CCM · Blood Pressure
Blood Pressure Monitoring for Long-Term Care CCM — PointClickCare + CCN Health
Blood Pressure Monitoring technology powering your CCM program in Long-Term Care — 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 Long-Term Care.
Tell us about your organization
Share details about your Long-Term 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 Chronic Care Management (CCM) integration with PointClickCare designed specifically for long-term care facilities, featuring bp monitoring technology, bridging both PointClickCare and augusthealth systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
BP Monitoring for Long-Term Care CCM with PointClickCare and August Health
Long-Term Care facilities using PointClickCare as their facility EHR often work with physicians who use August Health 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 Long-Term Care
In long-term care 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 August Health 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 August Health
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
- August Health receives clinical summaries — The ordering physician gets CCM reports with bp monitoring data in their August Health workflow
- Billing documentation routes correctly — Claims data with bp monitoring support goes to the billing entity via August Health
Data Flow: PointClickCare ↔ CCN Health ↔ August Health
| Data Type | PointClickCare | CCN Health | August Health |
|---|---|---|---|
| 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 Long-Term Care Facilities
Combining bp monitoring with dual-EHR integration provides unique advantages for long-term care facilities:
Sustained Monitoring
Continuous vital sign trending over long stays enables early detection of gradual health changes.
Hospitalization Prevention
Proactive alerts help clinical teams intervene before conditions deteriorate to emergency levels.
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 (August Health):
| CPT Code | Reimbursement | Billing Entity | Documentation Source |
|---|---|---|---|
| 99490 | ~$62/mo | Physician (August Health) | CCN Health → August Health |
| 99491 | ~$83/mo | Physician (August Health) | CCN Health → August Health |
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 August Health (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 August Health receives clinical summaries optimized for physician workflows and billing.
What is the implementation timeline for bp monitoring with dual-EHR?
Most long-term care 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.
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 Long-Term 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 Long-Term Care 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 Long-Term 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 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.
RPM in long-term care provides continuous vital-sign monitoring that helps clinical staff detect changes early, reduce unnecessary hospitalizations, and improve quality metrics.
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 Long-Term Care.
Tell us about your organization
Share details about your Long-Term 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.

