Physical therapy clinics
MSK monitoring billed under 98977 device supply.
RTM Billing (CPT 98975-98981)
RTM billing automation for CPT 98975-98981 that holds up under audit
We automate the full RTM code family — 98975 setup, 98976/98977/98978 device supply, and 98980/98981 management time — with in-product thresholds, time tracking, and clean 837P claims for PT, respiratory, and behavioral programs.
CPT 98975-98981837P ClaimsAudit LoggedHIPAA-Ready
Trusted by global innovators
What RTM billing automation actually involves
RTM has its own code family, and it splits device supply by therapy type — which trips up teams used to RPM's single device-supply code. CPT 98975 is setup and education. 98976 is respiratory-system device supply, 98977 is musculoskeletal, and 98978 is cognitive behavioral therapy device supply — each requiring 16 days of data in 30. 98980 covers the first 20 minutes of treatment-management time per month, and 98981 each additional 20.
Because RTM permits self-reported data, the defensibility burden shifts to documentation: which device-supply code applies, whether the threshold was met, and whether the minutes were logged. We build billing that picks the right supply code per program, tracks the threshold, times management interactions, and outputs clean 837P claims with an audit trail.
The codes
What CPT 98975-98981 actually cover
The RTM code family mirrors RPM's structure but splits device supply by therapy. 98975 is setup and education. 98976 is respiratory device supply, 98977 is musculoskeletal, and 98978 is cognitive behavioral therapy device supply — each needing 16 days of data in 30. 98980 is the first 20 minutes of treatment-management time per month; 98981 is each additional 20 minutes.
Because RTM allows self-reported data, defensibility rests on documentation: the right supply code, a met threshold, and logged minutes. We automate all of it so the correct code is billed and every claim can be supported.
RTM billing architecture
See how therapy data and clinician time flow through supply-code selection, threshold, and timer logic into CPT 98975-98981 claims.
What we automate in RTM billing
The full CPT 98975-98981 family, including the therapy-specific device-supply split that RPM doesn't have.
CPT 98975 setup billing
One-time setup and patient education billed once per therapy episode, with logic to prevent duplicate 98975 charges across a monitoring period.
98976/98977/98978 supply routing
Automatic selection of the correct device-supply code by therapy line — respiratory (98976), musculoskeletal (98977), or cognitive behavioral (98978) — each with 16-day threshold tracking.
CPT 98980/98981 time capture
A per-patient, per-calendar-month timer for the first 20 minutes (98980) and each additional 20 minutes (98981) of treatment-management time, with a documented interaction log.
Eligibility & denial guards
Pre-claim checks for consent, therapy-episode status, and code-combination rules — including guards against billing RTM and RPM device supply for the same period incorrectly.
837P generation & audit trail
Clean X12 837P claims with modifiers and ICD-10 linkage, plus an immutable audit trail so every therapy interaction and reading is defensible on review.
Where it runs
RTM billing use cases
Respiratory programs
COPD and asthma monitoring under 98976.
Behavioral health
CBT adherence monitoring billed under 98978.
Digital MSK platforms
Virtual therapy with automated RTM billing.
Multi-therapy providers
One billing engine across respiratory, MSK, and behavioral.
Existing RTM platforms
Bolt-on billing accuracy for the RTM code split.
The therapy split that trips teams up
RTM device supply is three codes, not one. Choosing 98976, 98977, or 98978 correctly per program is where we automate accuracy.
98975-98981
Full RTM code family automated
3 supply codes
Respiratory, MSK, behavioral
837P
Clean claim output to your clearinghouse
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 billing standards
CPTX12ICD-10HIPAANCCI
Our Process
How we ship RTM billing automation
We encode the therapy-specific RTM rules as product logic, so the right code is chosen automatically and defensibly.
1.
Billing rule discovery
We map your therapy lines to the 98975-98981 codes — including which device-supply code fits — and design the billing data model.
Rules-mapped
2.
Supply routing & timer
Per-therapy device-supply selection, 16-day threshold tracking, and the per-month treatment-management timer.
Code-accurate
3.
Claim generation
837P output with modifiers, ICD-10 linkage, and eligibility guards, validated against real denial patterns.
Clean claims
4.
Clearinghouse & reconciliation
Connection to your billing system or clearinghouse, 835 remittance reconciliation, and denial dashboards.
Revenue-visible
Featured case study
Read Case StudyLera Health: compliant women's health platform
Related proof of compliant delivery: for Lera Health we built precise, auditable workflows tying data to care decisions — the same documentation rigor that defensible RTM billing across therapy lines depends on.
Why Partner With Us
15-Minute Scoping CallWhy teams automate RTM billing with Agnotic
We get the therapy-specific codes right, so RTM revenue is captured and defensible.
Audit-defensible by design
Every therapy reading and minute logged against identity and time, ready for payer review.
Right supply code, every time
Automatic 98976/98977/98978 routing so respiratory, MSK, and behavioral programs bill correctly.
RTM reimbursement depth
We encode the therapy-split and 20-minute rules precisely — the detail RTM billing lives or dies on.
Fits your billing stack
837P output and 835 reconciliation into your existing biller or clearinghouse.
Capture every dollar of RTM reimbursement
CPT 98975-98981 billing automated across therapy lines
Frequently Asked Questions
A billing module — supply-code routing, threshold tracking, time capture, and 837P generation — typically starts in the mid five figures, less when built alongside an RTM platform. Clearinghouse integration and multi-therapy support extend the range. It usually pays back through captured thresholds and fewer denials.
Ready to automate RTM billing?
Tell us your therapy lines and payer mix. We'll return a plan to route the right 98975-98981 codes, enforce thresholds, and generate clean 837P claims.
contact@agnotic.com
Partnerships
contact@agnotic.com