Remote Therapeutic Monitoring in North Carolina.
Therapy outcome monitoring for musculoskeletal and respiratory rehabilitation. Medicare billing, NC Medicaid coverage, and compliance details for North Carolina providers.
How does RTM work for providers in North Carolina?
Remote Therapeutic Monitoring (RTM) allows North Carolina 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. NC Medicaid provides full supplementary coverage. CCN Health provides the monitoring platform, therapy adherence tracking, and functional outcome documentation for North Carolina rehabilitation programs.
Medicare Billing
RTM billing in North Carolina.
RTM uses federally standardized CPT codes with uniform reimbursement across North Carolina. NC 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. NC 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 North Carolina.
Beyond federal Medicare requirements, North Carolina has specific telehealth, licensure, and privacy regulations that affect RTM programs.
Telehealth Parity
- *North Carolina has telehealth parity legislation requiring RTM services to be reimbursed at equivalent rates compared to in-person visits.
- *North Carolina completed Medicaid expansion in 2023. Strong telehealth adoption in the Research Triangle and Charlotte areas.
Interstate Licensure
- *North Carolina is a member of the Interstate Medical Licensure Compact, enabling physicians licensed through the compact to provide RTM services across state lines.
EHR Integrations
RTM-compatible EHRs.
CCN Health integrates with leading EHR platforms used by North Carolina providers. Each integration includes automated RTM documentation, billing, and clinical workflows.
PointClickCare
889 integration guides
ALIS
887 integration guides
Ethizo
240 integration guides
athenahealth
240 integration guides
Charm Health
240 integration guides
MatrixCare
240 integration guides
Epic
240 integration guides
August Health
240 integration guides
FAQ
RTM in North Carolina questions.
RTM in North Carolina 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.
NC Medicaid provides full supplementary coverage for RTM services. Medicare covers RTM for MSK and respiratory therapy. NC Medicaid provides full supplementary coverage. For dual-eligible beneficiaries, providers can bill both Medicare and Medicaid to maximize reimbursement.
North Carolina has telehealth parity legislation requiring RTM services to be reimbursed at equivalent rates compared to in-person visits. North Carolina is a member of the Interstate Medical Licensure Compact, facilitating cross-state RTM delivery. North Carolina completed Medicaid expansion in 2023. Strong telehealth adoption in the Research Triangle and Charlotte areas.
In North Carolina, 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.
North Carolina has approximately 1.8M residents aged 65+ (16.3% of the population), with +25% by 2035 projected growth. Fast-growing retiree population, especially in coastal and mountain communities. Strong academic medical center presence. Recent Medicaid expansion increases covered population.
CCN Health helps North Carolina 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.
Other Programs
More programs in North Carolina.
Explore other Medicare remote care programs available to North Carolina providers.
RPM
Remote Patient Monitoring
Real-time vital sign monitoring with FDA-cleared cellular devices.
CCM
Chronic Care Management
Non-face-to-face care coordination for patients with multiple chronic conditions.
PCM
Principal Care Management
Focused management of a single high-complexity chronic condition.
BHI
Behavioral Health Integration
Behavioral health screening and collaborative care in primary care settings.