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.
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.
Therapy adherence, exercise completion, pain scores, functional progress. Built for orthopedic conditions, post-surgical recovery and chronic pain.
Inhaler and nebulizer adherence, symptoms, pulmonary therapy compliance. COPD, asthma and chronic respiratory disease.
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.
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.
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.
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.
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.
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.
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.
Initial Set-Up & Patient Education
Once per episode of care.
Device Supply: Respiratory
16–30 days of data in a 30-day period.
Device Supply: Musculoskeletal
16–30 days of data in a 30-day period.
Device Supply: CBT / App-Based
16–30 days of data. Priced by the MAC.
Device Supply: Respiratory, 2–15 Days
New for 2026. Short months still bill.
Device Supply: Musculoskeletal, 2–15 Days
New for 2026. Short months still bill.
Device Supply: CBT, 2–15 Days
New for 2026. Priced by the MAC.
Treatment Management: First 10 Min
New for 2026. 10–19 minutes, one live interaction.
Treatment Management: First 20 Min
20+ minutes, one live interaction.
Treatment Management: Each Additional 20 Min
Add-on to 98980, per calendar month.
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 RevenueAverage figures are national Medicare non-facility rates and vary by geography, payer, and year. Verify current rates via the CMS Physician Fee Schedule.
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.
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.
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.
Care coordinators enroll eligible patients, obtain consent, and ship or distribute devices. On the managed model, HealthArc’s coordinators make those calls themselves.
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.
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.
Enrollment data pulled straight from your EHR.
Written back to the chart automatically.
Monthly RTM summaries exported to the EHR.
CPT logs structured for your RCM partner.
40+ cellular devices plus third-party device APIs, all landing in one reading stream.
A billing-ready export for your RCM system or clearinghouse, every required field filled.
A REST API for your analytics team and population-health reporting.
A BAA is signed before any data moves. Data is encrypted in transit and at rest.
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.
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.
HealthArc is built to meet the regulatory requirements that apply to remote monitoring programs operating under Medicare and commercial payer contracts.
RTM programs generate value along two dimensions: clinical outcomes for patients and financial returns for the practice.
You can finally see whether the home exercise plan is being done. Coordinator outreach catches the patients who’d otherwise drift out of care.
Adherence sensor data documents real inhaler and nebulizer use. That helps clinically, and it helps when a payer asks for prior authorization.
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.
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.
How RTM is billed, who bills it, and where it fits next to RPM.
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.
No commitment required.
No obligation | No spam
Practical guidance on RTM programs, billing and patient engagement. Updated with every new post.
CMS finalized the CY 2027 fee schedule: RPM initiating visits, RTM established patients, a 2029 staffing rule and 99454 at $41.11. Proposed vs final, rates and a checklist.
Read articleEvery FDA-cleared cellular device category on HealthArc compared: conditions, connectivity, the RPM, RTM and CGM codes each supports, and kits by specialty.
Read articleHealthArc vs Cadence compared on care model, programs, devices, EHR integration and the CMS 2029 staffing rule, for practices, health systems and enterprise teams.
Read article