RPM · Respiratory
Respiratory Monitoring for Skilled Nursing RPM — Charm Health + CCN Health
Respiratory Monitoring technology powering your RPM program in Skilled Nursing — fully integrated with Charm Health. Real-time alerts, clinical workflows, and automated billing in one platform.
Hundreds of facilities just like yours have grown their Remote Patient Monitoring programs with CCN Health. .
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Not ready for a call? No problem. Drop us a message and we'll get back to you within 24 hours with answers to your questions about Remote Patient Monitoring for your Skilled Nursing.
Tell us about your organization
Share details about your Skilled Nursing, current EHR setup, and what you're looking to achieve.
We'll review and respond
Our team will assess your needs and send you relevant information, case studies, or suggest next steps.
Connect when you're ready
When the time is right, we'll schedule a personalized demo tailored to your workflows.
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We'll get back to you within 24 hours.
CCN Health provides a certified Remote Patient Monitoring (RPM) integration with Charm Health designed specifically for skilled nursing facilities, featuring respiratory monitoring technology. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Respiratory Monitoring for Skilled Nursing RPM with Charm Health
Skilled Nursing facilities can enhance their RPM programs with respiratory monitoring technology that integrates directly with Charm Health. Combination of pulse oximetry (SpO2), respiratory rate tracking via sensorless radar, and spirometry data capture enables comprehensive respiratory monitoring. Peak flow meters and connected spirometers transmit readings automatically to the CCN Health platform.
Why Respiratory Monitoring for Skilled Nursing
Skilled Nursing facilities serve post-acute and long-stay residents requiring 24/7 skilled nursing care, often with multiple comorbidities and higher acuity. Respiratory Monitoring is particularly relevant because:
- Multi-sensor approach captures complete respiratory picture
- Combines SpO2, respiratory rate, and airflow measurements
- Early detection of COPD exacerbations before hospitalization
How Respiratory Monitoring Works
Combination of pulse oximetry (SpO2), respiratory rate tracking via sensorless radar, and spirometry data capture enables comprehensive respiratory monitoring. Peak flow meters and connected spirometers transmit readings automatically to the CCN Health platform.
Data Captured
- SpO2 (blood oxygen saturation)
- Respiratory rate
- Peak expiratory flow
- FEV1 trending
- Breathing pattern analysis
Benefits for Skilled Nursing Facilities
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.
Respiratory Monitoring vs. Traditional Approaches
| Factor | Respiratory Monitoring | Traditional |
|---|---|---|
| Scope | SpO2 + RR + spirometry combined | Individual tests at office visits |
| Frequency | Daily monitoring with trending | Quarterly pulmonary function tests |
| Exacerbation Detection | Real-time pattern-based alerts | Patient-reported symptoms |
| Data Integration | All data in one platform | Fragmented across systems |
| Therapy Tracking | Inhaler and treatment compliance | Self-reported adherence |
Common Conditions in Skilled Nursing
- post-surgical recovery
- heart failure
- pneumonia
- COPD exacerbation
- sepsis recovery
- wound care
Billing & Reimbursement
Respiratory Monitoring data contributes to RPM billing in skilled nursing settings:
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 99453 | ~$19 | One-time device setup and patient 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+
Frequently Asked Questions
Is respiratory monitoring suitable for skilled nursing residents?
Yes. Respiratory Monitoring is ideal for skilled nursing settings, where multi-sensor approach captures complete respiratory picture.
How does respiratory monitoring data reach Charm Health?
Data flows automatically from the monitoring system to CCN Health's platform, then syncs bi-directionally with Charm Health. No manual charting required.
What is the implementation timeline?
Most skilled nursing facilities are fully operational within 4 weeks including system deployment, Charm Health integration, and nursing staff training.
Discovery call — we learn your workflows, EHR setup, and patient population so nothing gets lost in translation.
We configure your platform around how your team actually operates — custom alert thresholds, EHR data mapping, and role-based permissions.
Go live with monitoring, automated documentation, and billing tailored to your practice — your team stays focused on care.
No one-size-fits-all templates. Every integration is configured for how your Skilled Nursing actually operates.
Configurable Alerts
Set thresholds that match your clinical protocols
Flexible Workflows
Adapt routing, documentation, and permissions to your team
Automated Compliance
Real-time audit trail and billing validation
Advanced technology working behind the scenes — so your team gets faster processing, smarter alerts, and effortless documentation without changing how they work.
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.
Questions?
Want to learn more about Remote Patient Monitoring for Skilled Nursing?
Our team can answer your questions and show you how it works with your current workflow.
Seamless EHR Integration
How CCN Health Works Inside Charm Health
Your monitoring data flows directly into Charm Health — no exports, no manual entry, no disruption to your clinical workflow.
RPM Devices
CGM, Scales, BP, SpO2
Built Around How You Operate
Custom workflows, smart alerting, and automated documentation — advanced technology working behind the scenes so your team doesn't have to.
Charm Health
Charts & Care Plans
What Flows Between Systems
Patient Demographics
Conditions, medications, and census sync from your EHR
Vital Observations
Device readings flow automatically into patient charts
Discharge & ADT Events
Admission and discharge events trigger protocol changes
Care Plans
Treatment plans inform monitoring thresholds and alerts
Billing Documentation
CPT-ready records generated for claims submission
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.”
Infrastructure
Devices & Billing
FDA-cleared devices and automated Medicare billing — configured per resident, synced with the EHR.
Supported Devices
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
~$19
One-time
Device supply with daily recording or programmed alert transmission
~$50
Monthly
First 20 minutes of clinical staff time for RPM treatment management
~$50
Monthly
Each additional 20 minutes of RPM treatment management
~$40
Monthly (additional)
Common Questions
Frequently Asked Questions
Everything you need to know about implementation, billing, and clinical workflows.
Yes. CCN Health connects with Charm Health EHR so that device readings and care coordination data sync directly into patient charts for independent practices.
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.
Respiratory monitoring tracks breathing rate and patterns using connected devices or sensorless technology, enabling early detection of respiratory decline in patients with COPD, asthma, and other pulmonary conditions.
Still have questions? We're happy to walk you through anything.
Contact Us
Prefer to Send a Message?
Not ready for a call? No problem. Drop us a message and we'll get back to you within 24 hours with answers to your questions about Remote Patient Monitoring for your Skilled Nursing.
Tell us about your organization
Share details about your Skilled Nursing, current EHR setup, and what you're looking to achieve.
We'll review and respond
Our team will assess your needs and send you relevant information, case studies, or suggest next steps.
Connect when you're ready
When the time is right, we'll schedule a personalized demo tailored to your workflows.
Send Us a Message
We'll get back to you within 24 hours.
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.