Night Monitoring for Remote Patient Monitoring — Inside Epic
Night Monitoring data flows directly into Epic through CCN Health — powering your RPM program with real-time insights and automated billing.
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CCN Health provides a certified Remote Patient Monitoring (RPM) 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 Remote Patient Monitoring with Epic
For organizations running RPM 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 RPM Programs
When integrated with CCN Health's RPM 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 99454 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 RPM billing requirements:
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 99453 | ~$19 | One-time device setup and patient education |
| 99454 | ~$50/mo | 16+ days of readings per 30-day period |
| 99457 | ~$48/mo | First 20 minutes of clinical monitoring time |
| 99458 | ~$38/mo | Each additional 20 minutes of clinical time |
Monthly potential per patient: $120+
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 RPM billing?
Yes. Night Monitoring data transmissions count toward the monitoring requirements for RPM 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 monitoring 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.”
Infrastructure
Devices & Billing
FDA-cleared devices and automated Medicare billing — configured per resident, synced with the EHR.
Supported Devices
The Xandar Kardian sensor captures heart rate, respiratory rate, and room presence using radar technology — residents don't wear, charge, or interact with anything.
Medicare Billing
Remote Patient Monitoring (RPM)
4 billing codes
Initial setup and patient education on monitoring equipment
~$19
One-time
Device supply with daily recording or programmed alert transmission
~$50
Monthly
First 20 minutes of clinical staff time for RPM treatment management
~$50
Monthly
Each additional 20 minutes of RPM treatment management
~$40
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.
RPM uses FDA-cleared connected devices to collect patient vitals—such as blood pressure, weight, and glucose—outside of traditional clinical settings, enabling proactive care and early intervention.
The primary RPM CPT codes are 99453 (device setup), 99454 (monthly device supply/data transmission), 99457 (first 20 min clinical review), and 99458 (each additional 20 min).
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.
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