RPM for Memory Care
Remote Patient Monitoring for Memory Care — Powered by MatrixCare + CCN Health
Purpose-built RPM for Memory Care communities. CCN Health integrates directly with MatrixCare 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 Remote Patient Monitoring for your Memory Care.
Tell us about your organization
Share details about your Memory Care, 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 Remote Patient Monitoring (RPM) integration with MatrixCare designed specifically for memory care communities. The platform automates clinical documentation, enables real-time monitoring, and supports the ordering physician's Medicare billing for compliant reimbursement.
Remote Patient Monitoring for Memory Care with MatrixCare
For memory care organizations using MatrixCare, Remote Patient Monitoring creates a powerful combination of clinical oversight and operational efficiency. CCN Health's integration handles the technical complexity so your memory care team can focus on resident care.
Memory Care Challenges That RPM Addresses
- Monitoring residents who remove, lose, or cannot operate wearable devices
- Detecting health changes in residents who cannot self-report symptoms
- Managing elopement risk alongside health monitoring
- Correlating behavioral changes with physiological indicators
How It Works in Memory Care
- Device Assignment — FDA-cleared devices (blood pressure cuffs, scales, pulse oximeters, or contactless monitors) are assigned to the patient
- Automatic Data Capture — Vitals transmit via cellular gateway to the CCN Health platform without manual entry
- MatrixCare Integration — Data flows directly into MatrixCare resident records via api integration
- Clinical Alerts — Abnormal readings trigger real-time notifications to care staff within 2 minutes
- Documentation & Billing Support — CPT codes 99453, 99454, 99457, 99458 generated and routed to the ordering physician's practice EHR for billing
Why Memory Care Communities Choose CCN Health
Contactless Monitoring
Xandar Kardian radar sensors capture vitals without any wearables — ideal for residents who remove devices.
Wander Detection Support
Presence sensing and alert capabilities complement existing wander management systems.
Clinical Trending
Longitudinal data helps clinical teams correlate behavioral changes with physiological indicators.
Family Peace of Mind
Continuous monitoring reassures families their loved ones receive attentive, data-driven care.
Devices for Memory Care RPM
| Device | Use Case | Resident Experience |
|---|---|---|
| Blood Pressure Monitor | Hypertension, heart disease | Automated cuff — press one button, reading transmits automatically |
| Weight Scale | Heart failure, nutrition monitoring | Step on scale daily, no buttons required |
| Pulse Oximeter | COPD, respiratory conditions | Finger clip for 30 seconds, automatic transmission |
| CGM (FreeStyle Libre 3 / Dexcom G7) | Diabetes management | Small sensor on arm, continuous readings without fingersticks |
| Xandar Kardian Sensor | General wellness, fall risk, sleep — recommended for memory care | Wall-mounted radar — completely contactless |
Clinical Benefits for Memory Care
Chronic Disease Management
Monitor residents with conditions like Alzheimer's disease, vascular dementia, hypertension, diabetes. Trending data helps memory care teams adjust care plans before conditions deteriorate.
Transition of Care Support
When residents return from hospital stays, RPM enables closer monitoring during the critical post-discharge period.
Billing & Reimbursement Support in Memory Care
CCN Health's clinical documentation supports the ordering physician's Medicare RPM billing. The following CPT codes apply to the RPM program — billing is submitted by the physician practice, not the facility:
| 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 resident: $120+
Note: Medicare RPM claims are submitted by the ordering physician through their practice EHR. MatrixCare receives clinical documentation that supports care coordination and survey readiness.
Frequently Asked Questions
Does CCN Health integrate with MatrixCare for memory care RPM?
Yes. CCN Health's certified MatrixCare integration enables bi-directional data flow specifically designed for memory care workflows.
What is the implementation timeline for memory care?
Most memory care communities are fully operational within 4 weeks, including integration setup, care staff training, and device deployment.
Who handles RPM billing in memory care?
Medicare RPM billing is submitted by the ordering physician through their practice EHR. CCN Health automatically documents the required data for 99453, 99454, 99457, 99458 and routes it to the appropriate billing system. MatrixCare receives clinical documentation for care coordination and survey readiness.
Implementation for Memory Care
| Week | Activity |
|---|---|
| 1 | Discovery call and MatrixCare configuration review |
| 2 | Technical integration setup and testing |
| 3 | Care staff training and device deployment |
| 4 | Pilot launch with select residents |
| 5+ | Full community 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 Memory Care 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 Memory Care Facilities 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 Memory Care?
Our team can answer your questions and show you how it works with your current workflow.
Seamless EHR Integration
How CCN Health Works Inside MatrixCare
Your monitoring data flows directly into MatrixCare — 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.
MatrixCare
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.”
Also integrates with
Infrastructure
Devices & Billing
FDA-cleared devices and automated Medicare billing — configured per resident, 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 implementation, billing, and clinical workflows.
Yes. CCN Health integrates with MatrixCare to deliver monitoring data into post-acute care workflows, supporting RPM and CCM programs across skilled nursing and senior living.
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).
Yes. CCN Health offers contactless monitoring options ideal for memory care, where residents may not be able to operate traditional devices. Passive sensors track vitals without requiring any action from the resident.
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 Remote Patient Monitoring for your Memory Care.
Tell us about your organization
Share details about your Memory Care, 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 Memory Care?
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.