Remote Patient Monitoring with CCN Health's ALIS Integration

What Is Remote Patient Monitoring with ALIS?

CCN Health's Remote Patient Monitoring (RPM) integration with ALIS enables assisted living communities to deliver clinical-grade health monitoring while preserving the independence and dignity that define the assisted living experience. Vital sign data, clinical alerts, and care documentation flow automatically between CCN Health and ALIS resident records — no manual charting, no workflow disruption.

Unlike Chronic Care Management (CCM), which coordinates care plans across multiple chronic conditions, RPM captures real-time physiologic vital signs from FDA-cleared devices — including contactless radar sensors that require no resident interaction. This distinction matters in assisted living, where residents expect a home-like environment rather than a clinical one. With sensorless monitoring from Xandar Kardian, communities can capture heart rate, respiratory rate, and room presence data 24/7 without wearables, buttons, or any interaction from the resident.

How It Works

1. Resident Assessment — Clinical staff identify residents with chronic conditions qualifying for RPM; ALIS demographic data informs device selection and monitoring protocols
2. Device Assignment — Choose from sensorless radar monitors (ideal for preserving AL independence), blood pressure cuffs, weight scales, or pulse oximeters based on each resident's condition
3. Automatic Data Capture — Vitals transmit via cellular gateway to CCN Health without manual entry or resident interaction (sensorless devices transmit continuously)
4. ALIS Integration — Data flows into ALIS resident records via API integration; alert notifications surface within ALIS workflows for immediate clinical review
5. Billing Automation — CPT 99453-99458 documentation generated automatically from device data and clinical time for compliant Medicare billing

Who Uses RPM with ALIS?

RPM with ALIS serves clinical teams across the full spectrum of assisted living and senior care settings:

Assisted Living — The largest ALIS user base. Sensorless monitoring preserves independence while capturing vitals 24/7 without disrupting daily routines. Blood pressure and weight monitoring supports residents managing hypertension, heart failure, and other chronic conditions that would otherwise require frequent clinic visits.

Memory Care — Xandar Kardian contactless radar is ideal for residents who remove wearable devices or forget daily measurement routines. The wall-mounted sensor captures heart rate, respiratory rate, and room presence without any interaction — providing continuous data even when cognitive impairment makes traditional devices impractical.

Independent Living — Wellness monitoring for active seniors who want peace of mind without visible medical equipment in their living space. Sensorless sensors are wall-mounted and invisible to visitors, maintaining the residential aesthetic that independent living residents expect.

Respite / Short-Stay — Even short-term residents can generate RPM revenue when monitoring begins on day one with pre-configured devices. CCN Health's rapid enrollment process ensures billing eligibility starts immediately upon admission.

Sensorless vs Traditional Devices

Sensorless monitoring is a key differentiator for assisted living communities, where preserving resident independence is paramount:

Dimension	Sensorless (Xandar Kardian)	Traditional Devices
Resident Interaction	None — wall-mounted radar	Button press, cuff, fingertip
Vitals Captured	Heart rate, respiratory rate, presence	BP, weight, SpO2, glucose
Best For	General wellness, fall risk, sleep monitoring	Condition-specific management
Independence Impact	Zero disruption to daily routine	Minimal daily interaction
Memory Care	Ideal — no wearable to remove	May be removed or forgotten
Combinable	Yes — pair with traditional for full coverage	Yes — pair with sensorless

Most ALIS communities deploy sensorless monitoring community-wide for baseline wellness data, then add condition-specific traditional devices for residents with active chronic conditions requiring CPT-specific management.

Key Features

Feature	Details
EHR Integration	Bi-directional sync with ALIS via API
Devices Supported	Blood pressure, weight, SpO2, glucose, sensorless
Sensorless Support	Xandar Kardian radar integration for contactless monitoring
Alert Time	Real-time notifications to care staff
Billing Codes	99453, 99454, 99457, 99458
Compliance	HIPAA compliant, CMS-aligned documentation
Cross-Program Data	RPM data available across CCM, PCM, BHI, and RTM programs
Platform Uptime	99.9% availability

Supported Devices

Device	Use Case	Experience
Blood Pressure Monitor	Hypertension, heart disease	Automated cuff — press one button, reading transmits automatically
Weight Scale	Heart failure, nutrition monitoring	Step on scale daily, no buttons required
Pulse Oximeter	COPD, respiratory conditions	Finger clip for 30 seconds, automatic transmission
Dexcom G7 CGM	Diabetes management	Small sensor on arm, continuous readings without fingersticks
Xandar Kardian Sensor	General wellness, fall risk, sleep	Wall-mounted radar — completely contactless

Clinical Benefits

• Preserve resident independence with monitoring that requires no wearables or daily interaction
• Early detection of health changes before they escalate to hospital transfers
• Objective vital sign trending supports care plan adjustments and family communication
• Sensorless monitoring captures data 24/7 including nighttime — no missed readings
• Survey-ready documentation with timestamped vital sign records for state compliance
• Cross-program data sharing — RPM data available for CCM, PCM, and BHI workflows
• Improved family confidence through proactive, technology-driven health monitoring
• Revenue generation without adding staff burden — devices transmit automatically

Billing & Reimbursement

CCN Health automates Medicare RPM billing documentation:

CPT Code	Reimbursement	Requirements
99453	~$19	One-time device setup and resident education
99454	~$50/mo	16+ days of readings per 30-day period
99457	~$48/mo	First 20 minutes of clinical monitoring time
99458	~$38/mo	Each additional 20 minutes of clinical time

Monthly potential per resident: $120+

For communities stacking RPM with CCM for qualifying residents, combined per-resident revenue can exceed $180/month.

Why CCN Health for RPM + ALIS?

• Certified ALIS integration — Direct API connection for automated data flow, not middleware or manual exports
• Sensorless monitoring support — Xandar Kardian radar integration alongside traditional devices for full-spectrum coverage
• Resident independence first — Monitoring options designed for assisted living, not clinical settings
• Automated CPT documentation — 99453-99458 billing records generated from device data and clinical time
• HIPAA compliant — End-to-end encryption, BAA-covered, SOC 2 aligned
• 99.9% uptime — Cloud-native platform built for 24/7 monitoring
• 2-4 week implementation — Device provisioning, EHR integration, staff training, and ongoing support included

Ready to Get Started?

CCN Health handles everything — ALIS integration setup, device provisioning, staff training, and ongoing clinical support. Most communities are fully operational within 2-4 weeks.

Frequently Asked Questions

Does CCN Health integrate directly with ALIS for RPM?

Yes. CCN Health has a certified integration with ALIS that enables bi-directional data flow. Vital signs and clinical data automatically appear in ALIS resident records.

What are the billing requirements for RPM?

RPM requires 16 days of device readings within each 30-day billing period, plus documented clinical staff time for monitoring. CCN Health tracks all requirements automatically and generates documentation for compliant billing.

Can RPM data be used across other programs?

Yes. CCN Health's platform enables cross-program data sharing. RPM data is available for use in CCM, PCM, BHI, and RTM programs without re-entry.

Does CCN Health support sensorless monitoring with ALIS?

Yes. CCN Health integrates with the Xandar Kardian sensorless radar sensor, which captures heart rate, respiratory rate, and room presence without any wearable device. The sensor is wall-mounted and requires no resident interaction, making it ideal for assisted living and memory care communities using ALIS.