On this page
The structure of the opportunityWhat drives the numberWhy we won’t quote a totalWhere revenue leaksKey takeaways
- RTM revenue is recurring and per-patient-per-month — setup once, then device-supply and management each eligible month.
- The drivers are enrollment, data-days, and documented management time + the call.
- Only 98975 = $21.71 is a clean national figure; everything else varies by MAC, locality, and contract.
- Most lost RTM revenue isn't a rate problem — it's unbilled eligible months.
RTM's appeal is that it's recurring revenue for care you already deliver. But the fastest way to lose credibility with your own finance team is to put a confident dollar figure on it that turns out to be wrong. So let's do this honestly: the structure is knowable; the exact total depends on where you practice.
The structure of the opportunity
Per enrolled patient, an eligible month can include up to three kinds of line:
- Setup (
98975) — once per episode, when the patient is onboarded. - Device supply (
98985or98977) — each eligible month, based on data-days. - Treatment management (
98979 / 98980 / 98981) — each month you accumulate management time and document the call.
Stack that across a panel of enrolled patients, month after month, and the recurring nature is where the value compounds.
What actually drives the number
Three levers move RTM revenue more than the fee schedule does: how many eligible patients you enroll, how reliably they hit the data-day threshold, and whether you capture the management time and the interactive call that unlock the higher-value codes. A practice that enrolls broadly and documents consistently realizes far more than one with a higher contracted rate and leaky documentation.
RTM revenue is won in enrollment and documentation, not in the fee schedule.
Why we won't hand you a total
The only RTM amount with a clean national figure is the setup code, 98975, at $21.71 (non-facility). Every other code's payment depends on the 2026 conversion factor, your geographic adjustment (GPCI), and your payer contracts — the device-supply codes land in the modest tens of dollars, the management base in roughly the mid-$50s, but the precise numbers are yours to confirm with your biller. Anyone quoting you a tidy “$X per patient per month” is rounding off reality.
Where the revenue actually leaks
In practice, the gap between potential and realized RTM revenue is almost never the rate — it's eligible months that never got billed: patients who lapsed on logging, a month with management time but no documented call, consent that was never captured. BoneArc's reason for existing is to close that gap: track the data-days, capture the time and the call, surface the patients who are one step from billable, and certify the month before it's lost.
RTM left on the table is usually a bookkeeping problem, not a coding one.
BoneArc tracks data-days, review time, and the attested call — so the billable work is documented as it happens.
See it on your panel →