Billing Cycle

RTM Billing Cycle Overview

RTM billing is completed on a recurring cycle. Certain RTM CPT codes are billed once during setup, while others are billed during a monthly monitoring period based on patient data collection and documented monitoring time. For more information about billing periods for each CPT codes, visit CPT Codes.

In general, RTM services are tracked within a 30-day billing cycle for each patient. During the cycle, the clinic (or assigned remote therapist under Fully Managed RTM) monitors patient data, engages the patient as needed, and documents monitoring time through the platform.

End of Month Review and Submission

Near the end of each month, clinics can review billing progress for each patient in the Balances page and complete the required e-signature. The e-signature popup will be available during the final seven days of the month.

Under the Fully Managed RTM Service, both the assigned remote therapist and the clinic’s primary providers must sign the billing report. Once all signatures are completed, PhyxUp Health finalizes the billing spreadsheet and submits claims on your behalf.