What is RTM?

If you're an SLP working in private practice, chances are you're already doing a lot of work between sessions that you're not getting paid for, whether it’s sending home programs, answering family questions, tracking patient progress outside of sessions, or adjusting care plans based on patient feedback. What if we told you there's a reimbursement pathway designed specifically for this work?

Remote Therapeutic Monitoring (RTM) is a set of CPT codes (98975-98981) introduced by CMS in 2022 that allows SLPs, OTs, and PTs to bill for monitoring patient adherence and progress outside of therapy sessions. Despite being around for nearly four years, most SLPs still don't know these codes exist.

RTM creates a bridge between therapy sessions and the home environment, the place where your patients actually need to use the skills you're teaching them. It gives you visibility into what's happening between appointments and provides structure for the family support and care coordination work that's essential to positive outcomes, but rarely gets recognized or reimbursed.

RTM isn't telehealth. It's not about conducting remote sessions. Instead, RTM reimburses you for the between-session work you're likely already doing:

• Tracking whether patients are completing their home programs

• Monitoring symptoms and progress outside of sessions

• Communicating with families about home therapy activities

• Adjusting care plans based on patient-reported data

The key requirement? You need to use a qualifying RTM technology platform that allows patients to self-report non-physiological data like therapy activity completion, symptom tracking, and functional progress from home.

That’s where IndiAide comes in. 

There are several RTM codes, and more coming in 2026. Here are the current codes:

98975 – Initial setup and patient education
Bill this once per episode for inviting the patient to your RTM platform and showing them how and why to use it.

98976/98977/98978 – Device supply for monitoring
Bill monthly when patients engage with the platform at least 16 days in a 30-day period. These codes are body-system specific (respiratory, musculoskeletal, or cognitive behavioral). (note: 2-15 day codes coming in 2026)

98980/98981 – RTM treatment management services
Bill for the time you spend reviewing patient data, adjusting their home programs, and having interactive communication with them about their progress. Code 98980 covers the first 20 minutes; 98981 covers each additional 20 minutes.

Speech-language pathologists, occupational therapists, physical therapists, and physicians can all bill RTM codes.

Here's the catch: most existing RTM platforms were built specifically for physical therapists with rigid exercise libraries that don't work for the highly individualized work SLPs and OTs do.

IndiAide is different. It stands for “Individualized Aide” and was created by an SLP who identified this exact gap in care and designed a platform with complete flexibility to upload your own therapy materials and customize your home programs for each unique patient. Whether you're working on articulation, language, voice, swallowing, or cognition, IndiAide adapts to your approach, not the other way around.

RTM codes are listed on ASHA's CPT code page and covered by Medicare, most Medicaid programs, and the majority of commercial insurances. They're underutilized in our field simply because most SLPs don't know about them yet.

If you're curious whether RTM could work for your practice, the best first step is understanding how these codes would fit into your current workflows and patient populations.

The good news is that implementing RTM with IndiAide doesn't mean overhauling everything you do. IndiAide complements your current EMR and billing systems rather than replacing them. You'll still document and bill through your existing processes, IndiAide simply provides the qualifying platform and tracking infrastructure that makes RTM codes billable. The setup is straightforward, and you'll have ongoing support to help you navigate implementation.

Want to learn more? Download our comprehensive RTM Quick Start Guide for detailed billing examples, documentation language, and implementation tips.

Ready to explore RTM for your practice? Book a 15-minute call to see what RTM could look like with your specific patient population and workflows.

Curious about recent updates? Check out our blog on 2026 RTM code changes and what they mean for SLPs.