Pulse Oximetry Monitoring for Skilled Nursing RTM — ALIS + CCN Health

Pulse Oximetry for Skilled Nursing RTM with ALIS and Charm Health

Skilled Nursing facilities using ALIS as their facility EHR often work with physicians who use Charm Health for their practice management. When implementing RTM with pulse oximetry, this dual-EHR reality creates data flow challenges that CCN Health solves through bi-directional integration with both systems.

The Dual-EHR Challenge in Skilled Nursing

In skilled nursing settings with pulse oximetry, it's common for:

• The facility to use ALIS for resident records, charting, and daily care documentation
• The physician to use Charm Health for orders, billing, and clinical decision-making
• Pulse Oximetry data to be needed in both systems for complete clinical documentation and billing

Without an integration bridge, pulse oximetry readings exist in isolation — staff must manually transcribe data between systems, leading to documentation gaps and billing delays.

How Pulse Oximetry Works

FDA-cleared fingertip pulse oximeters from Jumper and Bodytrace measure blood oxygen saturation (SpO2) and heart rate. The 30-second finger clip reading transmits automatically via cellular gateway to the CCN Health platform.

Data Captured

• SpO2 (blood oxygen saturation)
• Heart rate
• Perfusion index
• SpO2 trends over time
• Desaturation events

How CCN Health Bridges ALIS and Charm Health

CCN Health's platform serves as the central hub for all pulse oximetry data in dual-EHR environments:

1. Pulse Oximetry data flows to CCN Health — SpO2 (blood oxygen saturation) and other metrics are captured continuously by the monitoring system
2. ALIS receives resident records — Vital signs, alerts, and care documentation sync to ALIS resident charts automatically
3. Charm Health receives clinical summaries — The ordering physician gets RTM reports with pulse oximetry data in their Charm Health workflow
4. Billing documentation routes correctly — Claims data with pulse oximetry support goes to the billing entity via Charm Health

Data Flow: ALIS ↔ CCN Health ↔ Charm Health

Data Type	ALIS	CCN Health	Charm Health
Resident Demographics	Source	Syncs	Receives
SpO2 (blood oxygen saturation)	Receives	Hub	Receives
Pulse Oximetry Alerts	Receives	Generates	Receives
Care Plans	Shared	Coordinates	Shared
Billing Documentation	Reference	Generates	Primary
RTM Time Tracking	Reference	Tracks	Primary

Benefits for Skilled Nursing Facilities

Combining pulse oximetry with dual-EHR integration provides unique advantages 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.

Pulse Oximetry Advantages

• 30-second finger clip — simple and non-invasive
• Critical for COPD and respiratory condition management

Billing Considerations for Dual-EHR Pulse Oximetry RTM

In dual-EHR environments with pulse oximetry, billing typically flows through the physician practice (Charm Health):

CPT Code	Reimbursement	Billing Entity	Documentation Source
98975	~$19	Physician (Charm Health)	CCN Health → Charm Health
98976	~$50/mo	Physician (Charm Health)	CCN Health → Charm Health
98977	~$50/mo	Physician (Charm Health)	CCN Health → Charm Health
98980	~$48/mo	Physician (Charm Health)	CCN Health → Charm Health
98981	~$38/mo	Physician (Charm Health)	CCN Health → Charm Health

Pulse Oximetry data provides the clinical documentation needed to support RTM billing with objective, time-stamped readings that demonstrate monitoring compliance.

Frequently Asked Questions

How does pulse oximetry data reach both EHR systems?

Data flows from the monitoring device to CCN Health's platform, then syncs bi-directionally with both ALIS (for resident care documentation) and Charm Health (for physician clinical records and billing).

Do both systems get the same pulse oximetry data?

Both systems receive pulse oximetry data, but formatted for each system's role. ALIS gets detailed resident charting, while Charm Health receives clinical summaries optimized for physician workflows and billing.

What is the implementation timeline for pulse oximetry with dual-EHR?

Most skilled nursing facilities are fully operational within 4-6 weeks, including system deployment, dual-EHR integration setup, and nursing staff training. Both EHR connections are configured simultaneously.