CCM · Blood Glucose
Blood Glucose Monitoring for Senior Living CCM — PointClickCare + CCN Health
Blood Glucose Monitoring technology powering your CCM program in Senior Living — fully integrated with PointClickCare. Real-time alerts, clinical workflows, and automated billing in one platform.
Hundreds of facilities just like yours have grown their Chronic Care Management programs with CCN Health. .
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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 Senior Living.
Tell us about your organization
Share details about your Senior Living, 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 PointClickCare designed specifically for senior living communities, featuring glucose monitoring technology, bridging both PointClickCare and augusthealth systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Glucose Monitoring for Senior Living CCM with PointClickCare and August Health
Senior Living communities using PointClickCare 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 Senior Living
In senior living settings with glucose monitoring, it's common for:
- The facility to use PointClickCare 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 PointClickCare and August Health
CCN Health's platform serves as the central hub for all glucose monitoring data in dual-EHR environments:
- Glucose Monitoring data flows to CCN Health — Fasting blood glucose and other metrics are captured continuously by the monitoring system
- PointClickCare receives resident records — Vital signs, alerts, and care documentation sync to PCC resident charts automatically
- August Health receives clinical summaries — The ordering physician gets CCM reports with glucose monitoring data in their August Health workflow
- Billing documentation routes correctly — Claims data with glucose monitoring support goes to the billing entity via August Health
Data Flow: PointClickCare ↔ CCN Health ↔ August Health
| Data Type | PointClickCare | 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 Senior Living Communities
Combining glucose monitoring with dual-EHR integration provides unique advantages for senior living communities:
No Wearables Required
Xandar Kardian sensorless monitoring captures vitals without devices residents need to wear, preserving independence and dignity.
Revenue Generation
Medicare reimbursement adds new revenue per resident per month with automated billing documentation.
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 PointClickCare (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. PointClickCare 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 senior living communities are fully operational within 4-6 weeks, including system deployment, dual-EHR integration setup, and care staff training. Both EHR connections are configured simultaneously.
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.
No one-size-fits-all templates. Every integration is configured for how your Senior Living actually operates.
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 Senior Living 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 Senior Living?
Our team can answer your questions and show you how it works with your current workflow.
Seamless EHR Integration
How CCN Health Works Inside PointClickCare
Your program data flows directly into PointClickCare — 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.
PointClickCare
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
Devices & Billing
FDA-cleared devices and automated Medicare billing — configured per resident, synced with the EHR.
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 has a direct integration with PointClickCare, allowing vital-sign data from RPM devices to flow automatically into resident charts without manual entry.
Device readings are transmitted to CCN Health's platform and then pushed into PointClickCare via API, appearing alongside existing clinical documentation for a unified workflow.
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.
Residents use simple connected devices in their rooms. Readings transmit automatically to CCN Health's platform and into the facility's EHR, alerting staff to concerning trends before they become emergencies.
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 Chronic Care Management for your Senior Living.
Tell us about your organization
Share details about your Senior Living, 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.

