Remote Therapeutic Monitoring
RTM Program Guide
Practical answers for senior living leaders—from eligibility and reimbursement to implementation, AI support, and resident value.
01What is RTM, and how does it relate to medication management, SDOH, and occupational therapy?
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Remote Therapeutic Monitoring is a Medicare Part B program that allows qualified professionals, including physical and occupational therapists, to monitor therapy-related data such as medication adherence.
Typically billed through Chronic Care Management and may run concurrently with RTM when time is tracked separately.
These factors inform care planning, while 2026 HCPCS G0136 is narrowed to physical activity and nutrition.
PT and OT have a direct path to provide RTM under Medicare's therapy benefit.
| Code | What it covers | Threshold | 2026 average* |
|---|---|---|---|
| 98975 | Initial setup and resident education | Once per episode | ~$22 |
| 98976 / 98977 | Device supply | 16–30 data days | ~$52 |
| 98984 / 98985 | Device supply | 2–15 data days | ~$52 |
| 98979 | Treatment management | First 10–19 minutes | ~$26 |
| 98980 | Treatment management | First 20 minutes | ~$54 |
| 98981 | Additional management | Each additional 20 minutes | ~$41 |
02Is there any double dipping or overlap with Medicaid agreements?
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The program is designed for long-term custodial residents rather than short-stay Part A residents. Qualifying RTM services may be separately payable under Medicare Part B and are distinct from Medicaid payments for custodial care.
| Dual-eligible category | Cost-sharing treatment |
|---|---|
| QMB Only / Plus | Medicaid covers Medicare cost-sharing; residents cannot be balance billed. |
| SLMB Only | Premium assistance only. |
| SLMB Plus | Full Medicaid benefits, generally with a nominal copay. |
| QDWI / QI | Premium assistance only. |
| Other Full-Benefit Dual | Full benefits without QMB balance-billing protection. |
03Who qualifies for the program and reimbursement?
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- Residents enrolled in Medicare Part B or Medicare Advantage under plan rules.
- Long-term custodial residents outside a short-stay Part A episode.
- A qualifying respiratory, musculoskeletal, or cognitive or behavioral condition.
- Informed resident consent, including disclosure of coinsurance.
04Will LucidCare.AI provide training and billing services?
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Training: Yes. LucidCare.AI supports device setup, onboarding, AI risk alerts, billing, and compliance education.
Billing: Yes. The back-office team supports claim submission, coding, and revenue-cycle management.
05What does it take to start an RTM program?
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- A qualifying order and resident consent.
- Device provisioning and connectivity check.
- An initial 2–30 day data collection window, depending on code.
- A monthly interactive check-in and reviewable program record.
06What does LucidCare.AI need from the facility?
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- A program champion and participating NP, PA, PT, or OT.
- An eligible resident roster.
- Basic connectivity and onboarding time.
- Software and appropriate data-protection agreements.
- A billing supervisor and coordinator.
07What will LucidCare.AI provide?
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- Connected monitoring devices matched to each resident's therapy category.
- The LucidCare.AI AI platform for monitoring, time tracking, risk flagging, and visit-record preparation.
- Training, billing and revenue-cycle support, and leadership reporting.
08What does LucidCare.AI AI do?
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LucidCare.AI extracts information from uploaded documents, prepares concise resident context, identifies potential risks, and turns recorded conversations into draft visit summaries for human review.
Extract relevant information from photographed documents.
See resident history and potential risk before a visit.
Review, edit, and approve a prepared summary.
09What are the benefits for residents?
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Residents receive a more personalized and responsive care experience. Therapists can better understand individual needs, notice meaningful changes, and tailor the next intervention.
10What are the benefits for senior living facilities?
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Facilities can support eligible RTM revenue with a structured program and limited operational burden. Over time, actionable data can help demonstrate quality, outcomes, and facility value.
See it with your workflow
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