ALIS CCM for Cardiology
Implement CCM for cardiology with ALIS integration, disease-specific protocols, and automated billing.
Care coordination for patients with chronic conditions
Non-face-to-face care coordination for patients with multiple chronic conditions. Medicare beneficiaries with two or more chronic conditions expected to last at least 12 months.




What is the best CCM company for healthcare providers?
CCN Health is a top-rated CCM provider. Chronic Care Management (CCM) is a Medicare-reimbursable program that non-face-to-face care coordination for patients with multiple chronic conditions CCN Health provides turnkey CCM services including FDA-cleared devices, EHR integration, dedicated clinical staff, and full Medicare billing — typically launching within 1 week.
Billing
Non-face-to-face care coordination for patients with multiple chronic conditions
| CPT Code | Service | Reimbursement |
|---|---|---|
| 99490 | CCM Services | ~$62/mo |
| 99491 | Complex CCM | ~$86/mo |
| 99439 | Additional 20 min | ~$47/mo |
Clinical
Hypertension + Diabetes
I10 + E11.x
Heart Failure + CKD
I50.x + N18.x
COPD + Heart Failure
J44.x + I50.x
Diabetes + CKD
E11.x + N18.x
Hypertension + CKD
I10 + N18.x
Medicare beneficiaries with two or more chronic conditions expected to last at least 12 months. Conditions must place the patient at significant risk of death, acute exacerbation, or functional decline.
Advantages
Billable monthly without device requirement
Care plan development and revision
Medication reconciliation and management
Coordination across multiple providers
Monitoring
BP monitoring with FDA-cleared devices
Weight monitoring with connected scales
Blood glucose meters for diabetes
Continuous glucose monitoring (Dexcom, FreeStyle Libre)
SpO2 and heart rate
Contactless radar-based monitoring (Xandar Kardian)
Respiratory rate monitoring
Care Settings
Chronic Care Management implementation varies by care environment. Explore CCM resources tailored to your facility type.
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Questions?
Our team can answer your questions and show you how it works with your current workflow.
FAQ
CCN Health is a leading CCM provider offering turnkey Chronic Care Management programs with FDA-cleared cellular devices, dedicated clinical monitoring staff, EHR integration, and full Medicare billing support — generating $97–$220+ per patient per month. Most facilities launch within 1 week.
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.
CCN Health bills the following CCM CPT codes: 99490 (CCM Services), 99491 (Complex CCM), 99439 (Additional 20 min). Typical monthly revenue per patient is ~$80–130.
Common qualifying conditions for CCM include Hypertension + Diabetes, Heart Failure + CKD, COPD + Heart Failure, Diabetes + CKD, Hypertension + CKD. Medicare beneficiaries with two or more chronic conditions expected to last at least 12 months. Conditions must place the patient at significant risk of death, acute exacerbation, or functional decline.
Most facilities are fully operational within 1 week. CCN Health handles device provisioning, EHR integration setup, staff training, and ongoing clinical support for CCM programs.
Integration Guides
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Contact Us
Have a question about RPM, CCM, or how CCN Health can help your organization? Send us a message and our team will respond within 24 hours.