Epic
CCN Health

CCM · Sensorless

Sensorless Monitoring for Skilled Nursing CCM — Epic + CCN Health

Sensorless Monitoring technology powering your CCM program in Skilled Nursing — fully integrated with Epic. Real-time alerts, clinical workflows, and automated billing in one platform.

Hundreds of facilities just like yours have grown their Chronic Care Management programs with CCN Health. .

2+
Chronic Conditions Managed
$62+
Monthly Revenue
Per Patient
25%
Readmission Reduction
99.9%
Platform Uptime

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1

Tell us about your organization

Share details about your Skilled Nursing, current EHR setup, and what you're looking to achieve.

2

We'll review and respond

Our team will assess your needs and send you relevant information, case studies, or suggest next steps.

3

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.

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Quick Answer

CCN Health provides a certified Chronic Care Management (CCM) integration with Epic designed specifically for skilled nursing facilities, featuring sensorless monitoring technology. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.

Deep Dive

Sensorless Monitoring for Skilled Nursing CCM with Epic

For skilled nursing facilities running CCM through Epic, sensorless monitoring addresses a critical need: managing high-acuity patients with multiple comorbidities. 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.

Why Sensorless 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. Sensorless Monitoring is particularly relevant because:

  • No wearable devices required — zero resident compliance needed
  • Continuous 24/7 monitoring without battery charging or maintenance
  • No skin irritation or discomfort

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

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.

Sensorless Monitoring vs. Traditional Approaches

Factor Sensorless Traditional
Resident Participation None required Active participation needed
Device Removal Risk Not possible — wall-mounted Common in memory care
Battery/Charging No batteries on resident Daily/weekly charging
Skin Irritation None Possible with prolonged wear
24/7 Coverage Yes, continuous Depends on compliance

Common Conditions in Skilled Nursing

  • post-surgical recovery
  • heart failure
  • pneumonia
  • COPD exacerbation
  • sepsis recovery
  • wound care

Billing & Reimbursement

Sensorless Monitoring data contributes to CCM billing in skilled nursing settings:

CPT Code Reimbursement Requirements
99490 ~$62/mo 20+ minutes of clinical staff time per month
99491 ~$83/mo 30+ minutes of physician/QHP time per month

Monthly potential per resident: $62+

Frequently Asked Questions

Is sensorless monitoring suitable for skilled nursing residents?

Yes. Sensorless Monitoring is ideal for skilled nursing settings, where no wearable devices required — zero resident compliance needed.

How does sensorless monitoring data reach Epic?

Data flows automatically from the monitoring sensor to CCN Health's platform, then syncs bi-directionally with Epic. No manual charting required.

What is the implementation timeline?

Most skilled nursing facilities are fully operational within 4 weeks including sensor installation, Epic integration, and nursing staff training.

How It Works
01

Discovery call — we learn your workflows, EHR setup, and patient population so nothing gets lost in translation.

02

We configure your platform around how your team actually operates — custom alert thresholds, EHR data mapping, and role-based permissions.

03

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.

Care environment in a Skilled Nursing 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

Built-In Efficiency

Automated 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.

Questions?

Want to learn more about Chronic Care Management 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 Epic

Your program data flows directly into Epic — no exports, no manual entry, no disruption to your clinical workflow.

Care Coordination

Calls, Assessments, Care Plans

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.

Epic

Charts & Care Plans

What Flows Between Systems

01

Patient Demographics

Chronic conditions, medications, and problem lists from your EHR

02

Care Plan Updates

Treatment plans and goals sync bi-directionally

03

Contact Logging

Phone calls and check-ins documented with timestamps

04

Medication Reconciliation

Current medication lists kept in sync across platforms

05

Time Tracking

Care management minutes tracked for billing compliance

06

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.

Epic + CCN Health

Let us show you what Chronic Care Management looks like inside Epic

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.

Medicare Billing

Chronic Care Management (CCM)

3 billing codes

First 20 minutes of clinical staff time for CCM services

2+ chronic conditions expected to last 12+ months20+ minutes of care management timePatient consent required

~$62

Monthly

Each additional 20 minutes of CCM clinical staff time

Additional 20+ minute incrementsRequires 99490 as base codeUp to 2 additional units per month

~$47

Monthly (additional)

First 30 minutes of physician/QHP time for complex CCM

Medical decision making of moderate to high complexity30+ minutes of physician timeComplex chronic conditions

~$83

Monthly

?

Common Questions

Frequently Asked Questions

Everything you need to know about implementation, billing, and clinical workflows.

Yes. CCN Health integrates with Epic via secure APIs, enabling RPM device data and care management documentation to flow into Epic's enterprise health records.

CCN Health transmits device readings and care coordination notes to Epic through FHIR-based APIs, ensuring clinical data is available within existing Epic workflows.

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.

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.

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.

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 Chronic Care Management for your Skilled Nursing.

1

Tell us about your organization

Share details about your Skilled Nursing, current EHR setup, and what you're looking to achieve.

2

We'll review and respond

Our team will assess your needs and send you relevant information, case studies, or suggest next steps.

3

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.

By submitting this form, you agree to our privacy policy. We'll never share your information.

Epic
CCN Health

Get Started

Ready to bring Chronic Care Management 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.

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