CCM · Night Monitoring
Night Monitoring for Memory Care CCM — Epic + CCN Health
Night Monitoring technology powering your CCM program in Memory Care — fully integrated with Epic. Real-time alerts, clinical workflows, and automated billing in one platform.
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CCN Health provides a certified Chronic Care Management (CCM) integration with Epic 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 CCM with Epic
Memory Care communities can enhance their CCM programs with night monitoring technology that integrates directly with Epic. 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 CCM billing in memory care settings:
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 99490 | ~$62/mo | 20+ minutes of clinical staff time per month |
| 99491 | ~$83/mo | 30+ minutes of physician/QHP time per month |
Monthly potential per resident: $62+
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 Epic?
Data flows automatically from the monitoring system to CCN Health's platform, then syncs bi-directionally with Epic. No manual charting required.
What is the implementation timeline?
Most memory care communities are fully operational within 4 weeks including system deployment, Epic 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 Epic
Your program data flows directly into Epic — no exports, no manual entry, no disruption to your clinical workflow.
Care Coordination
Calls, Assessments, Care Plans
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
Chronic conditions, medications, and problem lists from your EHR
Care Plan Updates
Treatment plans and goals sync bi-directionally
Contact Logging
Phone calls and check-ins documented with timestamps
Medication Reconciliation
Current medication lists kept in sync across platforms
Time Tracking
Care management minutes tracked for billing compliance
Billing Documentation
CPT 99490/99491 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
Chronic Care Management (CCM)
3 billing codes
First 20 minutes of clinical staff time for CCM services
~$62
Monthly
Each additional 20 minutes of CCM clinical staff time
~$47
Monthly (additional)
First 30 minutes of physician/QHP time for complex CCM
~$83
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.
CCM is a Medicare program that reimburses providers for non-face-to-face care coordination for patients with two or more chronic conditions, billed under CPT codes 99490, 99439, and 99491.
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.
Still have questions? We're happy to walk you through anything.
Talk to Our Team
Get Started
Ready to bring Chronic 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.