Principal Care Management for Long-Term Care — Powered by ALIS + CCN Health

PCM for Long-Term Care with ALIS and Ethizo

Many long-term care facilities use ALIS as their facility EHR while the ordering physician or medical director uses Ethizo for their practice. This dual-EHR reality creates challenges for PCM programs — clinical data lives in two systems that don't natively talk to each other. CCN Health solves this by integrating with both systems simultaneously.

The Dual-EHR Challenge in Long-Term Care

In long-term care settings, it's common for:

• The facility to use ALIS for resident records, charting, and daily care documentation
• The physician to use Ethizo for orders, billing, and clinical decision-making
• PCM data to be needed in both systems for complete clinical documentation

Without an integration bridge, nursing staff must manually enter data in both systems, leading to documentation gaps, billing delays, and clinical risk.

How CCN Health Bridges ALIS and Ethizo

CCN Health's platform sits between both EHR systems, serving as a central hub for all PCM data:

1. Device data flows to CCN Health — Vital signs from monitoring devices are captured by the CCN Health platform
2. ALIS receives resident records — Vital signs, alerts, and care documentation sync to ALIS resident charts
3. Ethizo receives clinical summaries — The ordering physician gets PCM reports, clinical observations, and billing-ready documentation in their Ethizo workflow
4. Billing documentation routes correctly — Claims data goes to the billing entity (physician practice via Ethizo) with supporting clinical documentation

Data Flow: ALIS ↔ CCN Health ↔ Ethizo

Data Type	ALIS	CCN Health	Ethizo
Resident Demographics	Source	Syncs	Receives
Vital Signs	Receives	Hub	Receives
Clinical Alerts	Receives	Generates	Receives
Care Plans	Shared	Coordinates	Shared
Billing Documentation	Reference	Generates	Primary
PCM Time Tracking	Reference	Tracks	Primary

Why This Matters for Long-Term Care

Sustained Monitoring

Continuous vital sign trending over long stays enables early detection of gradual health changes.

Hospitalization Prevention

Proactive alerts help clinical teams intervene before conditions deteriorate to emergency levels.

Documentation Continuity

Automated charting creates a continuous record that supports longitudinal care planning.

Billing Considerations for Dual-EHR PCM

In dual-EHR environments, billing typically flows through the physician practice (Ethizo):

CPT Code	Reimbursement	Billing Entity	Documentation Source
99424	~$70/mo	Physician (Ethizo)	CCN Health → Ethizo
99425	~$56/mo	Physician (Ethizo)	CCN Health → Ethizo
99426	~$80/mo	Physician (Ethizo)	CCN Health → Ethizo
99427	~$64/mo	Physician (Ethizo)	CCN Health → Ethizo

CCN Health ensures all required documentation is routed to the correct system for compliant billing regardless of which entity submits the claim.

Frequently Asked Questions

Do both EHR systems get the same PCM data?

Both systems receive PCM data, but the content is tailored to each system's role. ALIS gets resident care documentation, while Ethizo receives clinical summaries and billing records.

Who submits the Medicare claims?

Typically the physician practice bills through Ethizo, with CCN Health providing all required documentation. The specific billing arrangement depends on your organization's structure.

Is there extra setup for dual-EHR integration?

CCN Health configures both integrations during the standard implementation period. The dual-EHR setup is part of our standard offering — no additional cost or extended timeline.