Remote Therapeutic Monitoring in Wisconsin.
Therapy outcome monitoring for musculoskeletal and respiratory rehabilitation. Medicare billing, BadgerCare Plus coverage, and compliance details for Wisconsin providers.
How does RTM work for providers in Wisconsin?
Remote Therapeutic Monitoring (RTM) allows Wisconsin 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. BadgerCare Plus provides partial supplementary coverage. Wisconsin's 1.0M 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 Advocate Aurora Health and Ascension Wisconsin. As an Interstate Medical Licensure Compact member, Wisconsin facilitates cross-state RTM delivery.
Medicare Billing
RTM billing in Wisconsin.
RTM uses federally standardized CPT codes with uniform reimbursement across Wisconsin. BadgerCare Plus provides partial 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. BadgerCare Plus provides partial 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
Wisconsin Medicaid Supplement
BadgerCare Plus provides partial supplementary coverage — check current BadgerCare Plus fee schedules for dual-eligible RTM rates.
Regulatory Landscape
RTM compliance in Wisconsin.
Beyond federal Medicare requirements, Wisconsin has specific telehealth, licensure, and privacy regulations that affect RTM programs.
Interstate Licensure
- *Wisconsin 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.
Major Wisconsin health systems like Advocate Aurora Health and Ascension Wisconsin use EHR platforms that CCN Health integrates with. 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 Wisconsin questions.
Wisconsin's mix of urban centers and rural communities means RTM serves both high-volume practices affiliated with systems like Advocate Aurora Health and Ascension Wisconsin and remote clinics where in-person visits are difficult. BadgerCare Plus offers partial supplementary coverage for dual-eligible patients. Wisconsin's membership in the Interstate Medical Licensure Compact enables cross-state RTM delivery. High prevalence of heart disease, diabetes, COPD among Wisconsin's patient population drives RTM enrollment.
BadgerCare Plus provides partial supplementary coverage for RTM services. Medicare covers RTM for MSK and respiratory therapy. BadgerCare Plus provides partial supplementary coverage. For dual-eligible beneficiaries, providers can bill both Medicare and Medicaid to maximize reimbursement.
Wisconsin's 1.0M seniors frequently require musculoskeletal and respiratory rehabilitation. The state's COPD prevalence creates strong demand for respiratory RTM monitoring. Wisconsin's high Medicare Advantage penetration means many seniors are already enrolled in plans that support RTM.
Wisconsin has approximately 1.0M residents aged 65+ (17% of the population), with +18% by 2035 projected growth. Strong healthcare systems in Milwaukee and Madison. Marshfield Clinic is a telehealth pioneer. Large rural areas benefit from remote monitoring programs.
RTM in Wisconsin must comply with federal Medicare billing requirements and HIPAA. Wisconsin does not currently have a comprehensive state privacy law beyond HIPAA, but standard patient consent and data security requirements apply. As an Interstate Medical Licensure Compact member, Wisconsin allows compact-licensed physicians to deliver RTM services across state lines. Wisconsin has telehealth parity with strong support for remote patient monitoring. BadgerCare Plus covers RPM and CCM.
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.
Other Programs
More programs in Wisconsin.
Explore other Medicare remote care programs available to Wisconsin 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.