RPM for Assisted Living
Remote Patient Monitoring for Assisted Living — Powered by PointClickCare + CCN Health
Purpose-built RPM for Assisted Living communities. CCN Health integrates directly with PointClickCare to automate clinical workflows and capture every eligible reimbursement.
CCN Health provides a certified Remote Patient Monitoring (RPM) integration with PointClickCare designed specifically for assisted living communities, bridging both PointClickCare and matrixcare systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
RPM for Assisted Living with PointClickCare and MatrixCare
Many assisted living communities use PointClickCare as their facility EHR while the ordering physician or medical director uses MatrixCare for their practice. This dual-EHR reality creates challenges for RPM programs — clinical data lives in two systems that don't natively talk to each other. CCN Health solves this by integrating with both systems simultaneously.
The Dual-EHR Challenge in Assisted Living
In assisted living settings, it's common for:
- The facility to use PointClickCare for resident records, charting, and daily care documentation
- The physician to use MatrixCare for orders, billing, and clinical decision-making
- RPM data to be needed in both systems for complete clinical documentation
Without an integration bridge, care staff must manually enter data in both systems, leading to documentation gaps, billing delays, and clinical risk.
How CCN Health Bridges PointClickCare and MatrixCare
CCN Health's platform sits between both EHR systems, serving as a central hub for all RPM data:
- Device data flows to CCN Health — Vital signs from monitoring devices are captured by the CCN Health platform
- PointClickCare receives resident records — Vital signs, alerts, and care documentation sync to PointClickCare resident charts
- MatrixCare receives clinical summaries — The ordering physician gets RPM reports, clinical observations, and billing-ready documentation in their MatrixCare workflow
- Billing documentation routes correctly — Claims data goes to the billing entity (physician practice via MatrixCare) with supporting clinical documentation
Data Flow: PointClickCare ↔ CCN Health ↔ MatrixCare
| Data Type | PointClickCare | CCN Health | MatrixCare |
|---|---|---|---|
| Resident Demographics | Source | Syncs | Receives |
| Vital Signs | Receives | Hub | Receives |
| Clinical Alerts | Receives | Generates | Receives |
| Care Plans | Shared | Coordinates | Shared |
| Billing Documentation | Reference | Generates | Primary |
| RPM Time Tracking | Reference | Tracks | Primary |
Why This Matters for Assisted Living
Preserve Independence
Sensorless and wearable-free monitoring lets residents maintain daily routines without disruption.
Early Intervention
Real-time alerts enable staff to detect health changes before they become emergencies.
Family Engagement
Proactive monitoring gives families confidence their loved ones receive attentive care.
Billing Considerations for Dual-EHR RPM
In dual-EHR environments, billing typically flows through the physician practice (MatrixCare):
| CPT Code | Reimbursement | Billing Entity | Documentation Source |
|---|---|---|---|
| 99453 | ~$19 | Physician (MatrixCare) | CCN Health → MatrixCare |
| 99454 | ~$50/mo | Physician (MatrixCare) | CCN Health → MatrixCare |
| 99457 | ~$48/mo | Physician (MatrixCare) | CCN Health → MatrixCare |
| 99458 | ~$38/mo | Physician (MatrixCare) | CCN Health → MatrixCare |
CCN Health ensures all required documentation is routed to the correct system for compliant billing regardless of which entity submits the claim.
Frequently Asked Questions
Do both EHR systems get the same RPM data?
Both systems receive RPM data, but the content is tailored to each system's role. PointClickCare gets resident care documentation, while MatrixCare receives clinical summaries and billing records.
Who submits the Medicare claims?
Typically the physician practice bills through MatrixCare, with CCN Health providing all required documentation. The specific billing arrangement depends on your organization's structure.
Is there extra setup for dual-EHR integration?
CCN Health configures both integrations during the standard implementation period. The dual-EHR setup is part of our standard offering — no additional cost or extended timeline.
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 Assisted 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 Assisted 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 PointClickCare
Your monitoring data flows directly into PointClickCare — 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.
PointClickCare
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 has a direct integration with PointClickCare, allowing vital-sign data from RPM devices to flow automatically into resident charts without manual entry.
Device readings are transmitted to CCN Health's platform and then pushed into PointClickCare via API, appearing alongside existing clinical documentation for a unified workflow.
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).
Assisted living residents use easy-to-operate devices that automatically transmit readings. Staff receive alerts for out-of-range values, enabling timely interventions while preserving resident independence.
Still have questions? We're happy to walk you through anything.
Talk to Our Team