BHI for Memory Care
Behavioral Health Integration for Memory Care — Powered by Epic + CCN Health
Purpose-built BHI for Memory Care communities. CCN Health integrates directly with Epic to automate clinical workflows and capture every eligible reimbursement.
CCN Health provides a certified Behavioral Health Integration (BHI) integration with Epic designed specifically for memory care communities. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Behavioral Health Integration for Memory Care with Epic
Memory Care communities face unique challenges managing resident health: monitoring residents who remove, lose, or cannot operate wearable devices and detecting health changes in residents who cannot self-report symptoms. CCN Health's BHI integration with Epic addresses these challenges with automated monitoring, documentation, and billing.
Memory Care Challenges That BHI Addresses
- Monitoring residents who remove, lose, or cannot operate wearable devices
- Detecting health changes in residents who cannot self-report symptoms
- Managing elopement risk alongside health monitoring
- Correlating behavioral changes with physiological indicators
How It Works in Memory Care
- Screening & Assessment — Validated instruments (PHQ-9, GAD-7) administered to identify behavioral health needs
- Care Plan Development — Behavioral health care plan created in collaboration with psychiatric consultant
- Monthly Interventions — Regular check-ins, medication management support, and crisis monitoring
- Epic Integration — Screening scores and intervention notes documented in Epic automatically
- Billing Automation — CPT 99484/99492/99493 time tracking and documentation generated
Why Memory Care Communities Choose CCN Health
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.
Family Peace of Mind
Continuous monitoring reassures families their loved ones receive attentive, data-driven care.
Screening Instruments for Memory Care
| Instrument | Use Case | Details |
|---|---|---|
| PHQ-9 | Depression screening | 9-item questionnaire, scored 0-27, tracks severity and treatment response |
| GAD-7 | Anxiety screening | 7-item questionnaire, scored 0-21, identifies generalized anxiety disorder |
| PHQ-2 | Depression pre-screen | 2-item rapid screen, gateway to full PHQ-9 if positive |
| Columbia Suicide Severity Rating Scale | Suicide risk assessment | Structured interview for suicide ideation and behavior |
| Montreal Cognitive Assessment (MoCA) | Cognitive screening | 30-point test for mild cognitive impairment detection |
Clinical Benefits for Memory Care
Chronic Disease Management
Monitor residents with conditions like Alzheimer's disease, vascular dementia, hypertension, diabetes. Trending data helps memory care teams adjust care plans before conditions deteriorate.
Transition of Care Support
When residents return from hospital stays, BHI enables closer monitoring during the critical post-discharge period.
Billing & Reimbursement in Memory Care
CCN Health automates Medicare BHI billing documentation for qualified residents:
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 99484 | ~$48/mo | 20+ minutes of clinical staff time per month |
| 99492 | ~$163 | Initial psychiatric collaborative care (70+ min first month) |
| 99493 | ~$130/mo | Subsequent psychiatric collaborative care (60+ min) |
Monthly potential per resident: $48+
Frequently Asked Questions
Does CCN Health integrate with Epic for memory care BHI?
Yes. CCN Health's certified Epic integration enables bi-directional data flow specifically designed for memory care workflows.
What is the implementation timeline for memory care?
Most memory care communities are fully operational within 4 weeks, including integration setup, care staff training, and screening deployment.
How does BHI billing work in memory care?
CCN Health automatically documents the required data for 99484, 99492, 99493. Time tracking and screening records are captured for audit-ready Medicare billing.
Implementation for Memory Care
| Week | Activity |
|---|---|
| 1 | Discovery call and Epic configuration review |
| 2 | Technical integration setup and testing |
| 3 | Care staff training and screening protocol deployment |
| 4 | Pilot launch with select residents |
| 5+ | Full community 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 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 Epic
Your program data flows directly into Epic — no exports, no manual entry, no disruption to your clinical workflow.
BH Assessments
PHQ-9, GAD-7, Screenings
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
Behavioral health diagnoses, medications, and history from your EHR
Screening Scores
PHQ-9, GAD-7, and assessment results posted to patient charts
Intervention Notes
Behavioral health interventions documented and time-stamped
Care Coordination
Psychiatric consult notes and referral tracking
Time Tracking
BHI care management minutes tracked for 20-min threshold
Billing Documentation
CPT 99484/99492/99493 records generated automatically
“Every reading, every alert, every care plan update — available across all your programs. One integration, unlimited use cases.”
Infrastructure
Medicare Billing
Automated Medicare billing documentation — every qualifying encounter captured and coded.
Medicare Billing
Behavioral Health Integration (BHI)
1 billing codes
Care management for behavioral health conditions
~$48
Monthly
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.
BHI enables billing for care management services for patients with behavioral health conditions, using CPT codes 99484, 99492, and 99493.
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.
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 Behavioral Health Integration 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.