RTM Software & Services

Remote Therapeutic Monitoring Software and Services

HealthArc's RTM platform helps physical therapists, pulmonologists, and behavioral health providers remotely track therapy adherence, patient-reported outcomes, and device-generated data, with CMS-compliant workflows built in. Run musculoskeletal, respiratory, and cognitive behavioral health RTM programs on a single platform, without adding administrative burden to your care team.

HIPAA Compliant AICPA SOC 2 Certified 100,000+ patients monitored across RPM, RTM & CCM
Remote Therapeutic Monitoring software dashboard by HealthArc
16 of 30 daysdata threshold tracked live
98975–98986CPT codes, auto-tracked
100,000+Patients Monitored
3Clinical Domains: MSK, Respiratory, CBH
2 & 16 DaysDevice-Supply Billing Tiers
2–4 WksTo First Monitored Patient
Program Overview

What Is Remote Therapeutic Monitoring?

Remote therapeutic monitoring (RTM) is a CMS-recognized care delivery model that allows qualified healthcare providers to remotely collect and review non-physiological patient data between clinical visits. Unlike remote patient monitoring (RPM), which tracks physiological signals such as blood pressure and glucose, RTM focuses on therapy adherence, response to treatment, and patient-reported data: pain levels, fatigue, range of motion, medication adherence, and behavioral health assessments.

CMS established RTM as a distinct billing category in 2022 under CPT codes 98975–98981, and added 98979 and the short-window device codes 98984–98986 in 2026, enabling eligible providers (physical therapists, occupational therapists, respiratory therapists and physicians) to bill for time spent reviewing remotely collected data and communicating with patients outside of in-person encounters. RTM isn’t telehealth. It’s a continuous between-visit monitoring model that supplements in-clinic care.

What is Remote Therapeutic Monitoring?

RTM Applies to Three Clinical Domains

Musculoskeletal (MSK)

Therapy adherence, exercise completion, pain scores, functional progress. Built for orthopedic conditions, post-surgical recovery and chronic pain.

Respiratory

Inhaler and nebulizer adherence, symptoms, pulmonary therapy compliance. COPD, asthma and chronic respiratory disease.

Cognitive Behavioral Health (CBH)

Behavioral therapy adherence, mood, and validated assessment responses: PHQ-2, PHQ-9, GAD-7. For patients in mental health or CBT-based care.

Since 1 January 2026, RTM device supply bills in two tiers: 16–30 days of patient-collected data in a 30-day period bills 98976 or 98977, and 2–15 days bills the new short-window codes 98984 or 98985. HealthArc counts the days in real time and tells your team which tier each patient is heading for before the period closes. Day 14 with four days of data can still reach the full tier; day 31 can’t. The other detail worth knowing before you scope a program: physical and occupational therapists can bill RTM in their own right, which is not true of RPM, where the treatment-management codes sit with practitioners who can bill E/M services, and that single difference is why a busy PT clinic can stand up RTM without a physician running the day-to-day program.

Who It’s For

Who Uses Remote Therapeutic Monitoring?

Built for any outpatient or clinic-based practice where patient progress between visits directly affects outcomes, and where care teams have no visibility into what patients are doing at home.

Practice Types

  • Physical & occupational therapy practices managing post-surgical or orthopedic patients
  • Pulmonology, allergy & primary care treating COPD, asthma, chronic respiratory disease
  • Behavioral health providers & psychiatrists delivering CBT programs
  • Orthopedic surgery groups managing pre- and post-op rehabilitation
  • Multi-specialty practices consolidating RTM, RPM & CCM on one platform

Patient Populations

  • Musculoskeletal diagnoses (ICD-10 M-codes) following surgery or injury
  • Chronic respiratory disease on maintenance inhaler or nebulizer therapy
  • Behavioral health patients in structured CBT or medication management
  • Patients with documented difficulty maintaining therapy adherence
  • Medicare Part B beneficiaries meeting CMS RTM eligibility

Two Ways to Run It

  • Self-managed: your team runs RTM on HealthArc’s software
  • Fully managed: HealthArc’s clinical staff handles monitoring and documentation on your behalf
  • Combine RTM with CCM or PCM on the same patient record
  • Independent practices seeking a new recurring revenue stream
The Platform

RTM Software Features

HealthArc is a unified remote monitoring and care management platform built specifically for outpatient clinical programs. RTM runs natively alongside RPM, CCM, PCM, and TCM, so practices running multiple programs work from one dashboard, one patient record, and one billing workflow.

Patient Data Collection

  • SaMD mobile app for pain, fatigue, sleep, mood & exercise completion
  • Cellular medication adherence sensors for pill bottles & inhalers, no Wi-Fi required
  • Automated SMS, push, or web check-in prompts, no app download required
  • Validated assessment delivery & scoring: PHQ-2, PHQ-9, GAD-7, custom forms

Care Team Workflow

  • Real-time dashboard with adherence status, alert flags & billing time tracking
  • Automated alerts on missed sessions or rising symptom scores
  • Care coordinator tools for logging time & generating billing-ready summaries
  • SMS, audio & HIPAA-compliant video, no third-party tools required

Billing & Compliance

  • CPT tracking for 98975–98986, including the 2026 short-window codes
  • Automated data-day tracking for the 2–15 and 16–30 day tiers
  • Monthly billing reports pre-formatted with time logs & clinical notes
  • Rule-based eligibility checks before the billing period closes

Platform & Integration

  • HL7 & FHIR-compliant EHR integration
  • Multi-program support: RTM, RPM (99453–99458), CCM (99490–99491), PCM, TCM
  • Role-based access for physicians, coordinators, billing & admins
  • SOC 2 Type II certified, HIPAA-compliant infrastructure
Care Team Model

RTM Services: When You Need More Than Software

Not every practice has the internal bandwidth to staff a remote monitoring program. HealthArc offers a fully managed RTM service model where HealthArc's clinical care team handles patient onboarding, daily monitoring, care coordination, and documentation, all under your practice’s supervision and billing credentials.

SaaS Model (Self-Managed)

Your care team uses HealthArc's platform to run the RTM program. HealthArc provides the software, devices, onboarding training, and ongoing technical support. Your staff manages patient communication, monitoring reviews, and billing. This one suits practices that already have care coordinator capacity, and it is usually the cheaper of the two models once you have staff who can absorb the monthly outreach without falling behind on their existing panel.

Managed / Full-Service Model

HealthArc assigns dedicated care coordinators who operate as an extension of your clinical team: enrollment, device onboarding, daily data review, patient communication, and monthly billing reports. Physicians keep clinical oversight and sign off on billing. You launch in weeks. Nobody new gets hired.

Both models operate under a zero upfront cost structure. There are no device purchase requirements and no platform licensing fees, so nothing is at risk before reimbursement begins.

Billing & Reimbursement

RTM CPT Codes, CMS Requirements & Reimbursement Workflow

CMS established RTM-specific CPT codes in 2022 and has updated billing rules and reimbursement rates in subsequent years. HealthArc's platform automates tracking against these requirements so billing staff always know which patients qualify before the billing period closes. Rates shown are 2026 Medicare national non-facility averages from the Physician Fee Schedule; the RTM CPT code reference covers every code in detail.

~$22
98975

Initial Set-Up & Patient Education

Once per episode of care.

~$52
98976

Device Supply: Respiratory

16–30 days of data in a 30-day period.

~$51
98977

Device Supply: Musculoskeletal

16–30 days of data in a 30-day period.

Varies
98978

Device Supply: CBT / App-Based

16–30 days of data. Priced by the MAC.

~$52
98984

Device Supply: Respiratory, 2–15 Days

New for 2026. Short months still bill.

~$51
98985

Device Supply: Musculoskeletal, 2–15 Days

New for 2026. Short months still bill.

Varies
98986

Device Supply: CBT, 2–15 Days

New for 2026. Priced by the MAC.

~$26
98979

Treatment Management: First 10 Min

New for 2026. 10–19 minutes, one live interaction.

~$54
98980

Treatment Management: First 20 Min

20+ minutes, one live interaction.

~$41
98981

Treatment Management: Each Additional 20 Min

Add-on to 98980, per calendar month.

Key CMS Billing Requirements

  • Data-day tiers: 16–30 days of data bills 98976/98977/98978; 2–15 days bills 98984/98985/98986; under 2 days, no device code
  • Eligible billing providers: physicians, NPPs, PTs, OTs & respiratory therapists under applicable supervision
  • Patient consent: documented in the record before RTM services start
  • Order requirement: RTM must be ordered by the billing provider or the patient's care-plan provider
  • No RPM in the same period: Medicare won’t pay RTM and RPM for the same patient in the same period, so each patient sits in one program

HealthArc tracks each patient's data submission days in real time, surfaces billing-eligibility alerts at the 2-day and 16-day thresholds, and generates monthly billing summaries ready for submission.

Estimate RTM Revenue

Average figures are national Medicare non-facility rates and vary by geography, payer, and year. Verify current rates via the CMS Physician Fee Schedule.

Implementation

How to Launch an RTM Program with HealthArc

Most practices are actively monitoring their first RTM patients within two to four weeks of signing. The sequence is built to stay out of the way of existing clinical workflows.

1
Week 1

Practice Onboarding & Configuration

HealthArc configures your account with provider roster, billing credentials, care coordinator access levels, and EHR integration settings. One implementation specialist owns the process through go-live.

2
Week 1–2

Staff Training

Role-specific training for physicians, care coordinators, and billing staff via live sessions and on-demand video, covering enrollment, device setup, the dashboard, and billing report generation. Under four hours per role, on average.

3
Week 2–3

Patient Enrollment & Device Deployment

Care coordinators enroll eligible patients, obtain consent, and ship or distribute devices. On the managed model, HealthArc’s coordinators make those calls themselves.

4
Week 3–4+

Live Monitoring & First Billing Cycle

Once patients are submitting data, coordinators log interaction time and the platform tracks data days against both device-supply tiers. Most practices close their first billable month within 30–45 days of signing.

Interoperability

EHR and Health System Integration

HealthArc connects with 55+ EHRs, including Epic, Oracle Health (Cerner), athenahealth, NextGen Healthcare and eClinicalWorks, using HL7 v2 and FHIR R4 standards, enabling bidirectional data exchange without manual re-entry of demographics, orders, or clinical notes.

  • Patient demographic sync: enrolled patients pulled from your EHR, no duplicate entry
  • Order & consent documentation written back to the patient's chart
  • Monthly RTM summaries pushed to the EHR as structured or free-text notes
  • CPT documentation & time logs structured for your billing module or RCM system

Demographic Sync

Enrollment data pulled straight from your EHR.

Consent & Orders

Written back to the chart automatically.

Clinical Notes

Monthly RTM summaries exported to the EHR.

Billing Handoff

CPT logs structured for your RCM partner.

Supported EHR systems

Beyond the EHR

Devices

40+ cellular devices plus third-party device APIs, all landing in one reading stream.

Billing and RCM

A billing-ready export for your RCM system or clearinghouse, every required field filled.

Data warehouse

A REST API for your analytics team and population-health reporting.

Security

A BAA is signed before any data moves. Data is encrypted in transit and at rest.

  • 4–8 hours of your team’s time
  • No IT team needed
  • Live in about 30 days
EHR setup guides

Product names and logos are trademarks of their respective owners. Listing an EHR reflects HealthArc’s integration support and doesn’t imply endorsement by that company. The exact fields exchanged depend on your EHR’s configuration and API, and are confirmed in writing during scoping.

Reporting

RTM Reporting and Program Analytics

Running a sustainable RTM program requires visibility into more than individual patient adherence. Administrators need to see program-level performance and where revenue is at risk.

Patient-Level Reports

  • Real-time adherence dashboard with data-day progress toward each billing tier
  • Monthly care summaries with time logs & assessment scores
  • Trend reports on pain scores & adherence trajectories

Program-Level Reports

  • Enrolled census with billing eligibility by CPT code
  • Monthly revenue by provider & CPT code, actual vs. projected
  • Enrollment funnel & adherence by segment or coordinator

Compliance & Audit Reports

  • Time log exports with CPT documentation for audits
  • Consent documentation records per patient
  • Device assignment & data submission records for CMS
Security

Compliance and Data Security

HealthArc is built to meet the regulatory requirements that apply to remote monitoring programs operating under Medicare and commercial payer contracts.

Certifications

  • HIPAA-compliant infrastructure; BAAs executed with every customer
  • AICPA SOC 2 Type II, annual independent audit
  • FDA-registered connected devices; SaMD app meets FDA guidance

CMS Billing Compliance

  • Data-day tiers & provider eligibility rules built into workflow
  • Concurrent billing restrictions flagged automatically
  • Documentation standards enforced for treatment management codes

Data Security

  • Encrypted in transit and at rest
  • Role-based access controls per patient panel
  • State-licensure-aware supervision for managed-service coordinators
Results

RTM Program Performance: What Practices See with HealthArc

RTM programs generate value along two dimensions: clinical outcomes for patients and financial returns for the practice.

2–3 WksTo enroll the first RTM cohort under the managed model
100,000+Patients actively monitored across RPM, RTM & care management
16-DayThreshold met by most enrolled patients with automated check-ins active
Higher $/ptFor multi-program practices billing RTM alongside RPM & CCM

MSK & PT Practices

You can finally see whether the home exercise plan is being done. Coordinator outreach catches the patients who’d otherwise drift out of care.

Respiratory Practices

Adherence sensor data documents real inhaler and nebulizer use. That helps clinically, and it helps when a payer asks for prior authorization.

Behavioral Health

PHQ-9 and GAD-7 go out between visits automatically, which builds a continuous symptom record you can use for care decisions and for value-based contracts.

FAQ

Frequently Asked Questions About Remote Therapeutic Monitoring

What is the difference between RTM and RPM?
Remote patient monitoring (RPM) tracks physiological data (blood pressure, blood glucose, weight, oxygen saturation) using connected medical devices. Remote therapeutic monitoring (RTM) tracks non-physiological data: therapy adherence, patient-reported outcomes (pain, fatigue, mood), medication adherence, and responses to validated behavioral assessments. CMS created separate billing code families for each: RPM uses CPT codes 99445, 99453–99458 and 99470, while RTM uses CPT codes 98975–98986. Medicare pays for one or the other for a patient in a given period, not both, so the choice comes down to whether the data you need is physiologic or therapeutic.
Which providers can bill RTM CPT codes?
CMS allows physicians, nurse practitioners, physician assistants, clinical nurse specialists, certified nurse midwives, physical therapists, occupational therapists, and respiratory therapists to bill RTM treatment management codes (98980, 98981), subject to applicable supervision requirements. Clinical staff can perform RTM-related services under direct or general supervision, and their time counts toward the 20-minute monthly threshold. Billing must be performed by the provider who ordered the RTM service or the provider responsible for the patient's overall care management.
What does a patient need to do to participate in an RTM program?
Patients give consent before the program begins, which is documented in the record. They receive and use a designated data collection method (a SaMD mobile app, a connected device such as a medication adherence sensor, or both), and submit data on at least 2 days in a 30-day period for a device supply code to be billed, or 16 days for the full-rate codes. HealthArc supports SMS-based engagement for patients who prefer texting over an app, and managed-service care coordinators can conduct scheduled phone calls that count toward treatment management time: 10 minutes for 98979, 20 for 98980.
How long does it take to set up an RTM program with HealthArc?
Most practices complete implementation and begin actively monitoring their first RTM patients within two to four weeks. The critical path items are EHR integration setup (if applicable), staff training, and patient enrollment. For the managed service model, HealthArc's care coordinators can begin patient outreach as soon as the account is configured. The first complete billing cycle typically closes within 30 to 45 days of go-live.
Can RTM be billed alongside CCM, PCM, or RPM for the same patient?
CCM and PCM, yes. RPM, no. A patient in chronic care management (CCM) or principal care management (PCM) can also be enrolled in RTM and billed in the same month, as long as the minutes counted toward each program are different minutes. RPM is the exception: Medicare won't pay RPM and RTM for the same patient in the same period, so each patient goes into one monitoring program or the other, based on whether the data you need is physiologic or therapeutic. HealthArc's multi-program dashboard tracks time across programs and flags conflicts before claims go out.
What EHR systems does HealthArc integrate with?

HealthArc connects with 55+ EHRs, including Epic, Oracle Health (Cerner), athenahealth, NextGen Healthcare, eClinicalWorks, Veradigm (Allscripts), AdvancedMD, DrChrono, Elation Health, Greenway Health, Tebra, PointClickCare and PrognoCIS. Monthly RTM summaries, consent and time logs by CPT code post back to the patient chart. Your team documents once.

The connection runs over HL7 FHIR R4, HL7 v2 messaging or a direct vendor integration, depending on what your system supports. Write-back depends on your EHR’s API. We confirm the exact fields in writing before go-live. Setup guides for each live integration are in the EHR integrations directory.

What happens if a patient does not meet the 16-day data threshold in a given month?
Since 2026, a short month can still be billed. With 2–15 days of data in the 30-day period, you bill the short-window device code instead of the full one: 98984 for respiratory, 98985 for musculoskeletal or 98986 for cognitive behavioral therapy, in place of 98976, 98977 or 98978. Below 2 days, no device-supply code can be billed. Treatment management is billed on time, whatever the data-day count: 98979 covers 10–19 minutes in the month and 98980 covers the first 20. HealthArc counts each patient's data days and alerts your team when a patient is at risk of dropping a tier. Patients who miss a month stay enrolled and don't need to re-enroll.
Get Started

See HealthArc’s RTM Platform in Action

  • How HealthArc tracks data days against the 2–15 and 16–30 day tiers
  • The care coordinator workflow for MSK, respiratory & CBH patients
  • How time is tracked and mapped to CPT codes 98975–98986
  • What a completed billing report looks like before submission
  • Revenue projections based on your patient volume
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Want a demo, or just have a question about running remote therapeutic monitoring in your practice? Send us a few details and a care program specialist will get back to you shortly.

  • Automated RTM time tracking & billing
  • 98975, 98976, 98977, 98980 & 98981 tracked for you
  • Two-way EHR integration
  • Managed care team, or your own
  • Pre-configured cellular devices shipped
  • Live in about 30 days
HIPAA compliant SOC 2 Type II No long-term contracts

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