PointClickCare
CCN Health

CCM for Memory Care

Chronic Care Management for Memory Care — Powered by PointClickCare + CCN Health

Purpose-built CCM for Memory Care communities. CCN Health integrates directly with PointClickCare to automate clinical workflows and capture every eligible reimbursement.

2+
Chronic Conditions Managed
$62+
Monthly Revenue
Per Patient
25%
Readmission Reduction
99.9%
Platform Uptime

Every facility is different. Let's find the right fit for yours.

Book a discovery call and walk us through your workflows, EHR setup, and goals — we'll design a solution around them.

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Quick Answer

CCN Health provides a certified Chronic Care Management (CCM) integration with PointClickCare designed specifically for memory care communities, bridging both PointClickCare and augusthealth systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.

Deep Dive

CCM for Memory Care with PointClickCare and August Health

Many memory care communities use PointClickCare as their facility EHR while the ordering physician or medical director uses August Health for their practice. This dual-EHR reality creates challenges for CCM 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 Memory Care

In memory care settings, it's common for:

  • The facility to use PointClickCare for resident records, charting, and daily care documentation
  • The physician to use August Health for orders, billing, and clinical decision-making
  • CCM 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 August Health

CCN Health's platform sits between both EHR systems, serving as a central hub for all CCM data:

  1. Device data flows to CCN Health — Vital signs from monitoring devices are captured by the CCN Health platform
  2. PointClickCare receives resident records — Vital signs, alerts, and care documentation sync to PointClickCare resident charts
  3. August Health receives clinical summaries — The ordering physician gets CCM reports, clinical observations, and billing-ready documentation in their August Health workflow
  4. Billing documentation routes correctly — Claims data goes to the billing entity (physician practice via August Health) with supporting clinical documentation

Data Flow: PointClickCare ↔ CCN Health ↔ August Health

Data Type PointClickCare CCN Health August Health
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
CCM Time Tracking Reference Tracks Primary

Why This Matters for Memory Care

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.

Billing Considerations for Dual-EHR CCM

In dual-EHR environments, billing typically flows through the physician practice (August Health):

CPT Code Reimbursement Billing Entity Documentation Source
99490 ~$62/mo Physician (August Health) CCN Health → August Health
99491 ~$83/mo Physician (August Health) CCN Health → August Health

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 CCM data?

Both systems receive CCM data, but the content is tailored to each system's role. PointClickCare gets resident care documentation, while August Health receives clinical summaries and billing records.

Who submits the Medicare claims?

Typically the physician practice bills through August Health, 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.

AI-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.

Resident receiving care in a senior living community
CCN Health

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.

01

Contactless Monitoring

Radar-based sensorless technology captures vitals without wearables — ideal for residents who remove devices.

02

Revenue Generation

Medicare RPM reimbursement adds $120+ per resident per month with fully automated billing documentation.

03

Wander Detection Support

Presence sensing and alert capabilities complement existing wander management systems.

04

Family Peace of Mind

Continuous monitoring reassures families their loved ones receive attentive, data-driven care around the clock.

05

AI-Powered Efficiency

Intelligent workflows handle documentation, threshold management, and billing preparation — freeing clinical staff for direct patient care.

06

Clinical Trending

Longitudinal data helps clinical teams correlate behavioral changes with physiological indicators.

Seamless EHR Integration

How CCN Health Works Inside PointClickCare

Your program data flows directly into PointClickCare — 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.

PointClickCare

Charts & Care Plans

What Flows Between Systems

01

Patient Demographics

Chronic conditions, medications, and problem lists from your EHR

02

Care Plan Updates

Treatment plans and goals sync bi-directionally

03

Contact Logging

Phone calls and check-ins documented with timestamps

04

Medication Reconciliation

Current medication lists kept in sync across platforms

05

Time Tracking

Care management minutes tracked for billing compliance

06

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.

PointClickCare + CCN Health

Let us show you what Chronic Care Management looks like inside PointClickCare

A live walkthrough tailored to your Memory Care — your workflows, your EHR, your residents. No generic slides.

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

2+ chronic conditions expected to last 12+ months20+ minutes of care management timePatient consent required

~$62

Monthly

Each additional 20 minutes of CCM clinical staff time

Additional 20+ minute incrementsRequires 99490 as base codeUp to 2 additional units per month

~$47

Monthly (additional)

First 30 minutes of physician/QHP time for complex CCM

Medical decision making of moderate to high complexity30+ minutes of physician timeComplex chronic conditions

~$83

Monthly

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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.

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.

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 Team
PointClickCare
CCN Health

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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.