RTM for Long-Term Care
RTM for Long-Term Care — Powered by Epic + CCN Health
Purpose-built RTM for Long-Term Care communities. CCN Health integrates directly with Epic to automate clinical workflows and capture every eligible reimbursement.
CCN Health provides a certified Remote Therapeutic Monitoring (RTM) integration with Epic designed specifically for long-term care facilities. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Remote Therapeutic Monitoring for Long-Term Care with Epic
For long-term care organizations using Epic, Remote Therapeutic Monitoring creates a powerful combination of clinical oversight and operational efficiency. CCN Health's integration handles the technical complexity so your care team can focus on resident care.
Long-Term Care Challenges That RTM Addresses
- Providing consistent monitoring for residents with chronic conditions over extended stays
- Reducing avoidable hospitalizations and ER transfers
- Maintaining comprehensive care documentation over months or years
- Managing staffing constraints while ensuring clinical oversight
How It Works in Long-Term Care
- 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
- Epic Integration — Therapy data flows into Epic for documentation and care plan updates
- Billing Automation — CPT 98975-98981 documentation generated for compliant billing
Why Long-Term Care Facilities Choose CCN Health
Sustained Monitoring
Continuous vital sign trending over long stays enables early detection of gradual health changes.
Hospitalization Prevention
Proactive alerts help clinical teams intervene before conditions deteriorate to emergency levels.
Documentation Continuity
Automated charting creates a continuous record that supports longitudinal care planning.
Revenue Growth
Medicare reimbursement creates new revenue streams without requiring additional clinical staff.
Therapeutic Monitoring for Long-Term Care
| 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 Long-Term Care
Chronic Disease Management
Monitor residents with conditions like heart failure, diabetes, COPD, hypertension. Trending data helps care 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 Long-Term Care
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 Epic for long-term care RTM?
Yes. CCN Health's certified Epic integration enables bi-directional data flow specifically designed for long-term care workflows.
What is the implementation timeline for long-term care?
Most long-term care facilities are fully operational within 4 weeks, including integration setup, nursing staff training, and therapy deployment.
How does RTM billing work in long-term care?
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 Long-Term Care
| Week | Activity |
|---|---|
| 1 | Discovery call and Epic 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 Long-Term 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 Long-Term 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 Epic
Your program data flows directly into Epic — 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.
Epic
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 Epic via secure APIs, enabling RPM device data and care management documentation to flow into Epic's enterprise health records.
CCN Health transmits device readings and care coordination notes to Epic through FHIR-based APIs, ensuring clinical data is available within existing Epic workflows.
RPM in long-term care provides continuous vital-sign monitoring that helps clinical staff detect changes early, reduce unnecessary hospitalizations, and improve quality metrics.
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 TeamGet Started
Ready to bring RTM to your Long-Term 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.