Sensorless Monitoring for Skilled Nursing RTM — ALIS + CCN Health

Sensorless Monitoring for Skilled Nursing RTM with ALIS and athenahealth

Skilled Nursing facilities using ALIS as their facility EHR often work with physicians who use athenahealth for their practice management. When implementing RTM 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 athenahealth 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 athenahealth

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. athenahealth receives clinical summaries — The ordering physician gets RTM reports with sensorless monitoring data in their athenahealth workflow
4. Billing documentation routes correctly — Claims data with sensorless monitoring support goes to the billing entity via athenahealth

Data Flow: ALIS ↔ CCN Health ↔ athenahealth

Data Type	ALIS	CCN Health	athenahealth
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
RTM 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 RTM

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

CPT Code	Reimbursement	Billing Entity	Documentation Source
98975	~$19	Physician (athenahealth)	CCN Health → athenahealth
98976	~$50/mo	Physician (athenahealth)	CCN Health → athenahealth
98977	~$50/mo	Physician (athenahealth)	CCN Health → athenahealth
98980	~$48/mo	Physician (athenahealth)	CCN Health → athenahealth
98981	~$38/mo	Physician (athenahealth)	CCN Health → athenahealth

Sensorless Monitoring data provides the clinical documentation needed to support RTM 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 athenahealth (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 athenahealth 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.