PCM · Night Monitoring
Night Monitoring for Memory Care PCM — athenahealth + CCN Health
Night Monitoring technology powering your PCM program in Memory Care — fully integrated with athenahealth. Real-time alerts, clinical workflows, and automated billing in one platform.
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CCN Health provides a certified Principal Care Management (PCM) integration with athenahealth designed specifically for memory care communities, featuring night monitoring technology. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Night Monitoring for Memory Care PCM with athenahealth
For memory care communities running PCM through athenahealth, night monitoring addresses a critical need: monitoring residents who remove, lose, or cannot operate wearable devices. Continuous overnight monitoring captures vital signs, sleep quality, and room activity during nighttime hours when staff presence is reduced and residents are most vulnerable.
Why Night Monitoring for Memory Care
Memory Care communities serve residents with Alzheimer's disease, dementia, and other cognitive impairments who require specialized care environments and cannot reliably use traditional monitoring devices. Night Monitoring is particularly relevant because:
- Eliminates need for nighttime vital sign checks that disrupt sleep
- Detects nocturnal health events (cardiac, respiratory, falls)
- Monitors sleep quality as a clinical indicator
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
Benefits for Memory Care Communities
Contactless Monitoring
Xandar Kardian radar sensors capture vitals without any wearables — ideal for residents who remove devices.
Wander Detection Support
Presence sensing and alert capabilities complement existing wander management systems.
Clinical Trending
Longitudinal data helps clinical teams correlate behavioral changes with physiological indicators.
Night Monitoring vs. Traditional Approaches
| Factor | Continuous | Traditional |
|---|---|---|
| Sleep Disruption | None — monitoring is passive | Wakes resident for vitals |
| Data Continuity | Full night recording | 2-3 spot checks |
| Event Detection | Real-time alerting | Discovered on next round |
| Staff Time | Alert-driven response only | Scheduled rounds required |
| Clinical Value | Sleep quality trending | Point-in-time readings |
Common Conditions in Memory Care
- Alzheimer's disease
- vascular dementia
- hypertension
- diabetes
- fall risk
- sundowning
Billing & Reimbursement
Night Monitoring data contributes to PCM billing in memory care settings:
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 99424 | ~$70/mo | 30+ minutes of clinical staff time per month |
| 99425 | ~$56/mo | Each additional 30 minutes of clinical time |
| 99426 | ~$80/mo | 30+ minutes of physician/QHP time |
| 99427 | ~$64/mo | Each additional 30 minutes of physician time |
Monthly potential per resident: $70+
Frequently Asked Questions
Is night monitoring suitable for memory care residents?
Yes. Night Monitoring is ideal for memory care night monitoring and elopement prevention, where eliminates need for nighttime vital sign checks that disrupt sleep.
How does night monitoring data reach athenahealth?
Data flows automatically from the monitoring system to CCN Health's platform, then syncs bi-directionally with athenahealth. No manual charting required.
What is the implementation timeline?
Most memory care communities are fully operational within 4 weeks including system deployment, athenahealth integration, and care staff training.
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 Memory 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 Memory 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 athenahealth
Your program data flows directly into athenahealth — no exports, no manual entry, no disruption to your clinical workflow.
Specialist Data
Condition Monitoring, Referrals
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
High-risk conditions, specialist data, and medications
Condition Tracking
Disease-specific metrics monitored and trended
Specialist Coordination
Referral data and specialist notes synchronized
Care Plans
Condition-specific treatment plans inform monitoring
Time Tracking
Care management minutes tracked for billing compliance
Billing Documentation
CPT 99424/99425/99426/99427 records generated automatically
“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.
Medicare Billing
Principal Care Management (PCM)
2 billing codes
First 30 minutes of clinical staff time for PCM
~$70
Monthly
Each additional 30 minutes of PCM clinical staff time
~$54
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.
PCM focuses on patients with a single high-risk chronic condition, billed under CPT codes 99424 and 99425, covering care coordination and management services.
Yes. CCN Health offers sensorless monitoring options ideal for memory care, where residents may not be able to operate traditional devices. Passive sensors track vitals without requiring any action from the resident.
Night monitoring uses passive sensors to track vitals and movement during sleep, alerting staff to concerning changes without disturbing the resident.
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
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Ready to bring Principal Care Management to your Memory 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.