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.

3.4M seniors (65+)
Telehealth parity
NY Medicaid: Full coverage
Quick Answer

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. CCN Health provides the monitoring platform, therapy adherence tracking, and functional outcome documentation for New York rehabilitation programs.

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.

98975~$19

RTM initial setup and patient education

98976~$55

Device supply for respiratory system, per 30 days

98977~$55

Device supply for musculoskeletal system, per 30 days

98980~$51

RTM treatment management, first 20 min/month

98981~$42

Each additional 20 min of RTM treatment management

Revenue Range

~$100-$155/mo per patient

Time Threshold

20 minutes of interactive communication per month (98980); 16 days of therapy adherence data per 30 days (98976/98977)

NY Medicaid
Full coverage

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

Regulatory Landscape

RTM compliance in New York.

Beyond federal Medicare requirements, New York has specific telehealth, licensure, and privacy regulations that affect RTM programs.

01

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.
02

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.
03

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.
04

Additional Requirements

  • *SHIELD Act data security requirements
  • *Enhanced breach notification requirements

Market Opportunity

RTM in New York.

3.4M

seniors 65+ (17.5% of population)

+15% 2035

projected senior population growth

5+

major health systems

Dense urban population with sophisticated healthcare infrastructure. Strong adoption of RPM in skilled nursing and home health. Value-based care models drive preventive monitoring.

NewYork-PresbyterianNorthwell HealthMount Sinai Health SystemNYU LangoneMontefiore Health System

How CCN Health Helps

From setup to scale.

01

Discovery & Setup

We learn your workflows, EHR configuration, and patient population — then configure CCN’s platform to match.

02

Launch & Monitor

Devices ship directly to patients, data flows into your EHR automatically, and our clinical team monitors around the clock.

03

Scale & Optimize

Expand enrollment, add new programs, and let AI-driven insights continuously improve outcomes and reimbursement.

FAQ

RTM in New York questions.

RTM in New York uses Medicare CPT codes 98975, 98976, 98977, 98980, 98981. These are federal codes with uniform reimbursement nationwide, generating ~$100-$155/mo per patient per enrolled patient per month.

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.

In New York, RTM can be billed by physicians, physician assistants, nurse practitioners, physical therapists, occupational therapists, and speech-language pathologists. This broader billing eligibility distinguishes RTM from RPM and makes it accessible to rehabilitation clinics and therapy practices.

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.

CCN Health helps New York providers launch RTM in three steps: (1) Discovery — we assess your EHR, workflows, and patient population; (2) Launch — devices ship to patients, data flows into your EHR automatically; (3) Scale — expand enrollment and add programs as your RTM census grows. Most practices begin billing within 2-4 weeks.

Ready to Get Started?

Ready to launch RTM in New York?

Book a short discovery call and we’ll map out a program tailored to your workflows, EHR, and patient population.

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