RTM for Skilled Nursing
RTM for Skilled Nursing — Powered by athenahealth + CCN Health
Purpose-built RTM for Skilled Nursing communities. CCN Health integrates directly with athenahealth to automate clinical workflows and capture every eligible reimbursement.
CCN Health provides a certified Remote Therapeutic Monitoring (RTM) integration with athenahealth designed specifically for skilled nursing facilities. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Remote Therapeutic Monitoring for Skilled Nursing with athenahealth
Implementing RTM in skilled nursing settings requires an integration that understands both the clinical needs of post-acute and long-stay residents requiring 24/7 skilled nursing care, often with multiple comorbidities and higher acuity and the workflows of athenahealth. CCN Health bridges this gap.
Skilled Nursing Challenges That RTM Addresses
- Managing high-acuity patients with multiple comorbidities
- Reducing 30-day hospital readmission rates
- Meeting CMS quality measures and star ratings
- Maintaining survey readiness with comprehensive documentation
How It Works in Skilled Nursing
- Therapy Protocol Setup — Define therapeutic goals, exercise regimens, or respiratory therapy parameters
- Patient Self-Reporting — Patients report pain levels, range of motion, medication adherence, and functional status
- Outcome Tracking — Therapeutic outcomes trended over time to measure therapy effectiveness
- athenahealth Integration — Therapy data flows into athenahealth for documentation and care plan updates
- Billing Automation — CPT 98975-98981 documentation generated for compliant billing
Why Skilled Nursing Facilities Choose CCN Health
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.
Survey Readiness
Comprehensive, timestamped records provide audit-ready documentation for state and federal surveys.
Acute-Level Monitoring
Continuous vital sign capture supports the higher-acuity clinical needs of skilled nursing residents.
Therapeutic Monitoring for Skilled Nursing
| Outcome Measure | Use Case | Details |
|---|---|---|
| Pain Assessment | Post-surgical, chronic pain | Visual analog scale, tracked daily for trending |
| Range of Motion | Joint replacement, MSK rehab | Goniometer readings for joint mobility tracking |
| Functional Status | ADL improvement tracking | Standardized assessments of daily living activities |
| Respiratory Function | COPD, asthma management | Peak flow, inhaler usage, symptom scoring |
| Medication Adherence | Therapy compliance | Self-reported adherence with automated reminders |
Clinical Benefits for Skilled Nursing
Chronic Disease Management
Monitor residents with conditions like post-surgical recovery, heart failure, pneumonia, COPD exacerbation. Trending data helps clinical teams adjust care plans before conditions deteriorate.
Transition of Care Support
When residents return from hospital stays, RTM enables closer monitoring during the critical post-discharge period.
Billing & Reimbursement in Skilled Nursing
CCN Health automates Medicare RTM billing documentation for qualified residents:
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 98975 | ~$19 | Initial setup and patient education for RTM device |
| 98976 | ~$50/mo | 16+ days of respiratory therapy monitoring data |
| 98977 | ~$50/mo | 16+ days of MSK therapy monitoring data |
| 98980 | ~$48/mo | First 20 minutes of treatment management services |
| 98981 | ~$38/mo | Each additional 20 minutes of treatment management |
Monthly potential per resident: $100+
Frequently Asked Questions
Does CCN Health integrate with athenahealth for skilled nursing RTM?
Yes. CCN Health's certified athenahealth integration enables bi-directional data flow specifically designed for skilled nursing workflows.
What is the implementation timeline for skilled nursing?
Most skilled nursing facilities are fully operational within 4 weeks, including integration setup, nursing staff training, and therapy deployment.
How does RTM billing work in skilled nursing?
CCN Health automatically documents the required data for 98975, 98976, 98977, 98980, 98981. Time tracking and therapy records are captured for audit-ready Medicare billing.
Implementation for Skilled Nursing
| Week | Activity |
|---|---|
| 1 | Discovery call and athenahealth configuration review |
| 2 | Technical integration setup and testing |
| 3 | Nursing staff training and therapy protocol deployment |
| 4 | Pilot launch with select residents |
| 5+ | Full facility 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 Skilled Nursing 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 Skilled Nursing 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.
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.”
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.
Skilled nursing facilities use RPM to continuously monitor residents' vitals, enabling early detection of decline, reducing hospital transfers, and supporting compliance with quality reporting requirements.
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 RTM to your Skilled Nursing?
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.