Platform

One platform.
Every program.
Complete control.

RPM, CCM, BHI, RTM, and PCM — managed from a single dashboard with EHR integrations, automated workflows, and real-time clinical intelligence.

See how it works

Trusted Integrations

Integrates with the systems you already use

PointClickCare
ALIS
Ethizo
athenahealth
Charm Health
MatrixCare
Epic
August Health
Tenovi
Omron
Trividia
BodyTrace
SmartMeter
Norbert Health
Neteera
TellHealth
Dexcom
FreeStyle Libre
Xandar Kardian
Jumper
ECP
LiveMetric
Withings
Withings
LiveMetric
ECP
Jumper
Xandar Kardian
FreeStyle Libre
Dexcom
TellHealth
Neteera
Norbert Health
SmartMeter
BodyTrace
Trividia
Omron
Tenovi
August Health
Epic
MatrixCare
Charm Health
athenahealth
Ethizo
ALIS
PointClickCare

Programs

Run all five programs on one platform

Five Medicare-reimbursable programs, fully supported out of the box. Click a program to explore how data flows through the pipeline.

Remote Patient Monitoring.

Real-time vital sign monitoring with FDA-cleared devices

RPM Billing Codes

99453

Setup & Education

One-time per patient enrollment

~$19
99454

Device Supply (16+ days)

16+ readings in 30-day period

~$55/mo
99445

Device Supply (2–15 days)

2–15 readings in 30-day period (new 2026)

~$55/mo
99457

Clinical Review (20+ min)

First 20 min of clinical staff time

~$50/mo
99470

Clinical Review (10 min)

First 10 min of clinical staff time (new 2026)

~$25/mo
99458

Additional Review

Each additional 20 min (add-on to 99457)

~$42/mo

How It Works

Three steps to
better outcomes.

Our team configures bi-directional integration with your existing EHR. Patient data, vitals, and documentation flow automatically—no double-entry, no extra logins.

FDA-cleared monitoring devices arrive pre-configured and ready to use. Blood pressure cuffs, scales, pulse oximeters, glucose meters—whatever your population needs.

Our clinical team monitors alerts, documents interventions, and handles Medicare billing. Your staff stays focused on care while we handle the infrastructure.

Step 1: We connect to your EHRStep 2: Devices ship directly to patientsStep 3: We run the program

Clinical Intelligence

Risk scores for
every patient

Algorithmic risk stratification identifies your highest-risk patients automatically. Prioritize outreach, prevent hospitalizations, and allocate clinical resources where they matter most.

Automated Scoring

Risk calculated from vitals, trends, and adherence data.

Priority Queues

High-risk patients surface to the top of your task list.

Trend Detection

Deteriorating patterns flagged before they become emergencies.

Patient Risk Scores5 patients
2 High2 Medium1 Low

Margaret S.

CHF, Hypertension

87High

Robert K.

COPD, Diabetes

82High

Linda T.

Diabetes Type 2

54Medium

James P.

Post-Surgical

48Medium

Carol W.

Hypertension

21Low
Vitals Charting
126/82mmHg↓ trending down

Vitals

Comprehensive
vitals charting

Every reading visualized. Track blood pressure, weight, glucose, SpO2, and more with interactive trend charts that make clinical decision-making intuitive.

Multi-Vital Views

Toggle between vital types, overlay trends, compare periods.

Threshold Alerts

Visual indicators when readings cross clinical thresholds.

Historical Trends

7-day, 30-day, and 90-day views for longitudinal analysis.

Team Performance

Staff activity
reporting

Know exactly what your clinical team accomplished today, this week, or this month. Track tasks, time, documentation, and patient touchpoints — all in one view.

Daily Summaries

Automatic end-of-day reports for every team member.

Time Compliance

CPT-compliant time tracking against Medicare thresholds.

Performance Metrics

Calls made, alerts triaged, documentation completed.

Team ActivityToday

0

Tasks Done

0

2-Way Comms

0

Patient Calls

0

Alerts Triaged

0

Clinical Notes

--

Doc Rate

SM
Sarah M.RN
6h 20m logged
0/15
0 comms0 calls0 notes0 alerts
JL
Jason L.MA
7h 45m logged
0/20
0 comms0 calls0 notes0 alerts
PK
Priya K.RN
5h 10m logged
0/12
0 comms0 calls0 notes0 alerts
MD
Mike D.CMA
6h 55m logged
0/15
0 comms0 calls0 notes0 alerts
Clinical Assessments
0%

PHQ-9

Depression

6.2

avg

0%

GAD-7

Anxiety

5.8

avg

0%

PROMIS-10

Global Health

32.1

avg

0%

Falls Risk

Assessment

Low

avg

Patient Engagement

Built-in clinical
surveys

Standardized assessments delivered digitally and scored automatically. PHQ-9, GAD-7, PROMIS, and custom surveys — integrated directly into your clinical workflow.

Validated Instruments

PHQ-9, GAD-7, PROMIS-10, and custom assessments.

Auto-Scoring

Responses scored instantly with clinical interpretation.

Longitudinal Tracking

Survey scores tracked over time to measure treatment efficacy.

Integrations

Seamless EHR
connectivity

Bidirectional data flow with facility and practice EHRs. Patient records, vitals, medications, and care plans sync automatically — no double-entry, no extra logins.

PointClickCare
ALIS
Ethizo
athenahealth
Charm Health
MatrixCare
Epic
August Health
EHR-to-EHR Bridge
Syncing
Facility EHR
PointClickCare
Data
CCN Health
CCN Health
Sync
Practice EHR
athenahealth
Data Transferred
VitalsAlertsNotesOrders

1,000+

Happy customers

50

States supported

25+

FDA approved devices

10+

Integrated EHRs

Device Ecosystem

Device agnostic.
Always adding more.

Top of the line devices from trusted FDA-approved partners that integrate seamlessly across patients and platforms.

Blood Pressure
Weight
Glucose
CGM
Pulse Oximeter
Temperature
Sleep
Contactless Radar
Connected Devices
0/4 Online
❤️
Blood Pressure
Smart Meter iBloodPressure
⚖️
Weight Scale
BodyTrace BT105
🫁
Pulse Oximeter
Jumper JPD-500G
🩸
Glucose Meter
Trividia TRUE METRIX
DeviceCellularDashboard

Scalability

Adapts to how you operate

Whether you're a solo provider or a multi-facility health system — one platform scales with your organization.

Dr. Smith

Primary Care

athenahealth

Patient A

RPM

Patient B

CCM

Patient C

BHI

Solo Practice

A single provider managing their own patient panel. One login, one dashboard, direct control over every patient's monitoring program.

  • Single login — zero admin overhead
  • Direct patient enrollment & management
  • Simplified billing with automated time tracking
  • EHR integration for seamless charting

Getting Started

Live in under 48 hours

From discovery call to first patient reading — we get you live faster than anyone in the industry.

01

Discovery Call

Day 0

30-minute call to understand your practice, EHR, and patient population.

  • Review existing workflows and EHR setup
  • Identify patient population and program fit
  • Align on device selection and shipping logistics
02

EHR Integration

Day 1

Our team connects your EHR and imports your patient census.

  • Configure bidirectional data sync
  • Bulk import patient demographics
  • Validate data mapping and workflow triggers
03

Device Shipping

Day 1–2

Devices ship directly to patients with pre-configured cellular connectivity.

  • Devices arrive pre-paired and ready to use
  • No patient setup required — just unbox and measure
  • Cellular gateway auto-connects to the cloud
04

Team Training

Day 2

Live training session for your clinical staff on the platform dashboard.

  • Dashboard walkthrough and workflow orientation
  • Alert triage and escalation protocols
  • Billing documentation and time tracking overview
05

Go Live

Day 2+

First patient readings start flowing in. Your dedicated CSM monitors everything.

  • Real-time vitals appear on your dashboard
  • Automated alerts begin routing to clinicians
  • Dedicated customer success manager on standby

Your patients deserve
better monitoring.

Join 1,000+ healthcare organizations already using CCN Health to deliver proactive, data-driven care.

View FAQ

24/7

Live Support

Real humans, not chatbots. Your team always has direct access.

<48hr

Go-Live

From signed agreement to first patient reading in under 48 hours.

99.9%

Uptime

Enterprise-grade reliability. Your clinical workflows never stop.

HIPAA

Compliant

SOC 2, HIPAA, and BAA-covered. Security is non-negotiable.

Contact Us

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.

Response within 24 hours
HIPAA-compliant communications
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