Remote Therapeutic Monitoring (RTM) — US only
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What is RTM?
Remote Therapeutic Monitoring (RTM) is a US Medicare/CMS programme that allows clinicians to bill for the remote monitoring of patients doing home exercise programmes (HEP) between appointments.
CMS introduced RTM billing codes in January 2022. When you use Physitrack to assign and monitor home exercise programmes, Physitrack tracks patient engagement data automatically — giving you the documentation you need to support your RTM billing claims.
RTM is available to US-based customers only. It is not available outside the US.
Pricing
RTM is always sold bundled with Physitrack HEP. There is no RTM-only or standalone option.
| Component | Price |
|---|---|
| Bundle — HEP + RTM + CEU | $30.00 per user per month |
| Active-user charge | $8.00 per active user per month |
What is the active-user charge? The $8 charge is a usage fee on top of the $30 seat bundle. It applies only in months when a user is actively monitoring a patient using RTM. Users with no active RTM patient that month are not charged the $8.
To purchase RTM or request a quote, contact business@physitrack.com.
Frequently asked questions
About RTM
What is Remote Therapeutic Monitoring (RTM)? RTM is a Medicare-reimbursable framework that lets rehab providers bill for monitoring a patient's progress between visits. It captures home-exercise adherence, patient-reported data, and therapeutic response inside Physitrack and PhysiApp — with no new logins or separate vendor. Many clinics don't realise this reimbursement pathway exists.
How is RTM different from Remote Patient Monitoring (RPM)? RPM tracks physiological data like blood pressure or glucose. RTM tracks non-physiological, therapeutic data — exercise adherence, pain, function, and response to therapy — which makes it the right fit for physical and occupational therapy.
Is RTM available outside the US? No. RTM billing codes are a US Medicare/CMS programme. RTM is only available to US-based customers and clinics.
Who can use RTM? RTM is available to professionals who can independently bill Medicare, including physical therapists, occupational therapists, and speech-language pathologists. Some payers are extending coverage to other provider types such as chiropractors, and therapist assistants may deliver parts of RTM under appropriate supervision. Eligibility depends on provider type, payer, and state rules — confirm your own position with your billing team.
Which CPT codes does Physitrack support? Physitrack supports the following MSK RTM CPT codes:
| Code | Description |
|---|---|
| 98975 | Device setup and patient education — once per episode of care |
| 98985 | Device supply / data transmission — 2 to 15 monitored days per 30-day period |
| 98977 | Device supply / data transmission — 16 to 30 monitored days per 30-day period |
| 98979 | Treatment management — first 10 minutes, plus 1+ real-time interaction per calendar month |
| 98980 | Treatment management — first 20 minutes, plus 1+ real-time interaction per calendar month |
| 98981 | Treatment management — each additional 20 minutes per calendar month |
98985 and 98977 are not additive — bill one or the other depending on the number of monitored days in the 30-day period. For treatment management, 98979 (10–19 min) and 98980 (20+ min) are also not additive — bill whichever threshold is reached. Add 98981 for each additional full 20 minutes beyond the first 20.
How much can I expect to be reimbursed? A well-run RTM episode generates roughly $100+ in Medicare reimbursement per patient per billing period. The first period tends to be higher because the setup code (98975) is billed once per episode. Actual amounts vary by payer and geography.
How do the RTM billing cycles work? RTM uses two separate cycles. Device supply and data transmission codes (98985/98977) bill per 30-day monitoring period starting from the patient's RTM start date. Treatment management codes (98979/98980/98981) bill per calendar month, resetting on the 1st. Physitrack tracks both so eligible codes surface automatically.
What counts as a monitored day? A day counts when the patient engages with their assigned programme in PhysiApp — one activity per day is enough. The programme must have adherence and discomfort tracking turned on and must be accessed through PhysiApp (mobile or web). Activity opened via EasyLink or PDF cannot be tracked toward RTM.
What qualifies as an RTM device? CMS defines the RTM device broadly, including software apps that collect therapeutic data. PhysiApp on the patient's own smartphone meets that definition — there is no hardware to ship or manage.
Does the patient need to consent? Yes. Documented patient consent is required before RTM begins. In Physitrack, the clinician opens the patient's profile, enables RTM for that episode, and the patient downloads PhysiApp and logs in. Tracking starts once the patient activates their programme.
Does Physitrack bill on my behalf? No. Physitrack records activity, tracks CPT code eligibility, and generates an exportable RTM report for your billing record. Selecting codes, confirming requirements, and submitting claims stay with your billing and compliance team.
Is Physitrack FDA registered? Physitrack is FDA-registered as a Class I medical device. For specific compliance questions for your clinic, contact business@physitrack.com and our team will help.
About pricing
Can I buy RTM on its own? No. RTM is only available as part of the $30 HEP + RTM + CEU bundle. It cannot be purchased separately.
Can I mix standalone HEP licences and RTM bundle licences on one account? Not currently. A customer on the RTM bundle takes it across all licences on that account. If you need standalone HEP alongside RTM, you would need a separate PT Direct or Practitioner account. Contact business@physitrack.com for guidance.
What does "per active user per month" mean? You are charged $8 for each user who actively monitors a patient using RTM in a given month. Users with no active RTM patient that month are not charged the $8.
Is the plan available monthly or annually? All invoicing is monthly. There is no annual billing option for RTM — because of the monthly active-user charge, all payments are collected monthly.
Is payment by invoice or bank transfer available? No. A card or direct debit must be added for automatic monthly payment. Payment on invoice is available for Enterprise customers only. Contact business@physitrack.com for Enterprise pricing.
Are affiliate discounts available? Yes. One affiliate discount can be applied to the monthly per-user licence fee (the $30 bundle). The discount does not apply to the $8 active-user charge.
Can I increase or decrease my number of licences? Yes. Licences are managed within your PT Direct subscription management. All RTM customers are on PT Direct.
How does Physitrack's pricing compare to other RTM platforms? Some RTM platforms charge per care episode — one charge per monitoring episode regardless of duration. Physitrack charges per active user per month. Break-even is approximately 1.25 months per episode ($8/month vs a $10/episode competitor). Episodes shorter than around 5 weeks tend to favour per-active-user; longer episodes favour per-episode. For MSK, where episodes typically run 6–12 weeks, this is worth calculating for your clinic's mix.
About the workflow
How do I enable RTM for a patient? From the patient's profile in Physitrack, click Enable RTM. The RTM timer starts from the moment RTM is enabled and begins tracking billable days and interaction time automatically.
How does the RTM timer work? The timer tracks your interaction time from the moment RTM is enabled. When you add an activity, the time field is pre-filled with the elapsed time — you can adjust it manually if needed.
How do I close an RTM billing period? Open the patient's RTM Report from their profile. Review the CPT codes and patient activity, then mark the period as reviewed. Once reviewed, the period is closed — no further activity can be added and no further CPT codes can be billed for that period. After closing, you can choose to keep RTM enabled or end it for that patient.
Can I end RTM manually for a patient? Yes. You can manually end RTM for a patient at any time using the toggle in their profile.
How to get started
RTM is available to US-based Physitrack customers as part of the $30 HEP + RTM + CEU bundle, billed monthly.
To purchase RTM or get a quote for your clinic, contact us at business@physitrack.com and our team will get back to you.