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Remote Therapeutic Monitoring (RTM) · Updated for 2026 codes

Practice Pro — RTM Software for PT, OT & SLP

Remote Therapeutic Monitoring Software for Physical Therapy Unlock New Revenue & Influence Patient Outcomes

Remote therapeutic monitoring (RTM) helps therapists stay connected to patients between visits, improving engagement, supporting home exercise adherence, and creating a reimbursable channel of care that improves both patient outcomes and practice performance. Practice Pro builds RTM into your PT EMR, so monitoring, documentation and RTM billing happen in one place.

The Business Challenge

Patient care doesn’t stop when the appointment ends.

Therapists invest significant time developing plans of care, but often have limited visibility into what happens between visits. Patients may struggle with adherence, lose motivation, perform exercises incorrectly, or fail to communicate concerns until their next appointment. At the same time, clinics face increasing pressure to improve outcomes, maximize therapist efficiency, and offset declining reimbursement rates.

Without a structured remote care solution, practices miss opportunities to:

Monitor patient progress between visits
Increase patient engagement and accountability
Identify issues before they impact outcomes
Extend care beyond the clinic walls
Capture reimbursable RTM revenue
Reduce scheduling and waitlist bottlenecks
How Practice Pro Solves It

Seamless Connections.

Practice Pro integrates Remote Therapeutic Monitoring directly into the therapy workflow, creating a vital touchpoints between patient activity, therapist oversight, documentation, and billing.

Through RTM integration, therapists can:

  • Monitor patient adherence and progress remotely
  • Communicate with patients between visits
  • Receive real-time patient-reported data
  • Adjust treatment plans proactively
  • Automatically capture RTM billing opportunities
  • Eliminate manual tracking and administrative burden

By combining RTM technology with Practice Pro’s therapy-focused EMR, clinics create a continuous care model that supports patients throughout their recovery journey.

Continuous Care
Model
Patient activity
Data captured
Therapist oversight
Documentation & billing
Core Features

Built-In Care Beyond the Clinic Walls.

Real-Time Patient Monitoring

See progress as it happens.

Track exercise completion, adherence, pain levels, activity metrics, and patient-reported outcomes between visits.

  • Exercise completion & adherence
  • Pain levels & activity metrics
  • Patient-reported outcomes
app.practicepro.com / monitorLive
Patient, Test Between visits
Adherence86%
Exercises18/20
Pain ↓3/10
Patient-reported outcome submitted
LEFS +9 since last visit
New
Automated Data Integration

No duplicate entry, ever.

Patient performance data flows directly into Practice Pro, eliminating duplicate entry and ensuring therapists have access to current information.

  • Performance data flows in automatically
  • No duplicate entry
  • Always-current information
app.practicepro.com / data-syncAuto-synced
Data Integration RTM → EMR
RTM device & app data
Captured at home
Source
Practice Pro patient record
Updated · no manual entry
Current
Secure Patient Communication

Stay in touch between visits.

Facilitate ongoing therapist-patient interaction through automated messaging and between-visit engagement tools.

  • Automated messaging
  • Between-visit engagement tools
  • Ongoing therapist-patient interaction
app.practicepro.com / messagesSecure
Did my exercises today but my knee felt tight on #3.
Thanks for letting me know! Reduce to 2 sets and ice after. I’ll review your data before our next visit.
Got it — feeling better already. 👍
Treatment Plan Adjustments

Act before setbacks occur.

Identify adherence concerns or recovery challenges early and modify care plans before setbacks occur.

  • Early adherence & recovery flags
  • Modify plans proactively
  • Prevent setbacks
app.practicepro.com / plan-of-care1 flag
Adherence dropped to 54%
R. Patel · last 5 days
Flagged
Suggested adjustment
Reduce frequency, add reminder, message patient
Plan updated
Patient notified automatically
Done
Automated Documentation

Less charting, more care.

Capture patient interactions and progress automatically, reducing therapist administrative workload.

  • Interactions captured automatically
  • Progress logged without re-typing
  • Reduced administrative workload
app.practicepro.com / rtm-logAuto-logged
RTM Activity Log Aug 12
Data reviewed · 14 min
Time tracked toward RTM
Logged
Patient message sent
Interaction recorded
Logged
RTM Billing Integration

Maximize reimbursement, automatically.

Eligible RTM codes are automatically surfaced and prepared for billing, helping practices maximize reimbursement opportunities.

  • Eligible codes surfaced automatically
  • Prepared for billing in-workflow
  • Maximized reimbursement
app.practicepro.com / rtm-billingReady to bill
RTM Charges Eligible this cycle
Monitoring criteria met
16 days of data
CPT · 98976
Treatment management time
20 min logged
CPT · 98980
Care Team Visibility

One source of truth.

Provide a centralized view of patient progress so clinicians and staff can access consistent, up-to-date information.

  • Centralized progress view
  • Consistent across the care team
  • Up-to-date for clinicians & staff
app.practicepro.com / care-teamShared view
Care Team Dashboard 128 enrolled
Therapist view
Progress & flags
Synced
Front office & billing
Same up-to-date data
Synced
ROI & Operational Impact

Measurable Value Across the Practice

Increase Revenue Per Patient

Generate reimbursable RTM services while improving patient engagement and care continuity.

Reduce Administrative Burden

Automated documentation, data syncing, and charge generation eliminate manual processes.

Improve Therapist Efficiency

Spend less time gathering information and more time delivering meaningful patient care.

Reduce Scheduling Bottlenecks

Remote oversight can reduce unnecessary in-clinic visits while ensuring patients continue progressing toward goals.

Strengthen Practice Performance

Better outcomes, higher patient satisfaction, and increased engagement contribute to stronger retention and long-term growth.

Stay Ahead of Industry Change

RTM enables practices to adapt to evolving reimbursement models while delivering modern, patient-centered care.

RTM Billing Guide 2026

Remote therapeutic monitoring for physical therapy: codes, rules and what’s changing

Remote therapeutic monitoring (RTM) lets physical therapists, occupational therapists and speech-language pathologists bill Medicare for monitoring a patient’s home exercise adherence, therapy response, pain and function between visits. It uses a set of CPT codes for setup, device supply and treatment management, billed with the GP, GO or GN modifier under a plan of care.

RTM is how the work you already do between visits, reviewing home exercise data and checking in when a patient struggles, becomes documented, reimbursable care. Practice Pro connects your home exercise programs, patient engagement tools and billing so RTM runs inside the same PT EMR.

RTM CPT codes for physical therapy in 2026

The CY 2026 Medicare Physician Fee Schedule added two lower-threshold musculoskeletal codes, so a patient who logs fewer than 16 days of data, or a month with 10 to 19 minutes of management time, can still be billed.

CPT codeWhat it coversThresholdBilling note
98975Initial setup and patient education on the deviceOnce at the start of an episode of careBill when the patient is enrolled
98977Device supply, musculoskeletal monitoring16–30 days of data in a 30-day periodMutually exclusive with 98985
98985New 2026Device supply, musculoskeletal monitoring2–15 days of data in a 30-day periodMutually exclusive with 98977
98979New 2026Treatment management10–19 minutes in a calendar monthMutually exclusive with 98980; no add-on
98980Treatment managementFirst 20 minutes in a calendar monthRequires at least one real-time interactive communication with the patient or caregiver
98981Treatment managementEach additional 20 minutesAdd-on to 98980 only

Respiratory (98976, 98984) and cognitive behavioral therapy (98978, 98986) device codes also exist but are rarely used by PT clinics. Payment varies by locality; check your MAC fee schedule.

Who can bill RTM, and what you need

Who can furnish RTM

  • Physical therapists, occupational therapists and speech-language pathologists, under a plan of care
  • PTAs and OTAs under general supervision, a policy CMS finalized in the CY 2024 fee schedule
  • GP, GO or GN modifier on each RTM line

What to have in place

  • A device or app that meets the FDA definition of a medical device
  • Documented patient consent and RTM goals in the plan of care
  • A count of data days per 30-day period and management minutes per calendar month

RTM vs RPM: which one fits therapy?

RTM tracks non-physiologic data, such as exercise adherence, pain and function, and therapists can bill it. Remote physiologic monitoring (RPM) tracks physiologic data, such as blood pressure, weight or glucose, and uses a separate set of codes. For PT, OT and SLP clinics, RTM is the remote monitoring program to build.

RTM in 2027: what CMS has proposed

Proposed, not final. The CY 2027 Physician Fee Schedule proposed rule, released July 14, 2026, would change how RTM programs run. The final rule is expected later this fall.

  • RTM only for established patients, started at a separately reportable initiating visit (in person or telehealth) where RTM is discussed and consent is obtained
  • RTM performed by clinical staff employed by the practice, not outsourced to third-party companies
  • Revaluation of the device supply codes, and a request for comment on two bundled RTM G-codes

If you run RTM through an outside vendor today, plan for the in-house staffing proposal now. Keeping RTM inside your own EMR, with your own staff, already fits the proposed rule.

Remote therapeutic monitoring FAQs

What is remote therapeutic monitoring (RTM)?

Remote therapeutic monitoring (RTM) is a set of Medicare-recognized CPT codes that pay for monitoring non-physiologic data between visits, such as home exercise adherence, therapy response, pain and function, using a device that meets the FDA definition of a medical device. Physical therapists, occupational therapists and speech-language pathologists can bill RTM under a plan of care.

Can physical therapists bill RTM codes?

Yes. Physical therapists, occupational therapists and speech-language pathologists can bill RTM codes for patients under a therapy plan of care, adding the GP, GO or GN modifier. RTM was designed with therapists in mind, unlike remote physiologic monitoring (RPM), which tracks physiologic data such as blood pressure.

What are the RTM CPT codes for 2026?

For musculoskeletal RTM in 2026: 98975 (initial setup and patient education), 98977 (device supply, 16 to 30 days of data in 30 days), 98985 (device supply, 2 to 15 days, new for 2026), 98979 (treatment management, 10 to 19 minutes in a calendar month, new for 2026), 98980 (treatment management, first 20 minutes, with at least one real-time interactive communication) and 98981 (each additional 20 minutes).

What changed for RTM in 2026?

The CY 2026 Medicare Physician Fee Schedule added lower-threshold RTM codes. For musculoskeletal monitoring, 98985 covers 2 to 15 days of data in a 30-day period, and 98979 covers 10 to 19 minutes of treatment management in a calendar month. Before 2026, device supply required at least 16 days of data and treatment management required at least 20 minutes.

Can I bill 98977 and 98985 in the same month?

No. 98977 (16 to 30 days) and 98985 (2 to 15 days) are mutually exclusive for the same 30-day period, so you bill one based on how many days of data the patient transmitted. 98979 and 98980 are also mutually exclusive in the same calendar month.

Can PTAs and OTAs provide RTM services?

Yes. Since the CY 2024 Medicare Physician Fee Schedule final rule, PTAs and OTAs can furnish RTM services under general supervision, so the supervising therapist does not need to be immediately available, including in private practice.

What is the difference between RTM and RPM?

Remote therapeutic monitoring (RTM) tracks non-physiologic data such as exercise adherence, pain and function, and can be billed by physical, occupational and speech therapists. Remote physiologic monitoring (RPM) tracks physiologic data such as blood pressure, weight or glucose and uses a separate set of CPT codes.

What RTM changes has CMS proposed for 2027?

In the CY 2027 Physician Fee Schedule proposed rule (July 2026), CMS proposed that RTM be furnished only to established patients, start with a separately reportable initiating visit where RTM is discussed and consent is obtained, and be performed by clinical staff employed by the practice rather than outside contractors. CMS also proposed revaluing the device supply codes and asked for comment on two bundled G-codes. These are proposals until the final rule is published.

How does Practice Pro help with RTM billing?

Practice Pro connects home exercise programs, patient-reported data and between-visit messages to the patient record, tracks days of data and treatment management minutes, and surfaces eligible RTM codes for billing inside the same EMR, so therapists do not track RTM on spreadsheets.

See RTM inside your PT EMR. We’ll walk through enrollment, data tracking and RTM billing on your workflow.

Book an RTM demo

Enhance Your Practice Performance. Deliver Better Care.

Remote Therapeutic Monitoring helps therapy practices improve outcomes, strengthen patient engagement, and create sustainable new revenue streams within the Practice Pro platform.