CCM · Sensorless
Sensorless Monitoring for Independent Living CCM — PointClickCare + CCN Health
Sensorless Monitoring technology powering your CCM program in Independent Living — fully integrated with PointClickCare. Real-time alerts, clinical workflows, and automated billing in one platform.
Schedule a DemoHundreds of facilities just like yours have grown their Chronic Care Management programs with CCN Health. Let us show you how.
CCN Health provides a certified Chronic Care Management (CCM) integration with PointClickCare designed specifically for independent living communities, featuring sensorless monitoring technology, bridging both PointClickCare and athenahealth systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Sensorless Monitoring for Independent Living CCM with PointClickCare and athenahealth
Independent Living communities using PointClickCare as their facility EHR often work with physicians who use athenahealth for their practice management. When implementing CCM with sensorless monitoring, this dual-EHR reality creates data flow challenges that CCN Health solves through bi-directional integration with both systems.
The Dual-EHR Challenge in Independent Living
In independent living settings with sensorless monitoring, it's common for:
- The facility to use PointClickCare for resident records, charting, and daily care documentation
- The physician to use athenahealth for orders, billing, and clinical decision-making
- Sensorless Monitoring data to be needed in both systems for complete clinical documentation and billing
Without an integration bridge, sensorless monitoring readings exist in isolation — staff must manually transcribe data between systems, leading to documentation gaps and billing delays.
How Sensorless Monitoring Works
Xandar Kardian XK300 uses 60GHz radar waves to detect micro-movements of the chest wall from breathing and heartbeat, capturing vital signs without any physical contact.
Data Captured
- Heart rate
- Respiratory rate
- Presence/absence detection
- Sleep patterns
- Movement activity
How CCN Health Bridges PointClickCare and athenahealth
CCN Health's platform serves as the central hub for all sensorless monitoring data in dual-EHR environments:
- Sensorless Monitoring data flows to CCN Health — Heart rate and other metrics are captured continuously by the Xandar Kardian sensor
- PointClickCare receives resident records — Vital signs, alerts, and care documentation sync to PointClickCare resident charts automatically
- athenahealth receives clinical summaries — The ordering physician gets CCM reports with sensorless monitoring data in their athenahealth workflow
- Billing documentation routes correctly — Claims data with sensorless monitoring support goes to the billing entity via athenahealth
Data Flow: PointClickCare ↔ CCN Health ↔ athenahealth
| Data Type | PointClickCare | CCN Health | athenahealth |
|---|---|---|---|
| Resident Demographics | Source | Syncs | Receives |
| Heart rate | Receives | Hub | Receives |
| Sensorless Monitoring Alerts | Receives | Generates | Receives |
| Care Plans | Shared | Coordinates | Shared |
| Billing Documentation | Reference | Generates | Primary |
| CCM Time Tracking | Reference | Tracks | Primary |
Benefits for Independent Living Communities
Combining sensorless monitoring with dual-EHR integration provides unique advantages for independent living communities:
Wellness-Focused
Positioned as proactive wellness technology rather than medical monitoring, encouraging adoption.
Early Detection
Catch emerging conditions before they require assisted living or skilled nursing transitions.
Sensorless Monitoring Advantages
- No wearable devices required — zero resident compliance needed
- Continuous 24/7 monitoring without battery charging or maintenance
Billing Considerations for Dual-EHR Sensorless Monitoring CCM
In dual-EHR environments with sensorless monitoring, billing typically flows through the physician practice (athenahealth):
| CPT Code | Reimbursement | Billing Entity | Documentation Source |
|---|---|---|---|
| 99490 | ~$62/mo | Physician (athenahealth) | CCN Health → athenahealth |
| 99491 | ~$83/mo | Physician (athenahealth) | CCN Health → athenahealth |
Sensorless Monitoring data provides the clinical documentation needed to support CCM billing with objective, time-stamped readings that demonstrate monitoring compliance.
Frequently Asked Questions
How does sensorless monitoring data reach both EHR systems?
Data flows from the Xandar Kardian sensor to CCN Health's platform, then syncs bi-directionally with both PointClickCare (for resident care documentation) and athenahealth (for physician clinical records and billing).
Do both systems get the same sensorless monitoring data?
Both systems receive sensorless monitoring data, but formatted for each system's role. PointClickCare gets detailed resident charting, while athenahealth receives clinical summaries optimized for physician workflows and billing.
What is the implementation timeline for sensorless monitoring with dual-EHR?
Most independent living communities are fully operational within 4-6 weeks, including sensor installation, dual-EHR integration setup, and wellness staff training. Both EHR connections are configured simultaneously.
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 Independent 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 Independent 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 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
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
Devices & Billing
FDA-cleared devices and automated Medicare billing — configured per resident, synced with the EHR.
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 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. RPM helps independent living residents proactively manage chronic conditions with minimal disruption, while giving clinical teams visibility into health trends that might otherwise go unnoticed.
Sensorless monitoring uses under-mattress or contactless sensors to track vitals like heart rate, respiratory rate, and sleep patterns without the resident wearing or operating any device.
Still have questions? We're happy to walk you through anything.
Talk to Our Team