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REMOTE THERAPEUTIC MONITORING

Maximize Outcomes and Revenue

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Remote Patient Care…Built-in

Blue section Instant Messaging…Built-in

RTM and EMR integrations elevate care delivery, offer location flexibility, patient-direct communication, and bill according to treatment.

EMR and Remote Therapeutic Monitoring (RTM) integrations create a new channel of care for therapy practice owners, allowing their clinicians to use RTM technology to enhance patient outcomes, streamline workflows, and with proper coding, increase revenue streams. For patients, RTM tools are your extended partner in care — RTM engages participation, builds trust and furthers care outside the clinic and in between appointments.

Increase Patient Satisfaction

Remote therapy improves patient confidence with their home exercise plans and lets them know that their therapists is actively engaged in their recovery in between appointments.

Advance Outcomes

RTM integrations share patient performance metrics so you can make informed decisions to improve outcomes.

Boost Revenue Streams

As part of a regular plan of care, RTM integration within the EMR pulls the RTM codes that are ready to be billed from Wibbi and automatically generates charges.

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RTM Coding that Keeps You Ahead of the Financial Curve

More efficient because information is seamlessly shared from the Wibbi Platform to work seamlessly within the EMR.

Real-time billing notifications keep you on top of cash flow.

Automated charges reduce the administrative hurdle of RTM implementation.

Progressing care continuously and consistently eliminates waitlist and scheduling bottlenecks. When needed and beneficial to the patient, monitoring the patient remotely will reduce in-clinic visits.

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Personalized Care, Beyond the Clinic Walls

Documentation expediency leads to significant workflow and practice efficiencies, enhancing the patient experience.

A powerful tool that enhances care coordination and encourages patient participation and adherence to the plan of care outside of the clinic.

Every patient visit has the benefit of direct automated messaging, between-visit exchange, and patient self-reporting.

Increased communication with your patients means better care and better outcomes.

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FEATURED ARTICLE

Remote Therapeutic Monitoring: An Elevated Patient Journey

When the CMS introduced five new CPT codes in 2022, care delivery and practice revenue improvement increased. RTM is designed to work within an EMR platform to capture treatment data and encourage active patient participation in physical therapy outside of clinic visits.

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SCHEDULING

Smart, easy, and mindful. Our Scheduler will keep you organized and informed. 

DOCUMENTATION

Spend less time charting, and more time caring with flexible templates and more.

RCM & BILLING

Increase your revenue and decrease denials with our billing software and services.

REPORTING & KPI

Measure performance with reports, dashboard, and enterprise analytics.

MY THERAPY PORTAL

Enable patients to access registration, appointments, and payments online.

TELEHEALTH

Connect with patients anywhere, anytime, from your desktop or mobile device. 

REFERRAL MANAGEMENT

Increase referrals, convert patients, and strengthen physician relationships.

HOME EXERCISE PROGRAMS

Keep patients on track with their Home Exercise Program schedule to reach their therapy goals.

RCM SERVICES OUTSOURCING

Eliminate billing challenges,
increase cash flow, and
access real-time financial metrics
with a dedicated team of
experts.

As a transformative virtual care program, Remote Therapeutic Monitoring (RTM) complements Remote Patient Monitoring (RPM) to help realize significantly better patient outcomes. RTM uses non-physiological therapeutic data such as pain levels, adherence to medications, and alignment to therapy to manage and control chronic conditions. Remote Therapeutic Monitoring devices automatically record and report health data to the care team for more effective care strategies and delivery.

Development of RTM Codes

In 2018, the Centers for Medicare and Medicare Services (CMS) released the new RPM codes to track the status of patients outside the clinic or hospital setting. CMS went on to make major changes to RPM and other remote services in the 2021 Medicare physician fee schedule final rule. The 2022 Physician Fee Schedule final rule on the new RTM codes expanded Medicare reimbursement beyond the existing RPM codes to the RTM area. Six primary Medicare RTM CPT codes were introduced: 98975, 98976, 98977, 98980, and 98981.

On November 1, 2022, the CMS released the 2023 final rule. While some changes to the existing CPT codes for RTM services were finalized, the CMS backed away from confirming the replacement of these RTM codes with four new, specific HCPCS G-codes for RTM services. CMS did, however, leave the door open for providing the existing CPT codes for RTM services under general supervision, as opposed to direct supervision.

General vs. Direct Supervision

However, questions related to general vs. direct supervision in the RTM rules remained.

By placing RTM codes in the Medicine section instead of the E/M services section of the CPT Manual, CMS concluded that RTM codes could not be designated as care management services that permit time spent by clinical staff to be billed incident to a practitioners services under general supervision. Instead, billing practitioners would need to exercise direct supervision over clinical staff by being there in the same physical location.

In general supervision, the billing practitioner can order and bill the service while remote clinical staff perform the work under their general supervision. On the other hand, in the case of direct supervision, services must be rendered directly by the billing practitioner or under their direct supervision.

The direct supervision requirement set RTM apart from other remote monitoring and care management services like Remote Physiologic Monitoring (RPM) and Chronic Care Management (CCM), leading to concerns about potentially limiting adoption and reducing patients access to RTM.

In the 2023 final rule, the CMS did not address the matter that general supervision is not permissible for non-E/M services codes. It added that while this change will help Medicare practitioners eligible to bill incident to, it may not replace the current exclusion for services provided incident to a therapist.

More Changes Needed

Until the question of general vs. direct supervision is satisfactorily resolved, which should take place sooner rather than later, RTM is unlikely to reach its full transformative potential.

Clearly, remote monitoring (both RTM and RPM) services have received a boost in the last few years. Utilization of RPM services has been rising and RTM services should experience a similar increase. With the Final Rule, CMS is seeking to reduce coding and billing complexity for RTM services while raising care delivery flexibility and promoting beneficiary access to RTM services. However, it remains to be seen if CMS will be able to accomplish these goals currently due to the limited nature and continuing confusion when it comes to proper billing and supervision of RTM services.

This is a space that needs to be closely watched as RTM and RPM services should continue to gain ground as CMS coverage and payment policies align with patient and provider needs.

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