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
16 of 30 daysdata threshold tracked live
98975–98981CPT codes, auto-tracked
100,000+Patients Monitored
3Clinical Domains — MSK, Respiratory, CBH
16-DayData Collection Threshold
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 — including 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, enabling eligible providers — including 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 is not telehealth — it's a continuous between-visit monitoring model that supplements, not replaces, in-clinic care.
RTM Applies to Three Clinical Domains
Musculoskeletal (MSK)
Tracking therapy adherence, exercise completion, pain scores, and functional progress for patients with orthopedic conditions, post-surgical recovery, or chronic pain.
Respiratory
Monitoring medication adherence (inhalers, nebulizers), symptoms, and pulmonary therapy compliance for conditions including COPD, asthma, and chronic respiratory disease.
Cognitive Behavioral Health (CBH)
Tracking behavioral therapy adherence, mood, and validated assessment responses (PHQ-2, PHQ-9, GAD-7) for patients receiving mental health or CBT-based care.
RTM requires a minimum of 16 days of patient-collected data per 30-day period to qualify device-supply billing. HealthArc tracks this threshold in real time and alerts your team before the billing period closes.
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 currently lack 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 manage everything 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 elevated 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, 98976, 98977, 98980 & 98981
- Automated 16-day data threshold monitoring
- 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 — 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 — best suited for practices with existing care coordinator capacity.
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 retain clinical oversight and sign off on billing. Launch an RTM program within weeks, without hiring additional staff.
Both models operate under a zero upfront cost structure — no device purchase requirements or platform licensing fees that create financial 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.
~$19
98975
Initial Set-Up & Patient Education
First 30 days per device.
~$55
98976
Device Supply — MSK Therapy
16+ days of data per 30-day period.
~$55
98977
Device Supply — Respiratory Therapy
16+ days of data per 30-day period.
Varies
98978
Device Supply — CBH / App-Based
16+ days of app-based data.
~$50
98980
Treatment Management — First 20 Min
Provider / clinical staff time per month.
~$41
98981
Treatment Management — Each Additional 20 Min
Per calendar month.
Key CMS Billing Requirements
- 16-day threshold — data on at least 16 of 30 days for device supply codes to be billable
- Eligible billing providers — physicians, NPPs, PTs, OTs & respiratory therapists under applicable supervision
- Patient consent — written consent required prior to initiating RTM services
- Order requirement — RTM must be ordered by the billing provider or the patient's care-plan provider
- Concurrent billing restriction — 98980/98981 can't be billed the same month as RPM's 99457/99458 for the same patient
HealthArc tracks each patient's data submission days in real time, surfaces billing-eligibility alerts at the 16-day threshold, and generates monthly billing summaries ready for submission.
Estimate RTM RevenueAverage 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 — structured to minimize disruption to 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. A dedicated implementation specialist manages this 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. Average under four hours per role.
3
Week 2–3
Patient Enrollment & Device Deployment
Care coordinators enroll eligible patients, obtain consent, and ship or distribute devices. For the managed model, HealthArc's coordinators handle outreach and enrollment directly.
4
Week 3–4+
Live Monitoring & First Billing Cycle
Once patients are submitting data, coordinators log interaction time and the platform tracks 16-day thresholds. Most practices complete their first billable month within 30–45 days of signing.
Interoperability
EHR and Health System Integration
HealthArc connects with your existing EHR 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.
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 16-day threshold progress
- 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
- 16-day data thresholds & 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
Improved between-visit visibility into home exercise completion, with coordinator outreach reducing non-adherent patients falling out of care.
Respiratory Practices
Medication adherence sensor data documents inhaler and nebulizer use, supporting clinical decisions and prior-authorization requests.
Behavioral Health
Automated PHQ-9 and GAD-7 delivery between visits creates a continuous symptom record for care and value-based contracting.
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 99453–99458, while RTM uses CPT codes 98975–98981. A patient can be enrolled in both simultaneously if they meet the clinical criteria for both, and both can be billed in the same month as long as the same treatment management codes aren't billed twice for the same patient.
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 provide written consent before the program begins, 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 16 of 30 days for device supply codes to be billed. 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 the 20-minute treatment management threshold.
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?
Yes, with some restrictions. A patient who qualifies for chronic care management (CCM) and also meets RTM criteria for a musculoskeletal or respiratory condition can be enrolled in both programs and billed in the same month. RPM and RTM can also be billed concurrently if the patient uses both physiological monitoring devices and therapeutic adherence tracking tools. The restriction: treatment management time billed under RTM (98980/98981) cannot be the same time billed under RPM (99457/99458) — time must be tracked and documented separately for each program. HealthArc's multi-program dashboard tracks time across programs and flags potential concurrent billing conflicts before reports are submitted.
What EHR systems does HealthArc integrate with?
HealthArc uses HL7 v2 and FHIR R4 standards for EHR integration, supported by most modern ambulatory EHR platforms. HealthArc works with each new customer during implementation to configure the integration for their specific EHR environment. Contact HealthArc to confirm integration availability for your system prior to signing.
What happens if a patient does not meet the 16-day data threshold in a given month?
If a patient does not submit data on at least 16 of 30 days, the device supply CPT codes (98976, 98977, 98978) cannot be billed for that month. The treatment management codes (98980, 98981) can still be billed if the 20-minute care time threshold was met, even in a month where the device supply threshold wasn't reached. HealthArc's platform monitors each patient's daily submission count and sends automated alerts when a patient is at risk of missing the threshold, enabling proactive outreach. Patients who miss a month remain enrolled and can qualify in subsequent months without re-enrollment.
Get Started
See HealthArc’s RTM Platform in Action
- How HealthArc tracks the 16-day data threshold in real time
- The care coordinator workflow for MSK, respiratory & CBH patients
- How time is tracked and mapped to CPT codes 98975–98981
- What a completed billing report looks like before submission
- Revenue projections based on your patient volume
Schedule a Demo
Estimate RTM Revenue
HIPAA Compliant • SOC 2 Certified • No long-term contracts
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