Sensorless Monitoring for Skilled Nursing PCM — ALIS + CCN Health

Sensorless Monitoring for Skilled Nursing PCM with ALIS and Charm Health

Skilled Nursing facilities using ALIS as their facility EHR often work with physicians who use Charm Health for their practice management. When implementing PCM with sensorless 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 Skilled Nursing

In skilled nursing settings with sensorless 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
• Sensorless Monitoring data to be needed in both systems for complete clinical documentation and billing

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

How Sensorless Monitoring Works

Xandar Kardian XK300 uses 60GHz radar waves to detect micro-movements of the chest wall from breathing and heartbeat, capturing vital signs without any physical contact.

Data Captured

• Heart rate
• Respiratory rate
• Presence/absence detection
• Sleep patterns
• Movement activity

How CCN Health Bridges ALIS and Charm Health

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

1. Sensorless Monitoring data flows to CCN Health — Heart rate and other metrics are captured continuously by the Xandar Kardian sensor
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 PCM reports with sensorless monitoring data in their Charm Health workflow
4. Billing documentation routes correctly — Claims data with sensorless 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	Receives	Hub	Receives
Sensorless Monitoring Alerts	Receives	Generates	Receives
Care Plans	Shared	Coordinates	Shared
Billing Documentation	Reference	Generates	Primary
PCM Time Tracking	Reference	Tracks	Primary

Benefits for Skilled Nursing Facilities

Combining sensorless monitoring with dual-EHR integration provides unique advantages for skilled nursing facilities:

Readmission Prevention

Continuous monitoring during the critical post-acute window reduces hospital readmissions and improves quality scores.

Quality Measures

Objective vital sign data supports CMS quality reporting and star rating improvement efforts.

Sensorless Monitoring Advantages

• No wearable devices required — zero resident compliance needed
• Continuous 24/7 monitoring without battery charging or maintenance

Billing Considerations for Dual-EHR Sensorless Monitoring PCM

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

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

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

Frequently Asked Questions

How does sensorless monitoring data reach both EHR systems?

Data flows from the Xandar Kardian sensor 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 sensorless monitoring data?

Both systems receive sensorless 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 sensorless monitoring with dual-EHR?

Most skilled nursing facilities are fully operational within 4-6 weeks, including sensor installation, dual-EHR integration setup, and nursing staff training. Both EHR connections are configured simultaneously.