Remote Therapeutic Monitoring in New York.
Therapy outcome monitoring for musculoskeletal and respiratory rehabilitation. Medicare billing, NY Medicaid coverage, and compliance details for New York providers.
How does RTM work for providers in New York?
Remote Therapeutic Monitoring (RTM) allows New York therapists and providers to bill Medicare for monitoring musculoskeletal and respiratory therapy outcomes using CPT codes 98975, 98976, 98977, 98980, 98981. Medicare covers RTM for MSK and respiratory therapy. NY Medicaid provides full supplementary coverage. New York's 3.4M senior population drives demand for post-acute therapy monitoring. CCN Health provides the monitoring platform, therapy adherence tracking, and functional outcome documentation — integrating with 5+ major health systems including NewYork-Presbyterian and Northwell Health.
Medicare Billing
RTM billing in New York.
RTM uses federally standardized CPT codes with uniform reimbursement across New York. NY Medicaid provides full supplementary Medicaid coverage for dual-eligible patients.
RTM initial setup and patient education
Device supply for respiratory system, per 30 days
Device supply for musculoskeletal system, per 30 days
RTM treatment management, first 20 min/month
Each additional 20 min of RTM treatment management
~$100-$155/mo per patient
20 minutes of interactive communication per month (98980); 16 days of therapy adherence data per 30 days (98976/98977)
Medicare covers RTM for MSK and respiratory therapy. NY Medicaid provides full supplementary coverage.
Billing Requirements
Musculoskeletal or respiratory therapy condition required
Non-physiologic data (therapy adherence, pain levels, functional status)
Can be billed by non-physician practitioners (PTs, OTs, SLPs)
16 days of data transmission required per 30-day period
Patient consent and device education documented
New York Medicaid Supplement
NY Medicaid provides full supplementary coverage for dual-eligible RTM patients. Providers can bill both Medicare and Medicaid to maximize reimbursement for RTM services. New York's telehealth parity law supports remote RTM delivery at equivalent reimbursement rates.
New York-Specific Billing Considerations
SHIELD Act data security requirements
Enhanced breach notification requirements
Regulatory Landscape
RTM compliance in New York.
Beyond federal Medicare requirements, New York has specific telehealth, licensure, and privacy regulations that affect RTM programs.
Telehealth Parity
- *New York has telehealth parity legislation requiring RTM services to be reimbursed at equivalent rates compared to in-person visits.
- *New York has strong telehealth parity laws established during COVID-19 and made permanent. Active in value-based care initiatives.
Interstate Licensure
- *New York is not currently a member of the Interstate Medical Licensure Compact. Providers delivering RTM services must hold a valid New York medical license.
State Privacy Law
- *NY SHIELD Act applies to therapy adherence and functional outcome data collected through RTM programs.
- *Non-physiologic data (pain scales, mobility scores) collected during RTM may have specific NY SHIELD Act handling requirements.
Additional Requirements
- *SHIELD Act data security requirements
- *Enhanced breach notification requirements
EHR Integrations
RTM-compatible EHRs.
Major New York health systems like NewYork-Presbyterian and Northwell Health use EHR platforms that CCN Health integrates with. Each integration includes automated RTM documentation, billing, and clinical workflows.
PointClickCare
665 integration guides
ALIS
663 integration guides
MatrixCare
663 integration guides
August Health
663 integration guides
Ethizo
240 integration guides
athenahealth
240 integration guides
Charm Health
240 integration guides
Epic
240 integration guides
FAQ
RTM in New York questions.
New York's dense healthcare market and 5+ major health systems like NewYork-Presbyterian and Northwell Health create strong infrastructure for RTM adoption. NY Medicaid provides full supplementary coverage, maximizing dual-eligible revenue. High prevalence of heart disease, diabetes, COPD among New York's patient population drives RTM enrollment.
NY Medicaid provides full supplementary coverage for RTM services. Medicare covers RTM for MSK and respiratory therapy. NY Medicaid provides full supplementary coverage. For dual-eligible beneficiaries, providers can bill both Medicare and Medicaid to maximize reimbursement.
New York has telehealth parity legislation requiring RTM services to be reimbursed at equivalent rates compared to in-person visits. New York has strong telehealth parity laws established during COVID-19 and made permanent. Active in value-based care initiatives.
New York's 3.4M seniors frequently require musculoskeletal and respiratory rehabilitation. The state's COPD prevalence creates strong demand for respiratory RTM monitoring. New York's high Medicare Advantage penetration means many seniors are already enrolled in plans that support RTM.
New York has approximately 3.4M residents aged 65+ (17.5% of the population), with +15% by 2035 projected growth. Dense urban population with sophisticated healthcare infrastructure. Strong adoption of RPM in skilled nursing and home health. Value-based care models drive preventive monitoring.
RTM in New York must comply with federal Medicare billing requirements and HIPAA. New York's NY SHIELD Act adds state-level data protection requirements for patient health information collected through RTM devices and platforms. New York is not part of the Interstate Medical Licensure Compact — providers must hold a valid New York license to deliver RTM services. Additional New York-specific requirements include: SHIELD Act data security requirements; Enhanced breach notification requirements. New York has strong telehealth parity laws established during COVID-19 and made permanent. Active in value-based care initiatives.
This page provides general informational guidance only and does not constitute legal, compliance, or billing advice. Telehealth regulations, Medicaid coverage, and state privacy laws change frequently. Verify current requirements with your state health department, payers, and qualified healthcare compliance counsel before making program decisions. Demographic data is based on U.S. Census Bureau estimates. Data last verified: March 2026.
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