Comparison

Facility EHR vs Practice EHR.

RPM and CCM programs operate in two distinct care environments — facilities (senior living, skilled nursing) and physician practices — each with different EHR systems, workflows, and integration requirements. Understanding these differences is critical for implementation planning.

Side by Side

Feature comparison.

Example Systems
PointClickCare, ALIS, MatrixCare
athenahealth, Epic, Charm Health
Primary Setting
Senior living, SNF, CCRC, memory care
Physician offices, clinics, outpatient
Patient Model
Resident-based (census-driven)
Visit-based (encounter-driven)
Key Events
ADT (admission/discharge/transfer)
Appointments, referrals, orders
Enrollment Trigger
Census sync — auto-enroll on admission
Physician order or care manager referral
Billing Workflow
Facility bills (or managing physician)
Practice bills directly
Data Integration
Care plans, medication lists, ADT events
Problem lists, encounters, lab results
Typical Volume
50–200 residents per facility
Variable by panel size

Analysis

Key differences.

01

Census-driven vs. encounter-driven workflows

Facility EHRs track residents continuously — ADT events, daily charting, census changes. Practice EHRs are organized around discrete patient encounters. This affects how RPM enrollment is triggered and how data flows between systems.

02

Enrollment automation

Facility integrations can leverage census sync to automatically identify and enroll eligible residents. Practice integrations typically require a physician order or care manager action to initiate RPM enrollment.

03

Billing entity differs

In facility settings, the billing structure may involve the facility, the attending physician, or a managing provider. In practice settings, the ordering physician's practice typically handles billing directly.

Guidance

When to use each.

Facility EHR integration when

Operating RPM/CCM in senior living, skilled nursing, assisted living, memory care, or CCRC environments. The integration should support census sync, ADT monitoring, and multi-resident workflows.

Practice EHR integration when

Operating RPM/CCM through physician practices, outpatient clinics, or health systems. The integration should support encounter-based enrollment, problem list sync, and practice-level billing workflows.

FAQ

Common questions.

01

Can one RPM platform support both facility and practice EHRs?

Yes. CCN Health integrates with both facility EHRs (PointClickCare, ALIS, MatrixCare) and practice EHRs (athenahealth, Epic, Charm Health) through a unified platform. This is important for organizations that span both care settings.

02

Which EHR type has faster implementation?

Implementation timelines depend on the specific EHR and organization size. Generally, practice EHR integrations may be faster for single-site deployments, while facility EHR integrations can scale more efficiently across multi-site operators through census sync automation.

03

Do billing codes differ between facility and practice settings?

The CPT codes are the same regardless of setting. However, the billing entity and workflow differ. In facilities, the billing relationship involves the attending or managing physician. In practices, the ordering physician typically bills directly.

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