Bia for Clinical Billing

RTM billing for exposure therapy, CPT 98975, 98976, and 98977

Remote Therapeutic Monitoring (RTM) lets you bill for the structured between-session work clients do on Bia. Auto-generated documentation, plain-English code explanations, and the revenue math, all in one place.

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The basics

What RTM is, briefly

Remote Therapeutic Monitoring (RTM) is a Medicare-recognized billing pathway for the time clinicians spend supervising patient self-management between visits, including assigned exposure work delivered through digital tools.

RTM became available for behavioral health in 2022, and a growing number of commercial payers now reimburse on the same code set. For ERP and exposure-therapy clinicians using Bia, RTM is the cleanest way to capture the documented value of between-session homework.

The three codes

The three CPT codes, in plain English

RTM is built around three core codes. Each captures a different element of the digital-treatment workflow.

CPT 98975, Initial set-up

One-time code for setting up the digital therapeutic and educating the patient on its use. Billable once per episode of care. Bia's onboarding flow satisfies the requirement.

CPT 98976, Device supply, respiratory

Note: 98976 specifically applies to respiratory-system monitoring devices; behavioral health typically uses 98977 below. Included for completeness.

CPT 98977, Device supply, musculoskeletal / behavioral

Monthly code for the supply of the digital therapeutic, including data transmission. Billable per 30-day period of active patient use. Bia's session-completion logs and active-use timestamps satisfy the supply documentation.

CPT 98980 / 98981, Treatment management time

Time-based codes for the clinician's monthly review of the patient's digital therapeutic data. 98980 covers the first 20 minutes; 98981 adds each additional 20 minutes. Bia's provider dashboard makes that review efficient, most clinicians complete it in 15-25 minutes per patient per month.

Documentation

How Bia generates the documentation automatically

Each RTM code has a specific documentation requirement. Bia produces the underlying data for each one.

Onboarding event log (98975), when the client set up Bia and completed initial education.
Session-completion timestamps (98977), recorded for every exposure, lesson, and assessment the client completes.
Active-use confirmation (98977), automatic flagging of 16+ days of active use within any 30-day period (the Medicare threshold).
Clinician review log (98980/98981), the dashboard tracks the time you spent reviewing patient data and provides an exportable monthly summary.
Audit-ready PDF export, one click per patient per month, ready to attach to your billing submission.

The revenue math

What RTM is worth, the per-patient math

Actual reimbursement varies by payer, region, and your billing arrangement. The numbers below use national Medicare averages as a baseline.

98975 (one-time setup): ~$20
98977 (monthly device supply): ~$50
98980 (first 20 min monthly review): ~$50
98981 (each additional 20 min, when justified): ~$40

Typical monthly per-patient revenue: $100-$150 in addition to your session-based billing. At a caseload of 20 active patients, that's $2,000-$3,000 monthly recurring revenue from digital-treatment activity you're already delivering.

Access

RTM access in Bia, by invitation

Bia's RTM-grade documentation export is currently available by invitation as we work directly with the first cohort of clinicians billing RTM on exposure work. We focus on a small group at a time to support each clinician through their first successful claim and refine the export based on real payer feedback.

If you're billing RTM for exposure work or actively evaluating it, reach out and we'll discuss adding you to the next cohort.

Bia for ERP training & delivery Y-BOCS scoring & outcome data Interoceptive exposure for panic Bia for Providers overview

Add a documented revenue layer to the exposure work you're already doing.

Free provider account to evaluate. Connect with us to request RTM access once you're actively using Bia with clients.

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Want to discuss RTM access first? Schedule a meeting