RTM for Pelvic Health: Grow Capacity, Retention, Revenue

Most pelvic health practices reach a point where growth gets harder. The schedule fills up, the team is at capacity, and every new patient adds more work. Remote therapeutic monitoring (RTM) gives you another lever for growth.

RTM lets a practice extend care between visits, keep patients engaged, and bill for that work. It adds capacity and a recurring revenue stream on top of the visits you already provide, whether you want to grow your visit volume or make the most of the schedule you have. This guide explains what RTM is, how the workflow runs in a pelvic health setting, what it reimburses in 2026, and how it drives growth.

What is remote therapeutic monitoring (RTM)?

Remote therapeutic monitoring is a set of Medicare-recognized services that let clinicians collect and act on a patient's therapeutic data between visits. Unlike remote patient monitoring (RPM), which tracks physiologic data such as blood pressure or glucose, RTM tracks non-physiologic data: musculoskeletal status, therapy adherence, and pain or symptom levels.

Crucially, physical therapists can bill RTM, and so can physicians and other qualified healthcare professionals. That makes it one of the few reimbursement pathways purpose-built for the between-visit care pelvic health teams already try to deliver.

RTM tracks adherence, function, and pain between visits. RPM tracks physiologic data. Therapists can bill RTM.

Why RTM fits pelvic health so well

Pelvic health is uniquely dependent on what happens between visits. Recovery hinges on daily home programs, symptom tracking, and consistency over weeks or months. Patients often have questions between sessions and need reassurance to stay the course.

Yet home exercise adherence is notoriously low, and clinicians usually have no visibility into it until the next appointment. RTM closes that gap. It gives the team a live view of who is doing their program, who is struggling, and who needs a nudge, which is exactly the information pelvic health outcomes depend on.

The RTM workflow, step by step

1. Prescribe and enroll. During a visit, the clinician registers the patient and prescribes a guided plan of care.
2. Patient onboarding. The patient signs up in the app, accepts the plan, and completes their first exercises at home.
3. Between-visit monitoring. The platform captures activity, adherence, and symptoms, then surfaces who is on track and who is falling behind.
4. Clinician action. The clinician reviews the data on a set cadence and steps in where it matters, with a message, a call, or a plan adjustment.
5. Document and bill. Monitoring and management time is documented and billed under the appropriate RTM codes.

The difference from a manual approach is visibility and structure. Instead of chasing reminders, the team acts on a prioritized view of who needs attention.

RTM reimbursement: the 2026 CPT codes

RTM is reimbursed under the Medicare Physician Fee Schedule, and 2026 brought two new codes that make shorter, more episodic monitoring billable for the first time. National non-facility averages effective January 1, 2026:

Actual reimbursement varies by locality, payer, and provider classification.

The two new codes, 98985 (2 to 15 days of device data) and 98979 (10 to 19 minutes of management time), matter because recovery does not always happen in tidy, full-month windows. Stacked across a panel of pelvic health patients, these per-patient amounts add up to a predictable, recurring revenue line from care many practices are already delivering informally. Many commercial and workers compensation plans reimburse RTM as well.

RTM billing and supervision rules vary by setting, payer, and provider type. This article is educational and not legal or billing advice. Confirm specifics with your compliance and coding teams.

How RTM drives growth

RTM gives you more ways to grow. It adds a recurring revenue stream from care you are often already providing informally, and it creates capacity outside the clinic so your team can support a larger caseload.

It also strengthens retention and plan completion. Patients who feel supported every day are more likely to stay engaged, finish their plan of care, and come back for the visits they need. RTM complements in-person care rather than replacing it. It can support more visits through better follow-through and referrals, and it still helps practices that cannot easily add visits or staff. Research presented at a recent Hospital for Special Surgery keynote noted that digital rehabilitation can achieve outcomes similar to or better than usual care, likely because of improved adherence. EverEx providers see an average of 20 percent more gross revenue per plan of care.

Getting started with RTM in a pelvic health practice

• Start with a focused group of patients who rely most on home programs.
• Name one person to own the program end to end.
• Build enrollment into the visit so it happens at the point of care.
• Choose a platform that fits how clinicians already work and documents billing automatically.

For a step-by-step launch plan, see our guides on RTM 101 for practice owners and your first 90 days with RTM.

Frequently asked questions

What is RTM in physical therapy?

Remote therapeutic monitoring is a Medicare-recognized service that lets clinicians monitor and manage a patient's therapy adherence, musculoskeletal status, and pain between visits, and bill for that time. It is designed to extend care beyond the clinic.

Can pelvic health physical therapists bill RTM?

Yes. Physical therapists can bill RTM, and so can physicians and other qualified healthcare professionals. It is one of the few reimbursement pathways built for between-visit therapeutic care.

What are the 2026 RTM CPT codes and rates?

The 2026 RTM codes are 98975, 98977, 98980, and 98981, plus two new codes, 98985 and 98979, for shorter monitoring windows. National non-facility averages range from about $21.71 for setup to $54.11 for 20 to 39 minutes of treatment management. See the table above for the full breakdown.

Does RTM replace in-person visits?

No. RTM complements in-person care. It supports patients between visits and can strengthen visit-based care through better retention, plan completion, and referrals. It also lets practices that cannot easily add visits or staff keep growing.

How is RTM different from RPM?

RTM tracks non-physiologic, therapeutic data such as adherence, function, and pain, and can be billed by therapists. RPM tracks physiologic data such as blood pressure and glucose, and generally cannot be billed by therapists.

Is RTM covered by Medicare?

Yes. RTM is reimbursed under the Medicare Physician Fee Schedule, with national average rates updated annually. Coverage and rates vary by locality and payer, and many commercial plans also reimburse RTM.

See RTM in action

EverEx runs RTM as a complete program for pelvic health practices: guided patient plans, automated adherence tracking, and billing-aligned documentation, all in a workflow clinicians actually use. Request a demo, try the RTM revenue calculator, or read the companion piece, Why Pelvic Health Practices Struggle to Grow When Staffing Is Tight.

Sources: CMS 2026 Medicare Physician Fee Schedule; EverEx provider outcomes data; research on digital rehabilitation adherence. This article is educational only and is not legal or billing advice.