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

By Andrew Gorecki, PT, DPT | MyMovementRx

Most physical therapy clinics that delay RTM adoption aren’t waiting for a better platform. They’re waiting for a clearer picture of what the process actually looks like.

The questions are familiar: How do we get our team on board without disrupting patient flow? What happens with billing on the first month? How do we keep patients engaged between visits? These aren’t reasons to wait — they’re exactly what a structured 90-day launch plan is designed to answer.

Here’s what implementing RTM with MyMovementRx actually looks like, phase by phase.

Why the First 90 Days Matter

RTM generates revenue through consistency, not through adoption alone. The clinics that build successful programs all share a common trait: they treated the first 90 days as a deliberate rollout — with defined roles, trained staff, and a billing rhythm that runs like clockwork.

Clinics that skip this ramp-up period often see low patient engagement, miss billable thresholds before they understand why, and then wonder whether the program works. It does. The workflow is what makes it work consistently.

The goal of the first 90 days isn’t perfection. It’s momentum.

Phase 1: Build the Foundation (Weeks 1–2)

Account setup and team training before the first patient is enrolled

The first thing we do — before any patient touches the app — is make sure your team is ready. We’ve seen what happens when clinics rush the launch, and it always costs more time to fix than the time the shortcut saved.

What happens in Week 1:

Your MyMovementRx account is created and configured. Consent forms are customized for your practice. Staff access levels are set up based on role: clinician, billing, front desk, remote provider. Most importantly, five named roles are confirmed before anyone goes live:

• RTM Program Champion— owns the program, runs audits, reports to the practice owner
• Enrolling Clinician— identifies eligible patients, obtains consent, sets up the app
• Clinical Monitor— performs monthly monitoring calls and documents per 2026 requirements
• Billing Coordinator— submits claims on the 1st Saturday of each month, works denials
• Front Desk Lead— runs insurance verification, delivers the patient enrollment script, handles EOB questions

No one person can effectively own all five roles. If the program fails to stick, it’s almost always because no one clearly owned the process.

Staff training in Weeks 1–2:

All staff complete a 6-module video training course (~90 minutes, role-specific). Then we run a live compliance training session: a 90-minute leadership session covering the full system, followed by a 60-minute provider Q&A. Billing staff get a dedicated 60-minute session on code generation, denial workflow, and the billing report.

By the end of Week 2, every person on your team knows their role and what happens on their watch. That’s the foundation.

Phase 2: Soft Launch (Weeks 3–4)

First patients enrolled — documentation verified before any billing

The soft launch is intentionally small. Start with 5–10 patients: Medicare beneficiaries with an active home exercise program, basic technology access, and a musculoskeletal diagnosis work best for most clinics. The goal isn’t revenue yet — it’s confirming your documentation is correct.

Eligibility before introduction:

Every patient must have insurance verified before RTM is mentioned to them. Verify that the plan covers RTM (CPT codes 98975, 98977, 98980), confirm they have an active HEP, and confirm technology access. Never introduce RTM to a patient before this step.

The enrollment conversation:

Your clinical staff introduces RTM using a 3-step script: explain what the program is, explain that there’s no copay, and — this step is mandatory — educate the patient about the Explanation of Benefits they’ll receive 6–8 weeks after billing. The EOB looks like a bill. It isn’t. Patients who aren’t prepared for it call your front desk alarmed. Two minutes of education at enrollment eliminates nearly all of those calls.

Before any billing occurs:

In the soft launch, we review your documentation together before the first claims go out. We confirm that each enrolled patient has all five compliance pillars in place: consent, device supply documentation, engagement data, clinical monitoring time log with 2026 credentials, and treating therapist communication. If anything is missing, we fix it now — not after an audit.

Phase 3: Activate the Workflow (Month 2 — Days 31–60)

First billing cycle, engagement data, and first self-audit

Month 2 is when everything becomes real.

Billing rhythm:

RTM claims for each prior month are submitted on the 1st Saturday of the following month. This ensures full engagement data is captured, creates a consistent auditable schedule, and prevents submitting before all monitoring activities are documented. Your billing team runs the MyMovementRx billing report, which automatically generates the correct codes based on what was documented — 98985 for patients with 2–15 days of engagement, 98977 or 98976 for patients with 16+ days, and the appropriate monitoring codes based on time logged.

One critical rule for Month 2: the 30-day gap. For code 98977 (MSK device supply), the first billing requires a 30-day gap before the next submission. MyMovementRx tracks and enforces this automatically, but your billing coordinator should verify it manually for any new enrollees.

Reading the engagement data:

By day 45, you have enough data to see what’s working and what isn’t. Low engagement almost always traces back to one of two things: a gap in the front desk handoff (patients leaving without the app downloaded) or a home exercise program that doesn’t match the patient’s actual capacity. Both are fixable. What you shouldn’t do is accept low engagement as normal — your billing eligibility depends on it.

First self-audit:

We recommend running your first self-audit during Month 2. Select 5 random patients — include a mix of new enrollees and established patients — and verify all five compliance pillars for each one:

1. Consent form on file with signature, date, and required elements
2. Device supply note with confirmed patient access and first login record
3. Engagement report showing 2+ or 16+ individual days of activity
4. Time log with provider name, credential, license number, and timestamped activities
5. Therapist communication record for each billed month

Any “fail” finding becomes a corrective action item. The self-audit is your best defense against an external audit, and it’s also how you catch training gaps before they become billing problems.

Phase 4: Optimize and Scale (Month 3 — Days 61–90)

Review your data, expand enrollment, and establish long-term rhythm

At the 60-day mark, you have enough performance data to make confident decisions.

What to review at Day 60:

• Total app engagement per patient and average days active per month
• Billing-eligible patients vs. patients actually billed (should be 85–95% of enrolled)
• Denial rate (target: under 5%)
• Average months enrolled — patients staying 4–6 months is the benchmark

If your enrollment rate is below 60% of eligible patients, the most common cause is inconsistent introduction by clinical staff. Role-play the enrollment script in your next team meeting. Confidence in the script drives acceptance — patient acceptance exceeds 70% when the script is followed consistently.

Expanding the cohort:

When your team is comfortable with the core workflow, expanding is straightforward. The processes are documented, providers know what to say, front desk has the handoff down, and the billing rhythm is established. Scaling RTM at this stage isn’t about learning something new — it’s about running the same play with more patients.

Revenue reality check:

A single patient enrolled for 90 days with consistent engagement that meets billing thresholds generates meaningful reimbursement across the six RTM codes — without requiring additional in-office visits. At a cohort of 20–30 patients, the revenue picture becomes significant, especially for clinics managing thin margins or staffing constraints. The math works. The workflow is what makes it repeatable.

The Ongoing Monthly Rhythm

After Day 30, RTM runs on a simple, consistent monthly cycle:

The first six months include a monthly self-audit. After consistent compliance is confirmed, quarterly audits are sufficient.

What We’ve Learned from Practice Launches

The clinics that build strong RTM programs aren’t necessarily the largest or most technology-forward practices. They’re the ones that take the first 90 days seriously.

They assign named owners to every role before going live. They complete the training before enrolling patients. They run the self-audit even when they’re confident. They treat the enrollment script as a clinical skill and practice it accordingly.

The practices that struggle are the ones that try to shortcut the foundation — enrolling patients before staff is trained, skipping the soft launch, or letting documentation slip because “we’ll fix it before billing.” The documentation creates itself in real time through MyMovementRx. The only way to not have it is to not use the system as designed.

Ready to Get Started?

Your first account setup can typically be completed within one week of contract signing. From there, the onboarding timeline moves quickly — and the MyMovementRx team walks you through every step.

Contact us:

• Email: support@mymovementrx.com
• Phone: 649.2015

Andrew Gorecki, PT, DPT is the founder of MyMovementRx and has helped physical therapy clinics across the country implement compliant, profitable RTM programs. For compliance consultations, reach him at andrewg@mymovementrx.com