CCM for CCRC
Chronic Care Management for CCRC — Powered by Ethizo + CCN Health
Purpose-built CCM for CCRC communities. CCN Health integrates directly with Ethizo to automate clinical workflows and capture every eligible reimbursement.
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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 CCRC.
Tell us about your organization
Share details about your CCRC, 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.
CCN Health provides a certified Chronic Care Management (CCM) integration with Ethizo designed specifically for ccrc campuses. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Chronic Care Management for CCRC with Ethizo
CCRC campuses face unique challenges managing resident health: managing monitoring across multiple care levels on one campus and maintaining continuity of data as residents transition between care levels. CCN Health's CCM integration with Ethizo addresses these challenges with automated monitoring, documentation, and billing.
CCRC Challenges That CCM Addresses
- Managing monitoring across multiple care levels on one campus
- Maintaining continuity of data as residents transition between care levels
- Standardizing protocols across independent, assisted, memory care, and skilled nursing
- Demonstrating value of the continuum model to prospective residents and families
How It Works in CCRC
- Patient Enrollment — Identify Medicare patients with 2+ chronic conditions and obtain consent
- Care Plan Creation — Develop comprehensive care plan addressing all chronic conditions
- Monthly Coordination — Regular check-ins, medication reconciliation, and care plan updates
- Ethizo Documentation — Care coordination notes and time logs sync to Ethizo automatically
- Billing Automation — Time tracking and documentation for CPT 99490/99491 generated automatically
Why CCRC Campuses Choose CCN Health
Continuum Coverage
One monitoring platform covers every care level — data follows the resident as acuity changes.
Transition Support
Continuous monitoring data informs care level transitions with objective health metrics.
Campus-Wide Insights
Aggregated data across all care levels supports operational planning and quality improvement.
Unified Billing
Single billing infrastructure handles Medicare reimbursement across all campus care settings.
Devices for CCRC CCM
| Device | Use Case | Resident Experience |
|---|---|---|
| Care Coordination Platform | Multi-condition management | Centralized dashboard for all chronic conditions |
| Medication Tracking | Adherence monitoring | Automated refill reminders and reconciliation |
| Secure Messaging | Patient communication | HIPAA-compliant messaging for monthly check-ins |
Clinical Benefits for CCRC
Chronic Disease Management
Monitor residents with conditions like hypertension, diabetes, heart failure, COPD. Trending data helps clinical teams adjust care plans before conditions deteriorate.
Transition of Care Support
When residents return from hospital stays, CCM enables closer monitoring during the critical post-discharge period.
Billing & Reimbursement in CCRC
CCN Health automates Medicare CCM billing documentation for qualified residents:
| 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
Does CCN Health integrate with Ethizo for ccrc CCM?
Yes. CCN Health's certified Ethizo integration enables bi-directional data flow specifically designed for ccrc workflows.
What is the implementation timeline for ccrc?
Most ccrc campuses are fully operational within 4 weeks, including integration setup, care staff training, and device deployment.
How does CCM billing work in ccrc?
CCN Health automatically documents the required data for 99490, 99491. Time tracking and transmission records are captured for audit-ready Medicare billing.
Implementation for CCRC
| Week | Activity |
|---|---|
| 1 | Discovery call and Ethizo configuration review |
| 2 | Technical integration setup and testing |
| 3 | Care staff training and device deployment |
| 4 | Pilot launch with select residents |
| 5+ | Full campus rollout and optimization |
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 CCRC 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 CCRC Facilities Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Questions?
Want to learn more about Chronic Care Management for CCRC?
Our team can answer your questions and show you how it works with your current workflow.
Seamless EHR Integration
How CCN Health Works Inside Ethizo
Your program data flows directly into Ethizo — 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.
Ethizo
Charts & Care Plans
What Flows Between Systems
Patient Demographics
Chronic conditions, medications, and problem lists from your EHR
Care Plan Updates
Treatment plans and goals sync bi-directionally
Contact Logging
Phone calls and check-ins documented with timestamps
Medication Reconciliation
Current medication lists kept in sync across platforms
Time Tracking
Care management minutes tracked for billing compliance
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.”
Infrastructure
Medicare Billing
Automated Medicare billing documentation — every qualifying encounter captured and coded.
Medicare Billing
Chronic Care Management (CCM)
3 billing codes
First 20 minutes of clinical staff time for CCM services
~$62
Monthly
Each additional 20 minutes of CCM clinical staff time
~$47
Monthly (additional)
First 30 minutes of physician/QHP time for complex CCM
~$83
Monthly
Common Questions
Frequently Asked Questions
Everything you need to know about implementation, billing, and clinical workflows.
Yes. CCN Health integrates with the Ethizo practice management platform, enabling RPM and CCM data to flow into patient records for streamlined senior care 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.
CCRCs use RPM across all levels of care—from independent living to skilled nursing—providing a consistent monitoring platform that follows residents as their care needs evolve.
Most facilities are fully operational within 2–4 weeks. CCN Health handles device provisioning, EHR integration setup, staff training, and ongoing clinical support.
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 CCRC.
Tell us about your organization
Share details about your CCRC, 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 Chronic Care Management to your CCRC?
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.