CCM · Blood Pressure
Blood Pressure Monitoring for Assisted Living CCM — PointClickCare + CCN Health
Blood Pressure Monitoring technology powering your CCM program in Assisted Living — fully integrated with PointClickCare. Real-time alerts, clinical workflows, and automated billing in one platform.
Hundreds of facilities just like yours have grown their Chronic Care Management programs with CCN Health. .
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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 Assisted Living.
Tell us about your organization
Share details about your Assisted Living, 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 PointClickCare designed specifically for assisted living communities, featuring bp monitoring technology, bridging both PointClickCare and ethizo systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
BP Monitoring for Assisted Living CCM with PointClickCare and Ethizo
Assisted Living communities using PointClickCare as their facility EHR often work with physicians who use Ethizo for their practice management. When implementing CCM with bp monitoring, this dual-EHR reality creates data flow challenges that CCN Health solves through bi-directional integration with both systems.
The Dual-EHR Challenge in Assisted Living
In assisted living settings with bp monitoring, it's common for:
- The facility to use PointClickCare for resident records, charting, and daily care documentation
- The physician to use Ethizo for orders, billing, and clinical decision-making
- BP Monitoring data to be needed in both systems for complete clinical documentation and billing
Without an integration bridge, bp monitoring readings exist in isolation — staff must manually transcribe data between systems, leading to documentation gaps and billing delays.
How BP Monitoring Works
FDA-cleared automated cuffs from Smart Meter (iBloodPressure), Omron, Bodytrace, and Telli Health measure systolic/diastolic pressure and heart rate with a single button press. Readings transmit automatically via cellular gateway to the CCN Health platform.
Data Captured
- Systolic blood pressure
- Diastolic blood pressure
- Heart rate
- Mean arterial pressure
- Pulse pressure
How CCN Health Bridges PointClickCare and Ethizo
CCN Health's platform serves as the central hub for all bp monitoring data in dual-EHR environments:
- BP Monitoring data flows to CCN Health — Systolic blood pressure and other metrics are captured continuously by the monitoring system
- PointClickCare receives resident records — Vital signs, alerts, and care documentation sync to PCC resident charts automatically
- Ethizo receives clinical summaries — The ordering physician gets CCM reports with bp monitoring data in their Ethizo workflow
- Billing documentation routes correctly — Claims data with bp monitoring support goes to the billing entity via Ethizo
Data Flow: PointClickCare ↔ CCN Health ↔ Ethizo
| Data Type | PointClickCare | CCN Health | Ethizo |
|---|---|---|---|
| Resident Demographics | Source | Syncs | Receives |
| Systolic blood pressure | Receives | Hub | Receives |
| BP Monitoring Alerts | Receives | Generates | Receives |
| Care Plans | Shared | Coordinates | Shared |
| Billing Documentation | Reference | Generates | Primary |
| CCM Time Tracking | Reference | Tracks | Primary |
Benefits for Assisted Living Communities
Combining bp monitoring with dual-EHR integration provides unique advantages for assisted living communities:
Preserve Independence
Sensorless and wearable-free monitoring lets residents maintain daily routines without disruption.
Early Intervention
Real-time alerts enable staff to detect health changes before they become emergencies.
BP Monitoring Advantages
- One-button operation — no technical skill required
- Automated cellular transmission eliminates manual recording
Billing Considerations for Dual-EHR BP Monitoring CCM
In dual-EHR environments with bp monitoring, billing typically flows through the physician practice (Ethizo):
| CPT Code | Reimbursement | Billing Entity | Documentation Source |
|---|---|---|---|
| 99490 | ~$62/mo | Physician (Ethizo) | CCN Health → Ethizo |
| 99491 | ~$83/mo | Physician (Ethizo) | CCN Health → Ethizo |
BP Monitoring data provides the clinical documentation needed to support CCM billing with objective, time-stamped readings that demonstrate monitoring compliance.
Frequently Asked Questions
How does bp monitoring data reach both EHR systems?
Data flows from the monitoring device to CCN Health's platform, then syncs bi-directionally with both PointClickCare (for resident care documentation) and Ethizo (for physician clinical records and billing).
Do both systems get the same bp monitoring data?
Both systems receive bp monitoring data, but formatted for each system's role. PointClickCare gets detailed resident charting, while Ethizo receives clinical summaries optimized for physician workflows and billing.
What is the implementation timeline for bp monitoring with dual-EHR?
Most assisted living communities are fully operational within 4-6 weeks, including system deployment, dual-EHR integration setup, and care staff training. Both EHR connections are configured simultaneously.
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 Assisted Living 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 Assisted Living 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 Assisted Living?
Our team can answer your questions and show you how it works with your current workflow.
Seamless EHR Integration
How CCN Health Works Inside PointClickCare
Your program data flows directly into PointClickCare — 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.
PointClickCare
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
Devices & Billing
FDA-cleared devices and automated Medicare billing — configured per resident, synced with the EHR.
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 has a direct integration with PointClickCare, allowing vital-sign data from RPM devices to flow automatically into resident charts without manual entry.
Device readings are transmitted to CCN Health's platform and then pushed into PointClickCare via API, appearing alongside existing clinical documentation for a unified workflow.
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.
Assisted living residents use easy-to-operate devices that automatically transmit readings. Staff receive alerts for out-of-range values, enabling timely interventions while preserving resident independence.
Patients use an FDA-cleared connected blood pressure cuff that automatically transmits readings to CCN Health's platform, enabling clinicians to track trends and intervene early on hypertension or hypotension.
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 Assisted Living.
Tell us about your organization
Share details about your Assisted Living, 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.

