Remote Therapeutic Monitoring
Monitor non-physiologic data of patients utilizing medical devices and seamlessly bill for Medicare RTM services.
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What is Remote Therapeutic Monitoring (RTM)
The CMS proposed Remote Therapeutic Monitoring (RTM) to complement the existing suite of Remote Physiological Monitoring (RPM) codes covered under Medicare. RTM is designed for the management of patients using medical devices that collect non-physiological data.
The new codes are intended to expand the scope and reach of digital health technologies to reimburse the monitoring of non-physiologic data like musculoskeletal and respiratory system status, therapy/medication adherence, therapy/medication response, and more.
Significance of Remote Therapeutic Monitoring (RTM)
Monitoring patients in the ways described by RTM provides opportunities for lowering spending on preventable hospitalizations, ED visits, and urgent care.
RTM will allow physicians to gain more information on how a patient’s daily life is impacting their conditions and overall health. This allows for the personalization of care plans to enable the best possible patient outcomes.
How RTM and RPM are different
One of the biggest differences between RTM and RPM is that RTM data can be self-reported. RPM requires the device to digitally record and transmit the recorded physiologic data and it cannot be self-recorded, self-reported, or entered manually into the device.
RPM codes are Evaluation and Management (E and M) codes according to CMS and are billable mostly by physicians. The RTM codes on the other hand are considered general medicine codes and could be utilized by nurses and physical therapists.
HealthViewX Remote Therapeutic Monitoring Solution
HealthViewX RTM solution empowers physicians to track non-physiologic data of patients seamlessly and allows for the precise adjustment of care plans.
Using HealthViewX RTM, physicians can ensure patients are properly taking their medications and manage responses to those medications, by encouraging them to self-report information on these measures.
Comprehensive Feature Set
- HIPAA Compliant & Secure
- EHR/EMR Integration
- Analytics, Reports & Charts
- Performance Metric Dashboard
- Readmission Rate Dashboard
- Real-time Video & Audio
- Smart Critical/Panic Alerts
- Calendars & Scheduling
- Unified Patient Care Record
Medicare RTM Reimbursement Codes
CMS aims to fill in the gaps RPM leaves behind by introducing RTM, giving physicians who can’t normally bill E/M services a chance to do so, while also focusing on non-physiological data. Here are the CMS' RTM reimbursement codes and their corresponding payments:
| Code | Description | Rate |
|---|---|---|
| CPT 98975 | RTM (e.g. respiratory system status, musculoskeletal system status, therapy adherence, therapy response); initial set-up and patient education on the use of equipment | $18.82 |
| CPT 98976 | RTM (e.g. respiratory system status, 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 respiratory system, each 30 days | $54.10 |
| CPT 98977 | RTM (e.g. respiratory system status, 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 | $54.10 |
| CPT 98980 | RTM treatment, physician/other QHCP time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; first 20 minutes | $48.72 |
| CPT 98981 | RTM treatment, physician/other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; each additional 20 minutes | $39.65 |
Learn how our Medicare Remote Therapeutic Monitoring (RTM) solution can elevate your practice by scheduling a no-obligation demo.
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