Night Monitoring for Principal Care Management — Inside Epic
Night Monitoring data flows directly into Epic through CCN Health — powering your PCM program with real-time insights and automated billing.
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CCN Health provides a certified Principal Care Management (PCM) integration with Epic, featuring night monitoring technology. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
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Night Monitoring for Principal Care Management with Epic
For organizations running PCM programs through Epic, night monitoring adds a critical monitoring dimension. Continuous overnight monitoring captures vital signs, sleep quality, and room activity during nighttime hours when staff presence is reduced and residents are most vulnerable.
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.
Vitals and Data Captured
- Heart rate during sleep
- Respiratory rate patterns
- Sleep duration and quality
- Nighttime awakening frequency
- Bed presence/absence
Key Advantages
- Eliminates need for nighttime vital sign checks that disrupt sleep
- Detects nocturnal health events (cardiac, respiratory, falls)
- Monitors sleep quality as a clinical indicator
- Reduces nighttime staffing requirements for vital checks
- Continuous data vs. periodic rounding observations
Night Monitoring vs. Traditional Monitoring
| Factor | Continuous Night Monitoring | Traditional Night Rounds |
|---|---|---|
| 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 |
Ideal Use Cases
- Memory care night monitoring and elopement prevention
- Heart failure patients at risk of nocturnal decompensation
- COPD patients with nighttime desaturation
- Post-acute patients during recovery
Night Monitoring in PCM Programs
When integrated with CCN Health's PCM program through Epic, night monitoring data flows automatically into the EHR and contributes to:
- Clinical Documentation — Overnight vital sign records documented for care plan updates
- Billing Compliance — Data transmissions count toward 99425 requirements
- Alert Workflows — Abnormal readings trigger notifications to care staff via Epic
- Cross-Program Use — Night Monitoring data available across RPM, CCM, and other programs
Billing & Reimbursement
Night Monitoring data contributes to PCM billing requirements:
| 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 patient: $70+
Frequently Asked Questions
How does night monitoring data flow to Epic?
Night Monitoring data is captured automatically and transmitted to the CCN Health platform, which syncs bi-directionally with Epic. No manual entry is required.
Does night monitoring qualify for PCM billing?
Yes. Night Monitoring data transmissions count toward the monitoring requirements for PCM CPT codes when combined with CCN Health's clinical oversight services.
What is the implementation process?
CCN Health handles the full setup: sensor deployment, alert configuration, Epic integration, staff training, and ongoing support.
Technology that stays in the background — so care stays in the foreground.
Why CCN Health
Why Healthcare 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.
Specialist Data
Condition Monitoring, Referrals
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
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
Medicare Billing
Automated Medicare billing documentation — every qualifying encounter captured and coded.
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 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.
PCM focuses on patients with a single high-risk chronic condition, billed under CPT codes 99424 and 99425, covering care coordination and management services.
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.
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