RPM + Nephrology
Remote Patient Monitoring for Nephrology — Epic + CCN Health
Specialized RPM protocols for Nephrology — integrated with Epic, powered by CCN Health. Evidence-based workflows, automated documentation, and Medicare billing.
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CCN Health provides a certified Remote Patient Monitoring (RPM) integration with Epic optimized for nephrology practices, featuring weight monitoring technology. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Remote Patient Monitoring for Nephrology with Epic
Nephrology practices managing chronic kidney disease (stages 3-5) and end-stage renal disease can leverage CCN Health's RPM integration with Epic for disease-specific monitoring, automated documentation, and compliant billing.
Nephrology Conditions Managed
- Chronic kidney disease (stages 3-5)
- End-stage renal disease
- Nephrotic syndrome
- Hypertensive nephropathy
- Diabetic nephropathy
Weight Monitoring for Nephrology
Cellular-connected weight scales from Bodytrace, Withings, and Tenovi-compatible devices capture daily weight with no buttons required — patients simply step on the scale. Readings transmit automatically for heart failure fluid tracking and nutrition monitoring.
This technology is particularly valuable for nephrology patients because it provides daily weight, weight trends over time, day-over-day weight change data that directly informs clinical decision-making.
Clinical Protocols
- Strict blood pressure control (target < 130/80)
- Daily weight monitoring for fluid overload detection
- Threshold alerts for weight gain > 2 lbs/day or BP > 160/100
- Glucose monitoring for diabetic nephropathy patients
Key Monitoring Metrics
| Metric | Clinical Significance |
|---|---|
| Blood pressure | Tracked and trended for nephrology management |
| Daily weight (fluid balance) | Tracked and trended for nephrology management |
| Blood glucose (for diabetic nephropathy) | Tracked and trended for nephrology management |
| SpO2 | Tracked and trended for nephrology management |
| Heart rate | Tracked and trended for nephrology management |
Recommended Devices for Nephrology
| Device | Use Case |
|---|---|
| Blood pressure monitor | Nephrology monitoring |
| Weight scale | Nephrology monitoring |
| Blood glucose meter | Nephrology monitoring |
| Pulse oximeter | Nephrology monitoring |
Relevant ICD-10 Codes
- N18.x (Chronic kidney disease)
- N04 (Nephrotic syndrome)
- I12.x (Hypertensive CKD)
- E11.22 (T2DM with diabetic CKD)
Clinical Evidence
RPM-based blood pressure management in CKD patients has demonstrated slower disease progression and reduced cardiovascular events by 15-25%.
Billing & Reimbursement
| 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 patient: $120+
Frequently Asked Questions
How does RPM support nephrology practices?
CCN Health's RPM integration provides nephrology-specific monitoring protocols, automated documentation in Epic, and compliant Medicare billing for chronic kidney disease (stages 3-5) and related conditions.
What devices are recommended for nephrology RPM?
For nephrology patients, CCN Health recommends blood pressure monitor, weight scale, blood glucose meter based on the specific conditions being managed.
Can RPM data integrate with specialist workflows?
Yes. All RPM data flows into Epic and is available for specialist review, care plan updates, and cross-program coordination.
Nephrology
Nephrology Protocols — clinical workflows configured to evidence-based guidelines and risk thresholds.
Specialist Coordination — automated alerts and reporting to referring specialists and primary care teams.
Outcome Tracking — longitudinal vitals data mapped to Nephrology-specific quality measures.
Clinical Documentation — automated notes that satisfy specialist coding and audit requirements.
Purpose-built for Nephrology workflows — integrated with the EHR your facility already uses.
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 Nephrology Programs 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 your facility?
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 monitoring data flows directly into Epic — 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.
Epic
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 patient, 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 Nephrology — 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.
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).
Connected digital scales automatically transmit weight readings to CCN Health's platform, enabling early detection of fluid retention changes critical for heart failure and kidney disease management.
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 Nephrology program.
Tell us about your organization
Share details about your Nephrology program, 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 Nephrology program?
See how CCN Health can improve patient outcomes, support specialist coordination, and generate new Medicare revenue — all within the EHR your staff already uses.