PointClickCare
CCN Health

RPM for Skilled Nursing

Remote Patient Monitoring for Skilled Nursing — Powered by PointClickCare + CCN Health

Purpose-built RPM for Skilled Nursing communities. CCN Health integrates directly with PointClickCare to automate clinical workflows and capture every eligible reimbursement.

< 2 min
Alert Response Time
$120+
Monthly Revenue
Per Resident
30%
Fewer Hospital Transfers
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.

Book a Discovery Call
Quick Answer

CCN Health provides a certified Remote Patient Monitoring (RPM) integration with PointClickCare designed specifically for skilled nursing facilities, bridging both PointClickCare and ethizo systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.

Deep Dive

RPM for Skilled Nursing with PointClickCare and Ethizo

Many skilled nursing facilities use PointClickCare as their facility EHR while the ordering physician or medical director uses Ethizo 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 Skilled Nursing

In skilled nursing settings, it's common for:

  • The facility to use PointClickCare for resident records, charting, and daily care documentation
  • The physician to use Ethizo for orders, billing, and clinical decision-making
  • RPM data to be needed in both systems for complete clinical documentation

Without an integration bridge, nursing staff must manually enter data in both systems, leading to documentation gaps, billing delays, and clinical risk.

How CCN Health Bridges PointClickCare and Ethizo

CCN Health's platform sits between both EHR systems, serving as a central hub for all RPM 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. Ethizo receives clinical summaries — The ordering physician gets RPM reports, clinical observations, and billing-ready documentation in their Ethizo workflow
  4. Billing documentation routes correctly — Claims data goes to the billing entity (physician practice via Ethizo) with supporting clinical documentation

Data Flow: PointClickCare ↔ CCN Health ↔ Ethizo

Data Type PointClickCare CCN Health Ethizo
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 Skilled Nursing

Readmission Prevention

Continuous monitoring during the critical post-acute window reduces hospital readmissions and improves quality scores.

Quality Measures

Objective vital sign data supports CMS quality reporting and star rating improvement efforts.

Survey Readiness

Comprehensive, timestamped records provide audit-ready documentation for state and federal surveys.

Billing Considerations for Dual-EHR RPM

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

CPT Code Reimbursement Billing Entity Documentation Source
99453 ~$19 Physician (Ethizo) CCN Health → Ethizo
99454 ~$50/mo Physician (Ethizo) CCN Health → Ethizo
99457 ~$48/mo Physician (Ethizo) CCN Health → Ethizo
99458 ~$38/mo Physician (Ethizo) CCN Health → Ethizo

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 Ethizo receives clinical summaries and billing records.

Who submits the Medicare claims?

Typically the physician practice bills through Ethizo, 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 Skilled Nursing Facilities Choose CCN Health

Purpose-built technology that fits your clinical workflows and drives measurable outcomes.

01

Acute-Level Monitoring

Continuous vital sign capture supports the higher-acuity clinical needs of skilled nursing residents.

02

Revenue Generation

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

03

Readmission Prevention

Post-acute monitoring during the critical 30-day window reduces hospital readmission rates.

04

Quality Measures

Objective vital sign data supports CMS quality reporting and star rating improvement efforts.

05

AI-Powered Efficiency

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

06

Survey Readiness

Comprehensive, timestamped records provide audit-ready documentation for state and federal surveys.

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

01

Patient Demographics

Conditions, medications, and census sync from your EHR

02

Vital Observations

Device readings flow automatically into patient charts

03

Discharge & ADT Events

Admission and discharge events trigger protocol changes

04

Care Plans

Treatment plans inform monitoring thresholds and alerts

05

Billing Documentation

CPT-ready records generated for claims submission

06

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.

PointClickCare + CCN Health

Let us show you what Remote Patient Monitoring looks like inside PointClickCare

A live walkthrough tailored to your Skilled Nursing — your workflows, your EHR, your residents. No generic slides.

Infrastructure

Devices & Billing

FDA-cleared devices and automated Medicare billing — configured per resident, synced with the EHR.

Supported Devices

DeviceBlood Pressure Monitor
Use CaseHypertension, heart disease, medication management
ExperienceAutomated cuff — press one button, reading transmits automatically
DeviceWeight Scale
Use CaseHeart failure, nutrition monitoring, fluid retention
ExperienceStep on scale each morning, no buttons required
DevicePulse Oximeter
Use CaseCOPD, respiratory conditions, post-illness recovery
ExperienceFinger clip for 30 seconds, reading transmits automatically
DeviceDexcom G7 CGM
Use CaseDiabetes management, glucose trending
ExperienceSmall sensor on upper arm, continuous readings with no fingersticks
DeviceXandar Kardian Sensor
Use CaseGeneral wellness, fall risk, sleep quality, respiratory monitoring
ExperienceWall-mounted radar — completely contactless, no wearable, no interaction

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

One-time billing per episode of carePatient education on device useDevice configuration and connectivity verification

~$19

One-time

Device supply with daily recording or programmed alert transmission

16+ days of data transmission per 30-day periodFDA-cleared device requiredAutomatic data transmission

~$50

Monthly

First 20 minutes of clinical staff time for RPM treatment management

20+ minutes of monitoring timeInteractive communication with patientClinical staff can bill

~$50

Monthly

Each additional 20 minutes of RPM treatment management

Additional 20+ minute incrementsRequires 99457 as base codeUp to 2 additional units per month

~$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).

Skilled nursing facilities use RPM to continuously monitor residents' vitals, enabling early detection of decline, reducing hospital transfers, and supporting compliance with quality reporting requirements.

Still have questions? We're happy to walk you through anything.

Talk to Our Team
PointClickCare
CCN Health

Get Started

Ready to bring Remote Patient Monitoring to your Skilled Nursing?

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.