Build Your Remote Therapeutic Monitoring (RTM) Program With Medsense Health

About the New Remote Therapeutic Monitoring (RTM) Medicare Program

Remote Therapeutic Monitoring (RTM) is a program offered to Medicare and Medicare Advantage enrollees with respiratory and musculoskeletal conditions. RTM collects non-physiological therapeutic data such as patient response to prescribed therapies, medication adherence, and therapy response. This data allows healthcare providers to monitor patient progress, adjust their care plan, and monitor adherence.

RTM has many benefits for patients and expands revenue streams for healthcare providers. Implementing RTM is easy with Medsense Health.

Helping Providers Establish a Data-Driven RTM Program for Patients

16 Days of Data Guarantee

By collecting medication adherence data every day, you don’t have to worry about collecting enough data to bill for the monitoring codes
each month.

Fast Track Pilot

Use the Medsense Provider Portal to set up
an RTM pilot while your dev team completes
the integration into your platform.

Condition Specific Programs

We have built out respiratory and musculoskeletal programs for key conditions including COPD, Chronic MSK Pain, Fibromyalgia, and more.

WiFi or Cellular Enabled

Identify candidates for your RTM program
without worrying about their home
connectivity.

Easy Ordering

It is easy to order the correct hardware which
is shipped to the enrollment clinic or
patient’s home.

Refurbishing Application

Recycle hardware for use by the next patient to decrease overhead costs.

CPT Codes for Remote Therapeutic Monitoring

  • CPT 98975

    Fee Schedule: $19.38

    Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response); initial set-up and patient education on use of equipment

  • CPT 98976

    Fee Schedule: $55.72

    Remote therapeutic monitoring (e.g., respiratory system status, therapy adherence, therapy response); device(s) supply with scheduled (e.g., daily) recording(s) and/or programmed alert(s) transmission to monitor respiratory system, each 30 days [16 readings minimum each 30 days]

  • CPT 98977

    Fee Schedule: $55.72

    Remote therapeutic monitoring (e.g., musculoskeletal system status, therapy adherence, therapy response); device(s) supply with scheduled (e.g., daily) recording(s) and/or programmed alert(s) transmission to monitor musculoskeletal system, each 30 days [16 readings minimum each 30 days]

  • CPT 98980

    Fee Schedule: $50.18

    Remote therapeutic monitoring treatment management services, physician/other qualified healthcare professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; first 20 minutes

  • CPT 98981

    Fee Schedule: $40.84

    Remote therapeutic monitoring treatment management services, physician/other qualified healthcare professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; each additional 20 minutes (list separately in addition to code for primary procedure)

Download the “2023 Remote Therapeutic Monitoring (RTM) Billing Guide”

Thinking about implementing an RTM program? Learn the basics of billing and reimbursement in this guide.