Can the same provider bill both RTM and RPM?

A provider can offer both services across their patient panel, but not stack RTM and RPM on the same patient in the same month. Pick the one that fits each patient's care.

Should a PT clinic choose RTM or RPM?

For rehab therapy, RTM is almost always the right choice — it is built for therapeutic data and can be billed by physical and occupational therapists, while RPM is physiological and generally physician-billed.

Can You Bill RTM and RPM at the Same Time?

Q: Can you bill RTM and RPM at the same time?

Generally no. Medicare does not allow billing both RTM and RPM for the same patient during the same calendar month for the same monitoring. You choose the service that matches the data you are collecting.

June 18, 2026

Clinics running remote monitoring often ask whether they can bill remote therapeutic monitoring (RTM) and remote patient monitoring (RPM) for the same patient. Here is the straight answer.

The short answer

Generally, no. Medicare does not allow billing both RTM and RPM for the same patient during the same calendar month for the same monitoring. You should choose the service that matches the type of data you collect.

Why you cannot stack them

RTM and RPM cover overlapping monitoring time, so billing both for one patient in one month would double-count the same management work. CMS treats them as alternatives, not add-ons, for a given patient and period.

How to choose for each patient

Use RTM for therapeutic data — musculoskeletal status, home-exercise adherence, pain — which is what rehab clinics track and which therapists can bill. Use RPM for physiological data like blood pressure or glucose, generally billed by physicians. See the full RTM vs RPM breakdown.

For PT, OT, and SLP clinics

RTM is the natural fit. See who can bill RTM or read the RTM FAQ.

Bill RTM with confidence

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