RTM billing readiness is a short set of gates. Walk them in order — the first one that fails is your answer — and this guide shows exactly where in BoneArc to check and fix each.
When a patient isn’t showing as billable, it’s almost always one specific thing missing — not a mystery. RTM readiness is a sequence of gates, and BoneArc checks them in the same order every time. Walk them top to bottom; the first gate that fails is the reason, and it’s the only one you need to fix to move forward.
These gates are in order. Start at the top and stop at the first one that isn’t met — that is why the patient isn’t billable. Fix it, then continue down. Gates 1–4 build toward device-supply readiness; the interactive call in gate 5 is the extra element the treatment-management codes need.
Billing readiness starts with your account. Your provider profile must be verified and eligible before any patient can roll into your billable totals.
Where to check: your credential and account status live under Settings / your profile. If your account isn’t approved yet, email support@bonearc.com — this one isn’t self-serve.This is the gate that stops the most patients. No documented consent, not billable — full stop. Until the patient’s RTM consent is on file, BoneArc holds them out of your billable totals and flags the row: “Consent required — not billable until RTM consent is on file.”
Where to fix: RTM Billing → Patient Status. On the flagged row, use Send Consent Request (email the patient to consent in-app) or Record Verbal Consent (attest consent you already obtained). See Consent & the therapy plan of care.The device-supply codes require the patient to have transmitted enough distinct data-days of monitoring. If the patient has logged too few days so far, the device-supply codes simply haven’t reached their threshold yet — that’s expected early in an episode, and it resolves as the patient keeps logging.
Where to check: Patients → open the patient → Patient Detail to see their daily activity and how the days are accumulating.The treatment-management codes require your documented management time to reach the applicable management-time thresholds. If your accumulated time is still short of the first threshold, those codes aren’t billable yet — keep documenting your review and management work.
Where to check: Patients → open the patient → Patient Detail. The RTM time tracker shows your running total. See How review time is tracked.The treatment-management codes also require at least one documented synchronous, interactive phone call per episode — a live, two-way voice conversation, phone only (not video or messaging). Until a qualifying call is logged for the episode, BoneArc marks those codes as not yet billable and prompts you to log one.
Where to fix: open the patient’s Calls tab and use Log Phone Call, then confirm the attestation. See The RTM call.Not every gate blocks everything. Once you’re past consent and the data-days accumulate, a patient can be device-supply billable even before the management codes are ready.
The treatment-management codes sit one step higher: they need the management time and the logged interactive call for the episode. So a patient can be partway billable — that’s normal, and the Patient Status list shows exactly which pieces are still open.
If you’ve walked all five gates and the patient still isn’t billable — or something looks wrong that none of these explains — don’t guess. Email support@bonearc.com and the BoneArc team will help you track it down.
This is general educational information about using BoneArc, not billing or legal advice. Coverage, coding, thresholds, and documentation requirements vary by payer, MAC, and locality — confirm the specifics for any claim with your own biller.
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