RPM for CCRC
Remote Patient Monitoring for CCRC — Powered by athenahealth + CCN Health
Purpose-built RPM for CCRC communities. CCN Health integrates directly with athenahealth to automate clinical workflows and capture every eligible reimbursement.
CCN Health provides a certified Remote Patient Monitoring (RPM) integration with athenahealth designed specifically for ccrc campuses. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Remote Patient Monitoring for CCRC with athenahealth
For ccrc organizations using athenahealth, Remote Patient Monitoring creates a powerful combination of clinical oversight and operational efficiency. CCN Health's integration handles the technical complexity so your clinical team can focus on resident care.
CCRC Challenges That RPM Addresses
- Managing monitoring across multiple care levels on one campus
- Maintaining continuity of data as residents transition between care levels
- Standardizing protocols across independent, assisted, memory care, and skilled nursing
- Demonstrating value of the continuum model to prospective residents and families
How It Works in CCRC
- 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
- athenahealth Integration — Data flows directly into athenahealth patient records via cloud-based api
- 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 CCRC Campuses Choose CCN Health
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.
Campus-Wide Insights
Aggregated data across all care levels supports operational planning and quality improvement.
Unified Billing
Single billing infrastructure handles Medicare reimbursement across all campus care settings.
Devices for CCRC 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 CCRC
Chronic Disease Management
Monitor residents with conditions like hypertension, diabetes, heart failure, COPD. Trending data helps clinical 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 CCRC
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 athenahealth for ccrc RPM?
Yes. CCN Health's certified athenahealth integration enables bi-directional data flow specifically designed for ccrc workflows.
What is the implementation timeline for ccrc?
Most ccrc campuses are fully operational within 4 weeks, including integration setup, care staff training, and device deployment.
How does RPM billing work in ccrc?
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 CCRC
| Week | Activity |
|---|---|
| 1 | Discovery call and athenahealth configuration review |
| 2 | Technical integration setup and testing |
| 3 | Care staff training and device deployment |
| 4 | Pilot launch with select residents |
| 5+ | Full campus 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 CCRC 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 CCRC Facilities Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Seamless EHR Integration
How CCN Health Works Inside athenahealth
Your monitoring data flows directly into athenahealth — 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.
athenahealth
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 athenahealth so that RPM data flows directly into patient charts, reducing manual documentation and improving care coordination.
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).
CCRCs use RPM across all levels of care—from independent living to skilled nursing—providing a consistent monitoring platform that follows residents as their care needs evolve.
Most facilities are fully operational within 2–4 weeks. CCN Health handles device provisioning, EHR integration setup, staff training, and ongoing clinical support.
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 CCRC?
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.