Improve patient outcomes with Remote Therapeutic Monitoring

Our solution helps you manage your patients with chronic respiratory disease, providing value to you and your patients

About Remote Therapeutic Monitoring

Remote Therapeutic Monitoring (RTM) is a CMS reimbursed method of monitoring your respiratory patients between their clinical visits. Digital technologies enable tracking of therapies — such as medication use and adherence — beyond the walls of the clinic. The new RTM codes went into effect January 1, 2022 and expand upon existing Remote Physiological Monitoring (RPM) codes.1

Continuous medication monitoring through RTM provides objective visibility between visits, helping you identify patients at risk for an exacerbation and prompt timely interventions.

Benefits of RTM with Propeller

Propeller provides clear data on your patients’ medication adherence, a leading indicator of quality outcomes.

Magnifying glass icon

Monitor your patient panel and make informed treatment decisions for your most challenging patients using objective insights

Boost efficiency through enhanced care coordination

Warning icon

Engage your patients in managing their condition through routine monitoring and empower them with data about their medication use

The Propeller Solution

Give your RTM program an edge with Propeller

Inhaler Sensor &
At-home hub

Propeller sensors and hubs work together to collect patient medication adherence data and seamlessly feed information to you.

A desktop computer showing Propeller Health Clinician Portal

Clinician Portal

View rescue use and controller adherence data for each patient in your panel and get alerted to those who may be at risk for exacerbations with notifications.

Patient Portal

Patients can view their adherence data, download reports and view educational content to help them manage their disease.

Improving outcomes

Remote monitoring programs are proven to improve health outcomes

Reduced Rescue Inhaler Usage

Reductions in rescue inhaler use may indicate more days without symptoms and a better quality of life.

At 12 months of use, Propeller users saw2:

absolute improvement in rescue inhaler-free days

reduction in mean rescue inhaler puffs per day

reduction in nighttime rescue inhaler use

Study design
Quality improvement program

Participants
190 Medicare-eligible adults with COPD

COPD outcomes chart

2. Chen et al. Passive Monitoring of Short-Acting Beta-Agonist Use via Digital Platform in Patients With Chronic Obstructive Pulmonary Disease: Quality Improvement Retrospective Analysis. JMIR Form Res 2019

Want to learn how Propeller’s solution can support your RTM program?

How to bill for RTM*

HCPCSDescription2022 Medicare Physician Fee Schedule (MPFS) national payment amount.

Non-facility price**

98975Remote therapeutic monitoring (e.g. respiratory system status, musculoskeletal system status, therapy adherence and therapy response); initial set-up and patient education on use of equipment$19
98976Remote therapeutic monitoring (e.g. respiratory system status, musculoskeletal system status, therapy adherence and therapy response); device(s) supply with scheduled (e.g. daily) recording(s) and/or programmed alert(s) transmission to monitor respiratory system – each 30 days$56
98980Remote therapeutic monitoring treatment, physician/other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month – first 20 minutes$50
98981Remote therapeutic monitoring treatment, physician/other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month – each additional 20 minutes$41

*You must consult your own expert (legal and/or regulatory), before making a decision whether to bill for remote therapeutic monitoring. ResMed and Propeller Health are not responsible for your use of the information provided on this page, and are not liable for any adverse position taken by any private or public insurer with respect to remote therapeutic monitoring.

**Includes the fee schedule amount when a physician performs a procedure in a non-facility setting such as an office. Data sourced from CMS and should be used directionally only.

RTM FAQ2

The main differences are the types of data collected and how. RTM codes allow for the monitoring of “non-physiologic data” focusing on patient data through signs, symptoms and functions of a therapeutic response (e.g. therapy adherence and response). RPM focuses on physiologic data that is generally understood to be parameters generated by the body (e.g. ECG, blood pressure, etc.) that are detectable by a signal acquisition medical device/system. In order to bill for RPM, data must be automatically transmitted by a connected medical device. On the other hand, RTM data are subjective inputs reported by a patient that must be transmitted through a medical device.

RTM codes are classified as General Medicine services, as opposed to RPM codes which are classified as Evaluation and Management services. Physicians and  some nonphysician practitioners can bill for general medicine services. RTM codes could thereby be reported by physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified nurse midwives, and CMS very specifically has stated physical therapists and occupational therapists.

No, because RTM codes are considered general medicine services instead of evaluation and management services they cannot be considered for care management. A physician cannot order and bill for RTM services when work is being done remotely by clinical staff or auxiliary personnel under general supervision.

No, physicians cannot bill for the same patient for both RTM and RPM. Providers should consider which patients in their panel would be better served by RTM or RPM. Due to the emphasis on medication adherence, RTM may be the preferred reimbursement model for the respiratory care management of a patient depending on their overall health and relevant comorbidities.

In order to bill for RTM (i.e., 98975, 98976, 98977), a medical device must monitor at least 16 days of medication event data per 30-day period.

Codes 98980 requires at least one interactive communication as part of the 20 minute billing increment between the physician or billing provider and the patient/caregiver. Code 98981 is used for each additional 20 minutes thereafter.

Yes, RTM codes can be billed during the same service period as chronic care management services, transitional care management services, principle care management services and behavioral health integration services.

RTM is a beneficial option for any practice delivering healthcare for those experiencing high incidence of COPD, and/or chronic asthma. Leveraging Propeller for RTM provides clinicians with objective data on medication adherence, triggers and exacerbations, enabling them to make informed care decisions and have open conversations with patients.

Explore how Propeller’s solution can help you launch an RTM Program

Complete this form and one of our experts will connect with you directly for a free consultation.

1. Centers for Medicare & Medicaid Services. CY 2022 Physician Fee Schedule final rule, CMS-1751-F (Link: https://www.cms.gov/medicaremedicare-fee-service-paymentphysicianfeeschedpfs-federal-regulation-notices/cms-1751-f)

DISCLAIMER: The information on this site is being provided on an “as is” basis with no express or implied warranty of any kind and should be used for your internal informational purposes only. The information provided does not constitute professional or legal advice on reimbursement and should be used at your sole liability and discretion. All coding, coverage policies and reimbursement information are subject to change without notice. ResMed does not represent or warrant that any of the information being provided is true or correct, or any outcome of using the information presented in the document. You agree to hold ResMed harmless in the event of any loss, damage, liabilities or claims arising from the use of the reimbursement information provided to you. Before filing any claims, it is your sole responsibility to verify current requirements and coverage policies with the applicable payer