Pioneers in Remote Therapeutic Monitoring (RTM) Software for Physical Therapists

This document is designed to help suggestions on how to submit RTM CPT codes. Every EMR and billing situation is unique and you will need to create your own workflow. Use these guidelines to help the process.

1) Enter codes directly into patient account through electronic clearing house.

• Add this statement to all Initial Evaluations, Plan of Care, and Progress documentation in the plan section to be sent for signature from physician. “This patient will be receiving a home exercise program using the MovementRx system and will be remotely monitoring for up to 30 days past their last in clinic visit to ensure independence with their home program” Note: If you can make this statement in your templates to auto populate this is recommended. No other supporting documentation should be required to submit claims
• All other supporting documentation can be found and downloaded from the MovementRx dashboard under the patient chart.
• Submit RTM CPT codes from the billing report provided at the months end.
• Use a date of service if required that is not on the same date of service as a patient visit, recommend a weekend.

2) Submit codes manually using 1500-claim form

• On 1500-claim form, use Place of Service code 11 or 12 dependent upon where the patient was seen for their initial evaluation and subsequent follow-up therapy visits
• On UB-04 claim form, use revenue code 420 for physical therapy, 430 for occupational therapy and 440 for speech therapy.
• On a UB-04 claim form, some Medicare Administrative Contractors and commercial insurance carriers may also accept revenue code 421 for physical therapy, 431 for occupational therapy and 441 for speech therapy
• Add this statement to all Initial Evaluations, Plan of Care, and Progress documentation in the plan section to be sent for signature from physician. “This patient will be receiving a home exercise program using the MovementRx system and will be remotely monitoring for up to 30 days past their last in clinic visit to ensure independence with their home program” Note: If you can make this statement in your templates to auto populate this is recommended. No other supporting documentation should be required to submit claims
• All other supporting documentation can be found and downloaded from the MovementRx dashboard under the patient chart.
• Submit RTM CPT codes from the billing report provided at the months end.
• Use a date of service if required that is not on the same date of service as a patient visit, recommend a weekend.

3) Electronic Health Record Requires Note to be Submitted.

• This is the most common scenario and depends on specific HER requirements
• General Specifications
  • No SOAP note required as RTM is not considered a visit but “ongoing therapy” according to CMS
  • Therefore shoulder not affect visit counts towards progress notes or POC dates
  • RTM codes do however count towards Medicare dollar amounts
• Step 1) Contact EHR company to request any instructions on remote therapeutic monitoring. This may include adding RTM CPT codes to the EHR system, adding daily note templates specific for RTM, and any policy documents they may have
• Step 2) Add this statement to all Initial Evaluations, Plan of Care, and Progress documentation in the plan section to be sent for signature from physician. “This patient will be receiving a home exercise program using the MovementRx system and will be remotely monitoring for up to 30 days past their last in clinic visit to ensure independence with their home program” Note: If you can make this statement in your templates to auto populate this is recommended.
• Step 3) Create a visit in the EHR system for the end of the month RTM billing codes to be submitted. It is recommended to make this visit have a date that is not conflicting with a date of in office services to avoid denials. A weekend date would be advised as date of service. Note: date of service does not reflect an actual date of service as RTM is not a date of service
• Step 4) Clear our any SOAP note information for this patient.
• Step 5) Enter RTM billing codes to be submitted for the prior month with appropriate times of monitoring for 97880 and 97881
• Step 6) If EHR system allows for creation of RTM note template or the addition of information sections that you can create for RTM add the following in the subjective section:
  • Remote Therapeutic Monitoring
    1. Patient Education (option for Yes or No)
    2. Justification (yes or no)
    3. Plan (Yes or no)
    4. Description and installation of Device MovementRx app (yes or no)
  • Monthly Summary
    1. Compliant with Plan of care (yes or no)
    2. Continued treatment as appropriate (yes or no)
  • Objective, Assessment and Plan sections blank. All other supporting documentation if requested can be found in the MovementRx dashboard in the download file section.
• When entering billing codes 98975 and 98977 these codes do not require an indicator of whether or not a PTA performed the service.
• When entering billing codes 98980 and 98981 these require CQ indicator that shows a PTA performed the services.
• All notes created for RTM services must be finalized and signed by a physical therapist.
• An administrator, Technician, or assistant can create RTM notes as long as they have a user account in your EHR system and they can send the finished note with RTM codes to the physical therapist for co-signing
• MovementRx remote providers do not create RTM notes or submit RTM claims for you.

4) Electronic Health Record Requires Note to be Submitted but You Choose to add codes to existing Documentation if Patient Is Currently Being Seen

• Simply add the information from Scenario 3 into a patient’s documentation for a visit that occurs at the end of the previous month.
• Add billing codes for RTM to be submitted.
• Note: This only applies to patients who are currently being seen in the office and you are adding these codes into normal in clinic services that occur after the previous month has ended.