Physical & occupational therapy
Home exercise adherence and functional-progress tracking for MSK recovery.
Remote Therapeutic Monitoring
RTM Software
We build RTM platforms that capture non-physiologic therapy data — musculoskeletal, respiratory, and behavioral adherence — and turn it into clean CPT 98975-98981 claims with the time tracking payers audit for.
HIPAA-ReadyFHIR R4CPT 98975-98981Audit Logged
Trusted by global innovators
What RTM software actually involves
Remote Therapeutic Monitoring bills for therapy adherence and response data that isn't a raw physiologic vital — pain scores, medication and exercise adherence, respiratory function, and behavioral engagement. Unlike RPM, RTM data can be self-reported, which widens the device and app surface but tightens the requirement for defensible time and interaction logs.
Generic survey tools capture the data but can't defend a claim. RTM reimbursement under CPT 98975-98981 hinges on documented device supply, 16-day data thresholds, and per-calendar-month treatment-management minutes. We build the capture, the timer, and the audit trail as one system so PT, respiratory, and behavioral programs get paid for the work they already do.
RTM vs RPM
What separates RTM from RPM
Remote Therapeutic Monitoring covers non-physiologic data — therapy adherence, response, and function — and, unlike RPM, permits self-reported input. That makes it the right vehicle for physical therapy, respiratory therapy, and behavioral health, where the signal is engagement and response rather than a continuous vital sign.
The reimbursement structure mirrors RPM but uses its own code family: CPT 98975-98981. Getting paid depends on documenting device supply, hitting data thresholds, and logging treatment-management time — which is exactly what we build into the platform.
RTM reference architecture
From patient app to clinician queue to a clean 837P claim — see how we wire capture, adherence logic, and time tracking into one auditable pipeline.
What we deliver in an RTM platform
Every capability is wired to the code it defends — capture, adherence, and the CPT 98975-98981 time trail.
Multi-modal therapy capture
Patient-reported outcomes, exercise and medication adherence, and connected respiratory devices (peak flow, spirometry, inhaler sensors) captured for PT, respiratory, and behavioral programs alike.
CPT 98975-98981 billing engine
98975 setup and education, 98976 respiratory and 98977 musculoskeletal device supply with the 16-day threshold, 98978 for behavioral/cognitive device supply, and 98980/98981 treatment-management time in 20-minute increments.
FHIR-native clinical model
Adherence and outcome data modeled as FHIR R4 Observation and QuestionnaireResponse resources so it flows into the EHR and analytics without a proprietary schema lock-in.
Defensible time tracking
A per-patient, per-calendar-month timer that logs every interaction against a clinician identity, producing the audit trail CMS and commercial payers request on RTM claims.
Adherence risk flags
Trend detection surfaces patients falling below the 16-day data window or dropping adherence, so care teams intervene before a therapy episode fails and revenue is lost.
Where it runs
RTM programs we build for
Respiratory therapy
COPD and asthma programs with connected spirometry and inhaler sensors.
Behavioral health
Cognitive and behavioral adherence monitoring under 98978 device supply.
Post-surgical recovery
Structured recovery protocols with pain and mobility reporting.
Digital MSK clinics
Virtual-first musculoskeletal care with billable therapy monitoring.
Chronic pain management
Longitudinal pain and function tracking tied to treatment adjustments.
RTM built for the claim, not just the chart
RTM revenue is lost at the thresholds — missed 16-day windows and undocumented minutes. We instrument those first.
98975-98981
RTM CPT code family fully supported
16-day
Data threshold enforced in-product
3
Therapy lines: PT, respiratory, behavioral
Compliance-First Healthcare App Development Services Backed by Global Standards
15-Minute Scoping Call01
HIPAA
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
02
GDPR
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
03
FHIR
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
04
HL7
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
05
HITRUST
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
06
HITECH
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
07
SaMD
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
08
MDR (EU)
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
09
SAMHSA
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards & billing
RTM standards we build against
CPTFHIRX12HIPAAICD-10
Our Process
How we ship an RTM platform
Billing rules and clinical workflow are designed together from day one, so the platform is defensible before the first patient is enrolled.
1.
Discovery & billing design
We map your therapy programs to the right CPT 98975-98981 codes, define the device-supply and 16-day thresholds, and design the time-tracking model before any UI is built.
Billing-first design
2.
Capture & device setup
Patient app, questionnaires, and respiratory/adherence device onboarding, with FHIR Observation modeling and consent capture wired in from the first sprint.
Consent captured
3.
Clinician workflow & time trail
The clinician dashboard, review queue, and per-month timer that turns treatment-management interactions into billable, audit-ready minutes.
Audit-ready
4.
Billing integration & go-live
We connect the claim path to your billing or clearinghouse via 837P, validate against denials, and phase the rollout with monitoring on data thresholds.
Clean claims
Featured case study
Read Case StudyLera Health: compliant women's health platform
Related proof of compliant delivery: for Lera Health we built a privacy-first data layer, a testing-to-insights workflow, and a patient experience end to end — the same discipline in consent, PHI handling, and clinician workflow that an RTM program depends on.
Why Partner With Us
15-Minute Scoping CallWhy teams build RTM with Agnotic
We treat reimbursement as an engineering requirement, not a downstream afterthought.
Compliance-first by default
HIPAA-ready architecture, audit logging, and defensible time tracking designed in from sprint one — the parts payers scrutinize.
Billing that survives audit
We encode the 16-day and 20-minute thresholds into the product so claims hold up when a payer asks for the interaction log.
PT, respiratory & behavioral depth
One platform pattern that flexes across therapy lines instead of three disconnected point tools.
FHIR-native, not locked in
Standards-based data modeling so your RTM data is portable into the EHR, analytics, and future value-based programs.
Turn therapy data into billable outcomes
RTM programs that get paid for the care you already deliver
Frequently Asked Questions
A focused RTM MVP — patient app, one or two therapy lines, time tracking, and claim generation — typically starts in the mid five to low six figures. Multi-line programs, device integrations, and deep EHR write-back extend the range. We scope against your therapy lines and share a range in discovery.
Ready to build an RTM program that bills cleanly?
Tell us your therapy lines and payer mix. We'll return a plan with the right CPT 98975-98981 mapping, a device strategy, and a defensible time-tracking model.
contact@agnotic.com
Partnerships
contact@agnotic.com