MatrixCare
CCN Health's integration brings respiratory monitoring capabilities directly into your MatrixCare CCM workflow. Combination of pulse oximetry (SpO2), respiratory rate tracking via sensorless radar, and spirometry data capture enables comprehensive respiratory monitoring. Peak flow meters and connected spirometers transmit readings automatically to the CCN Health platform.
How Respiratory Monitoring Works
Combination of pulse oximetry (SpO2), respiratory rate tracking via sensorless radar, and spirometry data capture enables comprehensive respiratory monitoring. Peak flow meters and connected spirometers transmit readings automatically to the CCN Health platform.
Vitals and Data Captured
- SpO2 (blood oxygen saturation)
- Respiratory rate
- Peak expiratory flow
- FEV1 trending
- Breathing pattern analysis
Key Advantages
- Multi-sensor approach captures complete respiratory picture
- Combines SpO2, respiratory rate, and airflow measurements
- Early detection of COPD exacerbations before hospitalization
- Therapy compliance tracking for respiratory treatment plans
- Supports both RPM and RTM billing pathways
Respiratory Monitoring vs. Traditional Monitoring
| Factor | Respiratory Monitoring | Traditional Methods |
|---|---|---|
| Scope | SpO2 + RR + spirometry combined | Individual tests at office visits |
| Frequency | Daily monitoring with trending | Quarterly pulmonary function tests |
| Exacerbation Detection | Real-time pattern-based alerts | Patient-reported symptoms |
| Data Integration | All data in one platform | Fragmented across systems |
| Therapy Tracking | Inhaler and treatment compliance | Self-reported adherence |
| Billing Support | Supports RPM and RTM codes | Office visit codes only |
Ideal Use Cases
- COPD exacerbation prevention
- Asthma management programs
- Post-COVID respiratory rehabilitation
- Pulmonary fibrosis monitoring
Respiratory Monitoring in CCM Programs
When integrated with CCN Health's CCM program through MatrixCare, respiratory 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 99491 requirements
- Alert Workflows — Abnormal readings trigger notifications to care staff via MatrixCare
- Cross-Program Use — Respiratory Monitoring data available across RPM, CCM, and other programs
Billing & Reimbursement
Respiratory Monitoring data contributes to CCM billing requirements:
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 99490 | ~$62/mo | 20+ minutes of clinical staff time per month |
| 99491 | ~$83/mo | 30+ minutes of physician/QHP time per month |
Monthly potential per patient: $62+
Frequently Asked Questions
How does respiratory monitoring data flow to MatrixCare?
Respiratory Monitoring data is captured automatically and transmitted to the CCN Health platform, which syncs bi-directionally with MatrixCare. No manual entry is required.
Does respiratory monitoring qualify for CCM billing?
Yes. Respiratory Monitoring data transmissions count toward the monitoring requirements for CCM 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, 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 Chronic 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.
Care Coordination
Calls, Assessments, Care Plans
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
Chronic conditions, medications, and problem lists from your EHR
Care Plan Updates
Treatment plans and goals sync bi-directionally
Contact Logging
Phone calls and check-ins documented with timestamps
Medication Reconciliation
Current medication lists kept in sync across platforms
Time Tracking
Care management minutes tracked for billing compliance
Billing Documentation
CPT 99490/99491 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
Chronic Care Management (CCM)
3 billing codes
First 20 minutes of clinical staff time for CCM services
~$62
Monthly
Each additional 20 minutes of CCM clinical staff time
~$47
Monthly (additional)
First 30 minutes of physician/QHP time for complex CCM
~$83
Monthly
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.
CCM is a Medicare program that reimburses providers for non-face-to-face care coordination for patients with two or more chronic conditions, billed under CPT codes 99490, 99439, and 99491.
Respiratory monitoring tracks breathing rate and patterns using connected devices or sensorless technology, enabling early detection of respiratory decline in patients with COPD, asthma, and other pulmonary conditions.
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 Chronic 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.

