Cowboy Systems has Remote Therapeutic Monitoring (RTM) built in. The automated check-ins your patients already get become billable days of data, and Cowboy Systems tracks the codes, logs the time, and drafts the claims. Under 2026 Medicare rates that is up to about $168.68 per patient per month.
Most clinics leave this money on the table because tracking the days of data, the minutes, and the codes by hand is a part-time job nobody has time for. Cowboy Systems already runs the patient follow-up, so RTM is not a new workflow bolted on, it is revenue falling out of the one you already have. Enroll a patient, and the system watches the thresholds and drafts the claim the moment it is billable.
Drag the slider to your panel size. These use 2026 Medicare national rates, not projections.
"Typical" assumes device supply (98977/98985) plus one 20-39 minute management code (98980). "Up to" adds the second management code (98981) and the one-time setup. Actual revenue depends on payer, documentation, time logged and patient engagement. Not billing or legal advice.
Flag a patient for RTM as part of their therapy plan of care, with consent captured right in the record. No separate enrollment system.
The patient app and the AI agent send daily check-ins, pain, adherence, symptoms, and every response counts toward the days of data in the 30-day window. The automated follow-up is the engine.
Every enrolled patient's day-count, minutes logged, and which CPT codes are ready to bill right now, all in one place. No spreadsheets, no guessing.
Management minutes are logged for the monthly review, including the required live, interactive call, so the documentation is there if anyone ever asks.
When the day-count and time thresholds are hit, Cowboy Systems drafts the claim through the same billing engine that sends the rest of your charges. The therapist reviews and submits.
The full set of RTM CPT codes and their 2026 Medicare national rates, the ones Cowboy Systems tracks for you.
| CPT | What it covers | 2026 rate |
|---|---|---|
| 98975 | Setup & education (once per episode, after 2 days of data) | $21.71 |
| 98985 new 2026 | Device supply, 2–15 days of data | $51.44 |
| 98977 | Device supply, 16–30 days of data | $51.44 |
| 98979 new 2026 | Treatment management, 10–19 min | $26.39 |
| 98980 | Treatment management, 20–39 min | $54.11 |
| 98981 | Each additional 20 min (up to 3×/month) | $41.42 |
Maximum of roughly $168.68 per patient per month. Rates are 2026 Medicare national averages and vary by locality and payer.
RTM turns the care you already deliver between visits into a recurring line of revenue, without a new device company, a new login, or a new team.