Effective with dates of service on and after January 1, 2022, physical therapists, physical therapist assistants, occupational therapists and occupational therapy assistants can provide and be reimbursed for remote therapeutic monitoring (RTM) services by the Centers for Medicare and Medicaid Services, Medicare Advantage plans and possibly other commercial/private insurance carriers.
This course will thoroughly explain the current 6 RTM CPT codes and 4 new RTM CPT codes for 2026, including defining what is a medical device and how and when you can bill for each CPT code, and what you should document to support the billing of each CPT code. Case scenarios will be presented to assist participants in determining how the RTM codes can be utilized and billed correctly.
At the conclusion of this online presentation, participants will be able to:
- Recite the description of each of the RTM codes
- Understand if the therapy threshold and multiple procedure payment reduction policy apply to the RTM codes
- Identify which RTM codes the de minimis standard applies to and thus have payment reduced if provided in whole or in part by a PTA or an OTA
- Distinguish between “each 30 days” and “in a calendar month” for CPT codes 98976, 98977, 98978, 98980 and 98981
- Discuss the formats in which an interactive communication can occur in order to be compliant with CPT codes 98980 and 98981
- Calculate how to determine when CPT codes 98980 and 98981 can be billed and for how many units
- List what type of device(s) must be used in order to bill CPT codes 98975 – 98978
- Understand what you should document to support the billing of each RTM CPT code
- Recite 3 models of RTM implementation and determine which RTM model is best for your practice or organization
Rick Gawenda, P.T., graduated in 1991 with a Bachelor of Science in Physical Therapy from Wayne State University, Detroit, Michigan. Mr. Gawenda is currently the President and founder of Gawenda Seminars & Consulting, Inc. He has provided valuable education and consulting to hospitals, rehabilitation agencies, private practices, nursing homes, and his peers in the areas of CPT and ICD-10 coding, billing, documentation, reimbursement, and compliance as it pertains to outpatient therapy services as well as denial management and the appeals process for Medicare denied claims. Mr. Gawenda’s website, https://gawendaseminars.com/, provides a valuable source of information on rehabilitation rules and regulations, coding, documentation, and reimbursement.
Mr. Gawenda is a member of the American Physical Therapy Association (APTA) and Michigan Physical Therapy Association (MPTA). Mr. Gawenda is the Past President of the Section on Health Policy & Administration of the APTA as well as Past President of the Michigan Association of Medical Rehabilitation Program Administrators.
Mr. Gawenda is also the author of “The How-To Manual for Rehab Documentation: A Complete Guide to Increasing Reimbursement and Reducing Denials” and “Coding and Billing For Outpatient Rehab Made Easy: Proper Use of CPT Codes, ICD-9 Codes and Modifiers”.
Physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants, private practice owners and practice administrators, office managers at private practices, as well as directors, managers, supervisors, coders, and billers in hospital outpatient therapy departments, rehabilitation agencies, home health agencies, and comprehensive outpatient rehabilitation facilities.
In addition to the expertise and advice presented during this online conference, you’ll also receive a handout (in PDF format) that will include related reference links.
This course has not been submitted to any state board or national organization for CEU approval. A certificate of attendance will be available upon completion of the online course for each participant and may be adequate for credit in some states; you will need to contact your state licensing regulatory body to determine whether or not credit will be granted for this online conference. We provide no additional information for CEU approval.
This online course was approximately 1 hour and 45 minutes (including Q&A).
There are no refunds for no shows or any other reasons once you register and payment is received. We are not responsible for organization firewalls or computer software issues that may interfere and/or prohibit your connection to the webinar portion of the presentation.
Venue system requirements:
- Microsoft Internet Explorer 7+, Mozilla Firefox 2.5+, Safari, or Chrome
- 1024 x 768 screen resolution
- Stable Internet connection, DSL or above
- Wired Internet connection; wireless is not recommended
- Flash Player 9 or higher
- Disable pop-up blockers
- Computer speakers for participants
Note: Android Smart Phones (i.e. iPhone) are not compatible.
In order to ensure a successful connection to this online course, please take a moment to conduct a system test by clicking this link: http://web.telspan.com/systemcheck
***Application Sharing does not need to be operational to view this course recording link.
*** This COURSE RECORDING and HANDOUTS is not to be distributed outside of your organization. If you have a larger organization and have multiple locations, then please contact us here for pricing.
