Remote Therapeutic Monitoring with Orva
Simple set-up. Daily follow-through. Compliant billing that grows revenue.
- Personalized home exercise programs with automatic tracking
- Real-time monitoring and patient communication
- Seamless documentation for compliant claims
What is Remote Therapeutic Monitoring
Remote Therapeutic Monitoring refers to a group of CPT codes established in 2022. These codes allow rehab teams to bill for monitoring patients outside of traditional visits, tracking information such as home exercise completion and patient-reported symptoms between appointments.
With RTM, providers extend care beyond the clinic. Patients stay engaged and accountable each day, while practices capture reimbursement for the work they already do to support recovery.
Billing and reimbursement
RTM reimburses the time and effort clinics already spend supporting patients between visits. By using the RTM codes, clinics can turn that ongoing work into dependable revenue.
The four primary codes cover distinct parts of the workflow:
- 98975 for initial set-up and patient education, once per episode of care
- 98977 for device supply and therapeutic data collection each 30 days, typically after 16 days of use
- 98980 for the first 20 minutes of monthly management with an interactive, real-time, patient-facing communication
- 98981 for each additional 20 minutes of management in the same month
Clinics using Orva often see meaningful returns while improving continuity of care.
Based on Orva client billing data. Figures vary by payer and locality.
What PTs say about Orva’s RTM platform
“Orva has been transformative for our clinic. If you are looking to streamline RTM, improve outcomes, and remove headaches from compliance and billing, we highly recommend Orva.”
“Orva has been a game-changer in my practice. It is an efficient and patient-friendly RTM solution.”
Patient benefits
Daily accountability
Clear daily programs and real-time tracking of progress.
Better outcomes
Higher adherence to prescribed exercises supports stronger recovery.
Peace of mind
Clinicians monitor progress between visits and adjust care when needed.
Rules and reimbursement for Remote Therapeutic Monitoring in 2025
Clear policies. Broad payer adoption. Measurable outcomes.
In 2025, RTM is widely adopted. Clinics that implement clear processes can capture additional revenue while improving continuity of care. Payers expect compliant workflows and solid documentation.
Orva is purpose built for remote care and home exercise program management. It gives clinics everything needed to implement RTM effectively without adding staff burden or creating workflow issues. This guide outlines RTM rules, billing strategies, and best practices that help clinics capture reimbursement and deliver better care.
RTM CPT codes and billing rules
Onboarding and set-up
Initial set-up and patient education. Report once per episode of care.
Device supply
Musculoskeletal device supply and therapeutic data collection each 30 days. Many payers expect at least 16 days of data in the period.
Management time
First 20 minutes in a calendar month. Requires at least one interactive, real-time, patient-facing communication.
Additional management
Each additional 20 minutes in the same month after 98980. Time must be distinct and documented.
Make RTM simple for your therapists
Capture patient activity, log management time, and generate clean documentation.
Documentation requirements for RTM billing
SOAP notes are often not required for RTM, but each claim must reflect clinical oversight. To stay compliant, include the following and keep artifacts organized by month and by patient:
- Summary of patient data reviewed and any trends or risk flags noted
- Changes to the plan of care and the clinical rationale
- Records of patient communications with dates, modality, and outcomes
- Exact time for time-based codes with attribution to the responsible clinician
Good documentation closes the loop between remote inputs and clinical action. Orva structures this automatically so teams do not need to assemble artifacts at the end of the month.
Exclusive billing: only one provider per patient
Only one provider or clinic can bill RTM codes for a patient at a time. If multiple clinics submit overlapping claims in the same period, payers generally pay the first acceptable claim and deny the rest.
Prevent conflicts by verifying during intake whether the patient is already enrolled in RTM, setting a clear episode start date, and confirming discharge when patients transfer care.
Device and software requirements
RTM billing requires technology that qualifies as a medical device and captures non-physiologic therapeutic data such as exercise completion and symptom reporting. Consumer fitness apps and general wellness trackers typically do not meet payer standards for RTM.
- Captures daily adherence and therapy-related check-ins
- Supports secure storage and audit trails for clinical review
- Links data review to time tracking for management codes
- Generates summaries that align to payer documentation rules
How to avoid RTM claim denials
Timing rules to respect
- Bill 98977 after at least 16 days of device use in a 30-day period when required by policy
- Bill 98980 and 98981 after the calendar month ends and after an interactive, real-time, patient-facing communication
- Submit on a consistent schedule to avoid duplicates and late filings
Operational safeguards
Use one RTM lead per patient, monitor eligibility daily, and separate clinical notes from billing summaries to keep records reviewable.
Automation with Orva
Orva creates a daily queue of patients who meet time thresholds and communication requirements for the current billing period. This reduces denials and removes manual tracking from staff workflows.
RTM reimbursement amounts in 2025
| Code | Description | Average |
|---|---|---|
| 98975 | Onboarding and set-up | ~$19 |
| 98977 | Device supply | ~$64 |
| 98980 | First 20 minutes of management | ~$48 |
| 98981 | Each additional 20 minutes | ~$39 |
Positioning your clinic for RTM success with Orva
RTM is a powerful revenue stream and engagement tool. Success depends on clear roles, accurate time tracking, and consistent documentation. With Orva you will:
- Track RTM codes confidently, including PTA involvement and modifiers
- Avoid duplicate billing through intake-driven provider assignment
- Maintain compliant documentation and audit-ready summaries
- Capture appropriate claims consistently month after month