Night Monitoring for CCRC BHI — ALIS + CCN Health

Night Monitoring for CCRC BHI with ALIS and Charm Health

CCRC campuses using ALIS as their facility EHR often work with physicians who use Charm Health for their practice management. When implementing BHI with night 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 CCRC

In ccrc settings with night monitoring, it's common for:

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

Without an integration bridge, night monitoring readings exist in isolation — staff must manually transcribe data between systems, leading to documentation gaps and billing delays.

How Night Monitoring Works

Continuous overnight monitoring captures vital signs, sleep quality, and room activity during nighttime hours when staff presence is reduced and residents are most vulnerable.

Data Captured

• Heart rate during sleep
• Respiratory rate patterns
• Sleep duration and quality
• Nighttime awakening frequency
• Bed presence/absence

How CCN Health Bridges ALIS and Charm Health

CCN Health's platform serves as the central hub for all night monitoring data in dual-EHR environments:

1. Night Monitoring data flows to CCN Health — Heart rate during sleep and other metrics are captured continuously by the monitoring system
2. ALIS receives resident records — Vital signs, alerts, and care documentation sync to ALIS resident charts automatically
3. Charm Health receives clinical summaries — The ordering physician gets BHI reports with night monitoring data in their Charm Health workflow
4. Billing documentation routes correctly — Claims data with night monitoring support goes to the billing entity via Charm Health

Data Flow: ALIS ↔ CCN Health ↔ Charm Health

Data Type	ALIS	CCN Health	Charm Health
Resident Demographics	Source	Syncs	Receives
Heart rate during sleep	Receives	Hub	Receives
Night Monitoring Alerts	Receives	Generates	Receives
Care Plans	Shared	Coordinates	Shared
Billing Documentation	Reference	Generates	Primary
BHI Time Tracking	Reference	Tracks	Primary

Benefits for CCRC Campuses

Combining night monitoring with dual-EHR integration provides unique advantages for ccrc campuses:

Continuum Coverage

One monitoring platform covers every care level — data follows the resident as acuity changes.

Transition Support

Continuous monitoring data informs care level transitions with objective health metrics.

Night Monitoring Advantages

• Eliminates need for nighttime vital sign checks that disrupt sleep
• Detects nocturnal health events (cardiac, respiratory, falls)

Billing Considerations for Dual-EHR Night Monitoring BHI

In dual-EHR environments with night monitoring, billing typically flows through the physician practice (Charm Health):

CPT Code	Reimbursement	Billing Entity	Documentation Source
99484	~$48/mo	Physician (Charm Health)	CCN Health → Charm Health
99492	~$163	Physician (Charm Health)	CCN Health → Charm Health
99493	~$130/mo	Physician (Charm Health)	CCN Health → Charm Health

Night Monitoring data provides the clinical documentation needed to support BHI billing with objective, time-stamped readings that demonstrate monitoring compliance.

Frequently Asked Questions

How does night monitoring data reach both EHR systems?

Data flows from the monitoring device to CCN Health's platform, then syncs bi-directionally with both ALIS (for resident care documentation) and Charm Health (for physician clinical records and billing).

Do both systems get the same night monitoring data?

Both systems receive night monitoring data, but formatted for each system's role. ALIS gets detailed resident charting, while Charm Health receives clinical summaries optimized for physician workflows and billing.

What is the implementation timeline for night monitoring with dual-EHR?

Most ccrc campuses are fully operational within 4-6 weeks, including system deployment, dual-EHR integration setup, and care staff training. Both EHR connections are configured simultaneously.