RTM Billing, Simplified
EcoAI captures RTM-relevant data that clinics may use to support CMS billing under current guidelines. NXTSTIM provides workflow guidance and optional billing support to help your team implement Remote Therapeutic Monitoring (RTM) with confidence.
At NXTSTIM, we provide a turnkey solution with robust reporting, automated workflows, and streamlined data entry, helping clinics with documentation, compliance, and smoother reimbursement.
Rayyan Adil, VP of Finance & Operations, Nxtstim
At NXTSTIM, we provide a turnkey solution with robust reporting, automated workflows, and streamlined data entry, helping clinics with documentation, compliance, and smoother reimbursement.
Rayyan Adil, VP of Finance & Operations, Nxtstim
RTM CPT Codes at a Glance
The following CPT codes support RTM billing for musculoskeletal monitoring, therapy adherence, and patient engagement.
(Every 30 days)
Interaction (Monthly)
(Monthly x2)
RTM with Care Management Services
Many NXTSTIM partner clinics also provide: BHI, CCM and PCM. These models are compatible with RTM and often work together in modern outpatient care. Clinics can bill for these services concurrently if clinically appropriate, separately documented, and non-duplicative.
BHI
CCM
PCM
See How EcoAI Can Support Your Patients
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Built-In Compliance and Billing Support
Stay aligned with CMS guidelines through automated tracking, licensed monitoring, and expert billing support.
End-to-End Billing Support, Built for Clinics
From superbill automation to payer guidance, we help you stay efficient, compliant, and confident.
FAQs: EcoAI, RTM & Onboarding
Everything you need to know—fast, clear, and clinic-ready.
RTM is based on non-physiologic data such as therapy adherence, patient-reported outcomes, and device usage patterns. This enables clinicians to monitor functional progress and engagement in real time.
Only a physician or qualified healthcare professional (QHCP) can bill for RTM. Clinical staff cannot bill for these services. Billing must comply with state law and scope of practice regulations.
To bill this code, the physician, QHCP, or clinical staff must provide at least 20 minutes of RTM services per calendar month. A live interaction with the patient is also required during that time.
Yes. RTM services can be billed concurrently with CCM, PCM, and BHI as long as services are clinically appropriate, non-duplicative, and separately documented.
No. While we provide documentation tools, workflow guidance, and billing support, reimbursement decisions are made by CMS and individual payers based on documentation and eligibility.
Approximate RTM reimbursement rates:
- 98975: $19.73 (One Time)
- 98977: $43.02/month
- 98980: $50.14/month
- 98981: $39.14/month
Note: Rates vary by region. Check with your MAC for exact amounts.
RTM codes aren’t limited by Medicare’s telehealth restrictions, they can be used anywhere the patient is, with no geographic or originating site requirements.
Private payers may cover RTM, but it's not guaranteed. Requirements vary, so providers should confirm coverage and billing rules with each payer.
Yes, Medicare beneficiaries owe a 20% copay for RTM, like other Part B services. Waivers are rarely allowed. Private payers set their own copay rules.
No. Practices should simply ensure that all requirements for each code are met (e.g. documenting patient consent for RTM services) and follow their current standard billing practices in submitting claims.
No. A practitioner may recommend RTM services for any patient whom s/he deems may benefit from some form of remote therapeutic monitoring through improvements in care planning and treatments.