RTM Billing Monthly Report Instructions
5:48 min
- Columns With the Label of 98975, 98977, 98980, 98981 (columns K-N) are to but submitted at the end of each month for each patient
- CPT code 98975 can only be billed once per plan of care
- Column O labeled phone call indicates with a 0 that no two way audio communication occurred in that month and a 1 indicates that a 2 way audio communication was achieved in that month
- CPT codes 98981 and 98980 cannot be submitted without a 1 in the phone call column
- CPT codes 98975 and 98977 can be billed without a phone call being made
- CPT codes 98975 and 98977 are software related and do not require identifiers for a PT or PTA when being submitted
- CPT codes 98980 and 98981 required a CQ code to be attached to the claim when services are performed by a PTA
- Columns J requires that at least 16 days of activity or data must be transmitted in the month otherwise 98977 code will not be generated
- See below for more details regarding the rules for billing CPT codes for RTM, our system automatically generates these codes when the rules have been met.
- At the bottom of the report you will see RTM Medicare reimbursement rates for each code, these can be modified based on your regions reimbursement