PointClickCare
CCN Health

PCM · Blood Pressure

Blood Pressure Monitoring for Skilled Nursing PCM — PointClickCare + CCN Health

Blood Pressure Monitoring technology powering your PCM program in Skilled Nursing — fully integrated with PointClickCare. Real-time alerts, clinical workflows, and automated billing in one platform.

Hundreds of facilities just like yours have grown their Principal Care Management programs with CCN Health. .

1
High-Risk Condition Focus
$70+
Monthly Revenue
Per Patient
20%
ER Visit Reduction
99.9%
Platform Uptime

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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 Principal Care Management for your Skilled Nursing.

1

Tell us about your organization

Share details about your Skilled Nursing, current EHR setup, and what you're looking to achieve.

2

We'll review and respond

Our team will assess your needs and send you relevant information, case studies, or suggest next steps.

3

Connect when you're ready

When the time is right, we'll schedule a personalized demo tailored to your workflows.

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Quick Answer

CCN Health provides a certified Principal Care Management (PCM) integration with PointClickCare designed specifically for skilled nursing facilities, featuring bp monitoring technology, bridging both PointClickCare and matrixcare systems. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.

Deep Dive

BP Monitoring for Skilled Nursing PCM with PointClickCare and MatrixCare

Skilled Nursing facilities using PointClickCare as their facility EHR often work with physicians who use MatrixCare for their practice management. When implementing PCM 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 Skilled Nursing

In skilled nursing 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 MatrixCare 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 MatrixCare

CCN Health's platform serves as the central hub for all bp monitoring data in dual-EHR environments:

  1. BP Monitoring data flows to CCN Health — Systolic blood pressure and other metrics are captured continuously by the monitoring system
  2. PointClickCare receives resident records — Vital signs, alerts, and care documentation sync to PCC resident charts automatically
  3. MatrixCare receives clinical summaries — The ordering physician gets PCM reports with bp monitoring data in their MatrixCare workflow
  4. Billing documentation routes correctly — Claims data with bp monitoring support goes to the billing entity via MatrixCare

Data Flow: PointClickCare ↔ CCN Health ↔ MatrixCare

Data Type PointClickCare CCN Health MatrixCare
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
PCM Time Tracking Reference Tracks Primary

Benefits for Skilled Nursing Facilities

Combining bp monitoring with dual-EHR integration provides unique advantages for skilled nursing facilities:

Readmission Prevention

Continuous monitoring during the critical post-acute window reduces hospital readmissions and improves quality scores.

Quality Measures

Objective vital sign data supports CMS quality reporting and star rating improvement efforts.

BP Monitoring Advantages

  • One-button operation — no technical skill required
  • Automated cellular transmission eliminates manual recording

Billing Considerations for Dual-EHR BP Monitoring PCM

In dual-EHR environments with bp monitoring, billing typically flows through the physician practice (MatrixCare):

CPT Code Reimbursement Billing Entity Documentation Source
99424 ~$70/mo Physician (MatrixCare) CCN Health → MatrixCare
99425 ~$56/mo Physician (MatrixCare) CCN Health → MatrixCare
99426 ~$80/mo Physician (MatrixCare) CCN Health → MatrixCare
99427 ~$64/mo Physician (MatrixCare) CCN Health → MatrixCare

BP Monitoring data provides the clinical documentation needed to support PCM 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 MatrixCare (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 MatrixCare receives clinical summaries optimized for physician workflows and billing.

What is the implementation timeline for bp monitoring with dual-EHR?

Most skilled nursing 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.

How It Works
01

Discovery call — we learn your workflows, EHR setup, and patient population so nothing gets lost in translation.

02

We configure your platform around how your team actually operates — custom alert thresholds, EHR data mapping, and role-based permissions.

03

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 Skilled Nursing 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.

Care environment in a Skilled Nursing community
CCN Health

Technology that stays in the background — so care stays in the foreground.

Why CCN Health

Why Skilled Nursing Facilities Choose CCN Health

Purpose-built technology that fits your clinical workflows and drives measurable outcomes.

01

Acute-Level Monitoring

Continuous vital sign capture supports the higher-acuity clinical needs of skilled nursing residents.

02

Revenue Generation

Medicare RPM reimbursement adds $120+ per resident per month with automated billing documentation.

03

Readmission Prevention

Post-acute monitoring during the critical 30-day window reduces hospital readmission rates.

04

Quality Measures

Objective vital sign data supports CMS quality reporting and star rating improvement efforts.

05

Built-In Efficiency

Automated workflows handle documentation, threshold management, and billing preparation — freeing clinical staff for direct patient care.

06

Survey Readiness

Comprehensive, timestamped records provide audit-ready documentation for state and federal surveys.

Questions?

Want to learn more about Principal Care Management for Skilled Nursing?

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.

Specialist Data

Condition Monitoring, Referrals

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

01

Patient Demographics

High-risk conditions, specialist data, and medications

02

Condition Tracking

Disease-specific metrics monitored and trended

03

Specialist Coordination

Referral data and specialist notes synchronized

04

Care Plans

Condition-specific treatment plans inform monitoring

05

Time Tracking

Care management minutes tracked for billing compliance

06

Billing Documentation

CPT 99424/99425/99426/99427 records generated automatically

Every reading, every alert, every care plan update — available across all your programs. One integration, unlimited use cases.

PointClickCare + CCN Health

Let us show you what Principal Care Management looks like inside PointClickCare

A live walkthrough tailored to your Skilled Nursing — your workflows, your EHR, your residents. No generic slides.

Infrastructure

Devices & Billing

FDA-cleared devices and automated Medicare billing — configured per resident, synced with the EHR.

Medicare Billing

Principal Care Management (PCM)

2 billing codes

First 30 minutes of clinical staff time for PCM

Single high-risk chronic condition30+ minutes of care managementCondition expected to last 3+ months

~$70

Monthly

Each additional 30 minutes of PCM clinical staff time

Additional 30+ minute incrementsRequires 99424 as base code

~$54

Monthly (additional)

?

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.

PCM focuses on patients with a single high-risk chronic condition, billed under CPT codes 99424 and 99425, covering care coordination and management services.

Skilled nursing facilities use RPM to continuously monitor residents' vitals, enabling early detection of decline, reducing hospital transfers, and supporting compliance with quality reporting requirements.

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 Principal Care Management for your Skilled Nursing.

1

Tell us about your organization

Share details about your Skilled Nursing, current EHR setup, and what you're looking to achieve.

2

We'll review and respond

Our team will assess your needs and send you relevant information, case studies, or suggest next steps.

3

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.

By submitting this form, you agree to our privacy policy. We'll never share your information.

PointClickCare
CCN Health

Get Started

Ready to bring Principal Care Management to your Skilled Nursing?

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.

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Drop Us a Message

Have a question about RPM, CCM, or how CCN Health can help your organization? Send us a message and our team will respond within 24 hours.

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