RPM for Long-Term Care
Remote Patient Monitoring for Long-Term Care — Powered by ALIS + CCN Health
Purpose-built RPM for Long-Term Care communities. CCN Health integrates directly with ALIS to automate clinical workflows and capture every eligible reimbursement.
CCN Health provides a certified Remote Patient Monitoring (RPM) integration with ALIS designed specifically for long-term care facilities. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Remote Patient Monitoring for Long-Term Care with ALIS
Long-Term Care facilities face unique challenges managing resident health: providing consistent monitoring for residents with chronic conditions over extended stays and reducing avoidable hospitalizations and er transfers. CCN Health's RPM integration with ALIS addresses these challenges with automated monitoring, documentation, and billing.
Long-Term Care Challenges That RPM Addresses
- Providing consistent monitoring for residents with chronic conditions over extended stays
- Reducing avoidable hospitalizations and ER transfers
- Maintaining comprehensive care documentation over months or years
- Managing staffing constraints while ensuring clinical oversight
How It Works in Long-Term Care
- Device Assignment — FDA-cleared devices (blood pressure cuffs, scales, pulse oximeters, or sensorless monitors) are assigned to the patient
- Automatic Data Capture — Vitals transmit via cellular gateway to the CCN Health platform without manual entry
- ALIS Integration — Data flows directly into ALIS resident records via api integration
- Clinical Alerts — Abnormal readings trigger real-time notifications to care staff within 2 minutes
- Billing Automation — CPT codes 99453, 99454, 99457, 99458 documented automatically for compliant billing
Why Long-Term Care Facilities Choose CCN Health
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.
Revenue Growth
Medicare reimbursement creates new revenue streams without requiring additional clinical staff.
Devices for Long-Term Care RPM
| Device | Use Case | Resident Experience |
|---|---|---|
| Blood Pressure Monitor | Hypertension, heart disease | Automated cuff — press one button, reading transmits automatically |
| Weight Scale | Heart failure, nutrition monitoring | Step on scale daily, no buttons required |
| Pulse Oximeter | COPD, respiratory conditions | Finger clip for 30 seconds, automatic transmission |
| Dexcom G7 CGM | Diabetes management | Small sensor on arm, continuous readings without fingersticks |
| Xandar Kardian Sensor | General wellness, fall risk, sleep | Wall-mounted radar — completely contactless |
Clinical Benefits for Long-Term Care
Chronic Disease Management
Monitor residents with conditions like heart failure, diabetes, COPD, hypertension. Trending data helps care teams adjust care plans before conditions deteriorate.
Transition of Care Support
When residents return from hospital stays, RPM enables closer monitoring during the critical post-discharge period.
Billing & Reimbursement in Long-Term Care
CCN Health automates Medicare RPM billing documentation for qualified residents:
| 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 resident: $120+
Frequently Asked Questions
Does CCN Health integrate with ALIS for long-term care RPM?
Yes. CCN Health's certified ALIS integration enables bi-directional data flow specifically designed for long-term care workflows.
What is the implementation timeline for long-term care?
Most long-term care facilities are fully operational within 4 weeks, including integration setup, nursing staff training, and device deployment.
How does RPM billing work in long-term care?
CCN Health automatically documents the required data for 99453, 99454, 99457, 99458. Time tracking and transmission records are captured for audit-ready Medicare billing.
Implementation for Long-Term Care
| Week | Activity |
|---|---|
| 1 | Discovery call and ALIS configuration review |
| 2 | Technical integration setup and testing |
| 3 | Nursing staff training and device deployment |
| 4 | Pilot launch with select residents |
| 5+ | Full facility rollout and optimization |
Discovery call — we learn your workflows, EHR setup, and resident population.
CCN's AI engine configures optimal alert thresholds and EHR data mapping around your facility's patterns.
Go live with AI-powered monitoring, automated documentation, and billing — your team stays focused on care.
No one-size-fits-all templates. Every integration is configured for how your Long-Term Care actually operates.
Book a Discovery CallAI-Powered Alerts
Pattern recognition catches changes early
Smart Workflows
Automated routing and documentation
Automated Compliance
Real-time audit trail and billing validation
Advanced intelligence working behind the scenes — faster processing, smarter alerts, effortless documentation.
Technology that stays in the background — so care stays in the foreground.
Why CCN Health
Why Long-Term Care Facilities Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Seamless EHR Integration
How CCN Health Works Inside ALIS
Your monitoring data flows directly into ALIS — no exports, no manual entry, no disruption to your clinical workflow.
RPM Devices
CGM, Scales, BP, SpO2
AI-Powered Platform
Intelligent data routing, anomaly detection, and automated documentation — working behind the scenes.
ALIS
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 the ALIS platform so that RPM readings sync directly into resident records, streamlining clinical workflows for senior living communities.
CCN Health transmits device data to ALIS through a secure API, ensuring vitals are available to caregivers inside the EHR they already use every day.
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).
RPM in long-term care provides continuous vital-sign monitoring that helps clinical staff detect changes early, reduce unnecessary hospitalizations, and improve quality metrics.
Still have questions? We're happy to walk you through anything.
Talk to Our Team
Get Started
Ready to bring Remote Patient Monitoring to your Long-Term Care?
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.