Behavioral Health Integration for Skilled Nursing — Powered by PointClickCare + CCN Health

BHI for Skilled Nursing with PointClickCare and Charm Health

Many skilled nursing facilities use PointClickCare as their facility EHR while the ordering physician or medical director uses Charm Health for their practice. This dual-EHR reality creates challenges for BHI programs — clinical data lives in two systems that don't natively talk to each other. CCN Health solves this by integrating with both systems simultaneously.

The Dual-EHR Challenge in Skilled Nursing

In skilled nursing settings, it's common for:

• The facility to use PointClickCare for resident records, charting, and daily care documentation
• The physician to use Charm Health for orders, billing, and clinical decision-making
• BHI data to be needed in both systems for complete clinical documentation

Without an integration bridge, nursing staff must manually enter data in both systems, leading to documentation gaps, billing delays, and clinical risk.

How CCN Health Bridges PointClickCare and Charm Health

CCN Health's platform sits between both EHR systems, serving as a central hub for all BHI data:

1. Screening data flows to CCN Health — Assessment scores and intervention notes are captured by the CCN Health platform
2. PointClickCare receives resident records — Screening scores, alerts, and care documentation sync to PCC resident charts
3. Charm Health receives clinical summaries — The ordering physician gets BHI reports, clinical observations, and billing-ready documentation in their Charm Health workflow
4. Billing documentation routes correctly — Claims data goes to the billing entity (physician practice via Charm Health) with supporting clinical documentation

Data Flow: PointClickCare ↔ CCN Health ↔ Charm Health

Data Type	PointClickCare	CCN Health	Charm Health
Resident Demographics	Source	Syncs	Receives
Screening Scores	Receives	Hub	Receives
Clinical Alerts	Receives	Generates	Receives
Care Plans	Shared	Coordinates	Shared
Billing Documentation	Reference	Generates	Primary
BHI Time Tracking	Reference	Tracks	Primary

Why This Matters for Skilled Nursing

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.

Survey Readiness

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

Billing Considerations for Dual-EHR BHI

In dual-EHR environments, billing typically flows through the physician practice (Charm Health):

CPT Code	Reimbursement	Billing Entity	Documentation Source
99484	~$48/mo	Physician (Charm Health)	CCN Health → Charm Health
99492	~$163	Physician (Charm Health)	CCN Health → Charm Health
99493	~$130/mo	Physician (Charm Health)	CCN Health → Charm Health

CCN Health ensures all required documentation is routed to the correct system for compliant billing regardless of which entity submits the claim.

Frequently Asked Questions

Do both EHR systems get the same BHI data?

Both systems receive BHI data, but the content is tailored to each system's role. PointClickCare gets resident care documentation, while Charm Health receives clinical summaries and billing records.

Who submits the Medicare claims?

Typically the physician practice bills through Charm Health, with CCN Health providing all required documentation. The specific billing arrangement depends on your organization's structure.

Is there extra setup for dual-EHR integration?

CCN Health configures both integrations during the standard implementation period. The dual-EHR setup is part of our standard offering — no additional cost or extended timeline.