Integration Overview
Full continuum, five programs.
A single API connection between MatrixCare and CCN Health unlocks every Medicare remote care program across the full post-acute care continuum.
Bidirectional Sync
Data flows both ways.
This isn't a one-way data dump. MatrixCare shares clinical context with CCN Health to inform monitoring protocols, and CCN Health writes vitals, alerts, and billing documentation back — so caregivers never leave the EHR.
From MatrixCare to CCN Health
Resident Demographics
Census data, ADT events, insurance, contacts, facility assignments
Care Plans & Assessments
Clinical assessments, care plans, MDS data, acuity levels
Clinical Documentation
Progress notes, physician orders, diagnosis codes, lab results
Medication Records
Active medications, eMAR data, pharmacy integration records
From CCN Health to MatrixCare
Vital Sign Readings
BP, weight, glucose, SpO2, temperature — posted to resident records
Clinical Alerts
Threshold breaches, trending changes, escalation notifications
Billing Documentation
CPT-coded time logs, device transmission records, compliance audit trails
Program Status
Enrollment status, compliance metrics, program performance data
Programs Powered
Five programs, every setting.
The MatrixCare integration powers every Medicare-reimbursable remote care program — across skilled nursing, assisted living, home health, and the full post-acute continuum.
Remote Patient Monitoring
Continuous vital sign collection from connected devices, trended in CCN Health and synced to MatrixCare resident records.
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Chronic Care Management
Non-face-to-face care coordination for residents with 2+ chronic conditions. Care plans documented in both platforms.
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Principal Care Management
Specialist-level management for a single high-complexity condition. Coordination notes sync to MatrixCare care plans.
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Behavioral Health Integration
Psychiatric collaborative care for residents with behavioral health conditions. Assessment data enriches clinical profiles.
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Remote Therapeutic Monitoring
Non-physiological data monitoring — therapy adherence, respiratory device usage, medication compliance tracking.
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Across every supported environment
What This Enables
From data to clinical decisions.
The MatrixCare integration transforms how post-acute and senior living communities deliver, document, and bill for remote care programs.
Automated Vital Sign Charting
Device readings flow directly into MatrixCare resident records — no manual entry, no transcription errors, no workflow disruption.
ADT-Driven Enrollment
Admission, discharge, and transfer events from MatrixCare trigger enrollment workflows. Census changes automatically update monitoring protocols.
Compliant Billing Documentation
CPT-coded time logs and device transmission records auto-generate — satisfying CMS documentation requirements for all five programs.
Real-Time Alert Workflows
Vital sign threshold breaches trigger alerts inside MatrixCare workflows — reaching staff where they already work.
Unified Resident Record
RPM data, CCM notes, and billing records all live in the MatrixCare resident profile alongside care plans and clinical documentation.
Multi-Facility Visibility
Operators managing multiple facilities see aggregated program performance — enrollment, compliance, and revenue metrics across the portfolio.
Connected Devices
Every reading, charted automatically.
Residents take a measurement. The device transmits to CCN Health. CCN Health writes the reading into their MatrixCare record. Staff see it on their next chart check.
| Device | Connectivity | Data Synced to MatrixCare |
|---|---|---|
| Blood Pressure Cuff | Cellular-connected | Systolic, diastolic, pulse, irregular heartbeat flag |
| Weight Scale | Cellular-connected | Weight, BMI, trend alerts for fluid retention |
| Pulse Oximeter | Cellular-connected | SpO2, pulse rate, perfusion index |
| Blood Glucose Meter | Cellular-connected | Glucose level, pre/post meal tagging |
| Continuous Glucose Monitor | Bluetooth/cloud | 288 readings/day, trend arrows, time-in-range |
| Thermometer | Cellular-connected | Temperature, fever detection alerts |
| Sensorless Monitor | UWB radar | Heart rate, respiratory rate, sleep, presence |
| Sleep Tracker | Under-mattress | Sleep duration, efficiency, restlessness |
Clinical Specialties
Specialty-specific protocols.
CCN Health's monitoring protocols are tuned per specialty — the MatrixCare integration ensures the right data reaches the right clinicians.
Cardiology
Blood pressure, heart rate, weight management
Endocrinology
Glucose monitoring, CGM, metabolic tracking
Pulmonology
SpO2, respiratory rate, sleep apnea screening
Nephrology
Weight, blood pressure, fluid balance
Behavioral Health
BHI programs, medication compliance, sleep
Geriatrics
Fall risk, activity monitoring, comprehensive vitals
About MatrixCare
Post-acute care platform by ResMed.
MatrixCare, a ResMed company, is a leading technology platform for out-of-hospital care settings. Serving over 15,000 facilities across the US, MatrixCare provides EHR, financial management, care coordination, and analytics solutions across the full continuum of post-acute care — from skilled nursing and senior living to home health and hospice.



