CCM for Senior Living
Chronic Care Management for Senior Living — Powered by Ethizo + CCN Health
Purpose-built CCM for Senior Living communities. CCN Health integrates directly with Ethizo to automate clinical workflows and capture every eligible reimbursement.
CCN Health provides a certified Chronic Care Management (CCM) integration with Ethizo designed specifically for senior living communities. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Chronic Care Management for Senior Living with Ethizo
Senior Living communities face unique challenges managing resident health: balancing resident independence with clinical oversight and managing chronic conditions across a diverse acuity spectrum. CCN Health's CCM integration with Ethizo addresses these challenges with automated monitoring, documentation, and billing.
Senior Living Challenges That CCM Addresses
- Balancing resident independence with clinical oversight
- Managing chronic conditions across a diverse acuity spectrum
- Demonstrating health outcomes to families considering placement
- Generating additional revenue without increasing staffing burden
How It Works in Senior Living
- Patient Enrollment — Identify Medicare patients with 2+ chronic conditions and obtain consent
- Care Plan Creation — Develop comprehensive care plan addressing all chronic conditions
- Monthly Coordination — Regular check-ins, medication reconciliation, and care plan updates
- Ethizo Documentation — Care coordination notes and time logs sync to Ethizo automatically
- Billing Automation — Time tracking and documentation for CPT 99490/99491 generated automatically
Why Senior Living Communities Choose CCN Health
No Wearables Required
Xandar Kardian sensorless monitoring captures vitals without devices residents need to wear, preserving independence and dignity.
Revenue Generation
Medicare reimbursement adds new revenue per resident per month with automated billing documentation.
Family Confidence
Proactive monitoring gives families peace of mind, improving satisfaction and occupancy rates.
Staff Efficiency
Automated vital charting eliminates manual data entry, giving staff more time for direct resident care.
Devices for Senior Living CCM
| Device | Use Case | Resident Experience |
|---|---|---|
| Care Coordination Platform | Multi-condition management | Centralized dashboard for all chronic conditions |
| Medication Tracking | Adherence monitoring | Automated refill reminders and reconciliation |
| Secure Messaging | Patient communication | HIPAA-compliant messaging for monthly check-ins |
Clinical Benefits for Senior Living
Chronic Disease Management
Monitor residents with conditions like hypertension, diabetes, heart failure, COPD. Trending data helps care teams adjust care plans before conditions deteriorate.
Transition of Care Support
When residents return from hospital stays, CCM enables closer monitoring during the critical post-discharge period.
Billing & Reimbursement in Senior Living
CCN Health automates Medicare CCM billing documentation for qualified residents:
| 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
Does CCN Health integrate with Ethizo for senior living CCM?
Yes. CCN Health's certified Ethizo integration enables bi-directional data flow specifically designed for senior living workflows.
What is the implementation timeline for senior living?
Most senior living communities are fully operational within 4 weeks, including integration setup, care staff training, and device deployment.
How does CCM billing work in senior living?
CCN Health automatically documents the required data for 99490, 99491. Time tracking and transmission records are captured for audit-ready Medicare billing.
Implementation for Senior Living
| Week | Activity |
|---|---|
| 1 | Discovery call and Ethizo configuration review |
| 2 | Technical integration setup and testing |
| 3 | Care staff training and device 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 Senior Living 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 Senior Living Facilities Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Seamless EHR Integration
How CCN Health Works Inside Ethizo
Your program data flows directly into Ethizo — 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.
Ethizo
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
Medicare Billing
Automated Medicare billing documentation — every qualifying encounter captured and coded.
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 the Ethizo practice management platform, enabling RPM and CCM data to flow into patient records for streamlined senior care 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.
Residents use simple connected devices in their rooms. Readings transmit automatically to CCN Health's platform and into the facility's EHR, alerting staff to concerning trends before they become emergencies.
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 Chronic Care Management to your Senior Living?
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.