RTM is furnished under an active therapy plan of care — and documented patient consent is required before any RTM code can bill. Here is how consent is captured in BoneArc, and where you check it.
Remote Therapeutic Monitoring rests on two things being in place before a single code can bill: the patient is being managed under an active therapy plan of care, and their consent to RTM is documented and on file. BoneArc treats consent as a hard billing gate — no documented consent, nothing bills.
No documented consent, not billable. BoneArc will not include an enrolled patient in your billable totals until their RTM consent is on file — and it re-checks that same fact when you certify the month. This is the one rule to remember.
RTM treatment-management services are furnished under the patient’s active plan of care — for a physical therapist, a signed, active Plan of Care on file for that patient. In BoneArc, a PT creates and signs the plan from the patient’s Plan of Care tab; once signed it cannot be edited. When you log RTM time or a call, BoneArc links the service to that signed plan, and the attestation records that services were furnished under the patient’s active, signed plan of care.
Separately from the plan of care, the patient must have documented consent to RTM before any code can bill. BoneArc reads a single authoritative consent record for each patient; until it shows consent on file, the patient is held out of billing and flagged as Consent required. The full label on the patient row reads: “Consent required — not billable until RTM consent is on file.” The same fact is checked again at certification time, so a patient can never be certified for a month they had no consent on file.
There are two ways a patient’s consent becomes documented in BoneArc. Either satisfies the gate; both are recorded to an append-only consent ledger for the audit trail.
The patient accepts RTM consent inside the BoneArc app. From the patient row you can press Send Consent Request to email them a nudge to consent in the app — that email does not change consent state; the patient’s acceptance does.
If you obtained the patient’s consent verbally, press Record Verbal Consent, confirm the attestation, and set the date consent was obtained. The recording time is logged separately from that date for the audit trail.
Open RTM Billing and look at the Patient Status list. Any enrolled patient still missing consent carries the amber Consent required flag with the Send Consent Request and Record Verbal Consent actions right there on the row.
A banner at the top of the dashboard counts how many enrolled patients still need RTM consent on file — those patients are excluded from your totals until consent is captured.
On the individual patient’s page, if the consent on file is an older version, BoneArc shows a Consent update available note. Billing continues under the documented consent; when convenient, have the patient re-accept in the app, or attest verbal consent on the next logged call.
Consent is not paperwork you file and forget — in BoneArc it is the switch that lets RTM bill at all. Miss it, and an otherwise-eligible patient silently drops out of your billable total.
It is also an audit requirement. Every consent event — captured in-app, attested by you, or later withdrawn by the patient — is written to an append-only ledger that shows what was consented, when, and by whom. That record is what stands behind the claim if it is ever reviewed.
This is a how-to for using BoneArc, not billing or legal advice. Confirm coverage, coding, and consent requirements with your own biller and payer. Get consent on file first, keep the plan of care active, and the RTM codes have a foundation to stand on.
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