Remote Therapeutic Monitoring in Pennsylvania.
Therapy outcome monitoring for musculoskeletal and respiratory rehabilitation. Medicare billing, PA Medicaid coverage, and compliance details for Pennsylvania providers.
How does RTM work for providers in Pennsylvania?
Remote Therapeutic Monitoring (RTM) allows Pennsylvania 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. PA Medicaid provides full supplementary coverage. CCN Health provides the monitoring platform, therapy adherence tracking, and functional outcome documentation for Pennsylvania rehabilitation programs.
Medicare Billing
RTM billing in Pennsylvania.
RTM uses federally standardized CPT codes with uniform reimbursement across Pennsylvania. PA 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. PA 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 Pennsylvania.
Beyond federal Medicare requirements, Pennsylvania has specific telehealth, licensure, and privacy regulations that affect RTM programs.
Telehealth Parity
- *Pennsylvania has telehealth parity legislation requiring RTM services to be reimbursed at equivalent rates compared to in-person visits.
- *Pennsylvania joined the Interstate Medical Licensure Compact. Telehealth parity established for most services.
Interstate Licensure
- *Pennsylvania is a member of the Interstate Medical Licensure Compact, enabling physicians licensed through the compact to provide RTM services across state lines.
Additional Requirements
- *Pennsylvania telehealth registration requirements
EHR Integrations
RTM-compatible EHRs.
CCN Health integrates with leading EHR platforms used by Pennsylvania 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 Pennsylvania questions.
RTM in Pennsylvania 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.
PA Medicaid provides full supplementary coverage for RTM services. Medicare covers RTM for MSK and respiratory therapy. PA Medicaid provides full supplementary coverage. For dual-eligible beneficiaries, providers can bill both Medicare and Medicaid to maximize reimbursement.
Pennsylvania has telehealth parity legislation requiring RTM services to be reimbursed at equivalent rates compared to in-person visits. Pennsylvania is a member of the Interstate Medical Licensure Compact, facilitating cross-state RTM delivery. Pennsylvania joined the Interstate Medical Licensure Compact. Telehealth parity established for most services.
In Pennsylvania, 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.
Pennsylvania has approximately 2.5M residents aged 65+ (19.4% of the population), with +12% by 2035 projected growth. Mature healthcare market with strong academic medical centers. Significant rural population benefits from telehealth. UPMC and Geisinger are leaders in value-based care.
CCN Health helps Pennsylvania 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 Pennsylvania.
Explore other Medicare remote care programs available to Pennsylvania 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.