01 / Clinical fit
A defined home-care pathway.
The responsible clinician selects appropriate patients, the MV model and the home-use plan. Agree what to monitor, how the results will inform care and when to reassess.
Professional/Remote therapeutic monitoring
MV.Health + HealthArc | US clinical practices
Remote therapeutic monitoring.Connected to your care plan.
Offer monitored home therapy with MV.Health devices and HealthArc. Your practice sets the care plan. HealthArc supports enrollment, patient check-ins, care management and billing documentation. Your practice reviews and bills eligible services.
Patient + MV.HealthHome therapy, guided by you.
The patient uses the selected MV device and reports their response through HealthArc.
HealthArc monitoring teamA care team between visits.
HealthArc coordinates check-ins, reviews responses and provides live follow-up within the agreed care plan.
Your practice + billerA documented service to review.
Your practice receives the care record, checks supported claims and retains clinical and billing oversight.
Patient-reported monitoring through HealthArc. No automatic MV device telemetry or blanket coverage guarantee.
An operating program, with patient-specific eligibility
Build around the right patients.
MV.Health has participating practices working with HealthArc and receiving reimbursement through this arrangement. Each new practice and patient still needs a clinical, technical and coverage review.
02 / Service fit
A qualifying monitoring setup.
Confirm that the device or software collecting and transmitting RTM data meets the FDA definition of a medical device. Review HealthArc data capture, qualified staff, supervision and record export for your pathway.
MV device registration alone does not establish eligibility for the complete RTM arrangement.
03 / Coverage fit
Benefits checked before enrollment.
HealthArc supports benefits verification. Your billing team confirms payer policy, provider eligibility, authorization, documentation and the patient's expected financial responsibility.
An available billing code or a successful claim elsewhere is not a coverage guarantee.
Match the service to the clinical need. The supply codes below concern musculoskeletal monitoring. Erectile dysfunction, sexual-function concerns or post-surgical status do not establish eligibility by themselves. Review the actual condition, complete service and model-specific instructions. US regulatory context.
The data route
Patient check-ins. Not device telemetry.
The therapeutic device and the monitoring platform have different roles. Make that distinction clear from the first conversation.
Home therapy
MV.Health supplies the device.
The patient follows your home-use plan. The MV app controls the device and its patterns; it does not collect usage data or send automatic adherence telemetry to HealthArc.
Monitoring + care management
HealthArc captures the check-ins.
Patients report the agreed measures, such as therapy adherence and pain, through HealthArc. App, text and caregiver-supported routes are arranged during enrollment. The care team reviews responses and follows the agreed escalation plan.
Confirm which reporting routes meet the applicable service requirements and are accessible to each patient.
RTM can include patient-reported therapeutic data collected through an eligible monitoring system. A device session, unanswered reminder or generic diary is not automatically a qualifying data day. Review APTA's reporting guidance.
Who does what
From the visit to the monthly record.
HealthArc provides the day-to-day monitoring support. Your practice remains responsible for patient selection, the clinical plan, oversight and the claims it submits.
- 01
Your practice
Recommend & refer.
Discuss home therapy and monitoring with a suitable patient. Record the care plan and permission to be contacted, then send the agreed referral through the secure practice-to-HealthArc route.
Supply the selected device with model-specific instructions. Do not put patient information in an MV website form.
- 02
HealthArc + patient
Verify & enroll.
HealthArc contacts the patient, checks benefits, explains the program and obtains enrollment consent. It sets up the agreed reporting route and patient education.
The handout targets initial contact within 24-72 hours. Confirm local service levels and any patient cost-sharing.
- 03
HealthArc care team
Check in & manage.
Patients complete daily check-ins against the care plan. HealthArc reviews responses, follows agreed alert thresholds and provides monthly live contact and documented treatment-management work.
Count actual qualifying data days and clinical time, not scheduled messages or assumed device use.
- 04
HealthArc + your biller
Review & reconcile.
HealthArc supplies notes, contacts and time records for your EMR, with claims staging where supported. Your biller reviews and submits eligible claims, then reconciles reimbursement and partner charges.
HealthArc charges $25 per reimbursed code under the written practice agreement.
Set the handoff before launch. Agree response times, urgent-care instructions, clinician escalation, staff qualifications and record review. Monitoring is not an emergency service, and outsourced support does not transfer the practice's accountability.
Selected 2026 musculoskeletal RTM codes
Two clocks. Two separate records.
Supply codes depend on qualifying data days in a 30-day period. Treatment-management codes depend on qualified clinical time in a calendar month, including a live patient or caregiver interaction.
Track A · Device supply
Count qualifying data days.
2–15days / 30-day period98985
16–30days / 30-day period98977
Musculoskeletal monitoring only. Select the applicable range; do not add these two supply codes together.
Track B · Treatment management
Count qualifying clinical time.
10–19minutes / calendar month98979
20+minutes / calendar month98980
At least one real-time patient or caregiver conversation is required. Do not add 98979 to 98980.
Initial setup & patient education.
98975 is reported once per episode when its requirements are met. APTA's 2026 reporting guidance calls for activation and at least two cumulative monitoring days in a 30-day period before reporting setup. Verify current payer requirements.
Additional management time.
98981 follows 98980 for each additional full 20 minutes when applicable. Count qualifying work only, with no duplicate time across billed services.
Plain-language summaries, not full CPT descriptors or claim instructions. Supply periods and calendar-month time logs are different clocks. The clinical plan determines treatment frequency—not the billing threshold.
A live call does not have to occupy the entire management threshold: qualifying review and management work can contribute. Document the work, personnel, time and real-time interaction. CMS 2026 code update | APTA reporting guidance. CPT is a registered trademark of the American Medical Association.
HealthArc program economics | USD
See the costs behind the headline.
The clinician handout illustrates $110-$120 in monthly service revenue and a $50 HealthArc fee for two reimbursed codes. That leaves $60-$70 before billing fees, device cost and other practice costs. It is retained revenue, not net profit.
Payer + patient share→Billing practice→Device, monitoring & clinic costs→Remaining contribution
Illustrative first year | per patient
$618.00Contribution before unentered costs.
- Monthly after HealthArc, before biller
- $70.00
- Monthly after biller fee
- $64.00
- First-year collections
- $1,440.00
- HealthArc fees
- -$600.00
- Biller fees
- -$72.00
- Device cost
- -$150.00
- Other practice costs
- $0.00
First-year total | 1 patient(s)$618.00
Other practice costs are still $0. Enter them before assessing viability.
Collections minus entered costs, not net profit. No allowance for unentered overhead, taxes, financing or replacements. Payment timing and eligibility can change the result.
Check the assumptions behind your scenario
The monthly model assumes the same eligible service and collections in each paid month. HealthArc fees are $25 multiplied by the reimbursed code count and paid months. The biller percentage is applied to collections. First-year device and other practice costs are deducted once, including when no months are paid.
With the example's $120 monthly collections, two reimbursed codes and 5% biller fee, $64 remains each paid month before device and other practice costs. Six paid months, rather than twelve, leave $234 after a $150 device and before other practice costs. At $110 monthly collections, twelve months leave $504 after the same fees and device cost.
Use actual payer rates, code mix and contract terms. Model unpaid months and additional support costs. This tool does not select billing codes, establish coverage or predict cash-flow break-even.
CMS fee schedule lookupRead the example in context. The handout attributes its figures to Florida Medicare in 2026; they are not independently verified fee-schedule quotations. Its two-code illustration uses an eligible supply code plus 98980. Do not assume the same amount when using 98979. Actual payer rates, locality, setting, collections, code mix and eligible months change the result. The handout's approximately $150 device cost is also an illustration, not a current quotation.
Commercial terms and responsibilities
A direct HealthArc-practice agreement.
MV.Health supplies the devices and stays outside the RTM claims and reimbursement flow. HealthArc contracts directly with your practice. Confirm the complete scope and terms in writing before enrollment.
Partner fee
A flat fee per reimbursed code.
The handout specifies $25 per reimbursed code, rather than a percentage of reimbursement. Two reimbursed monthly codes therefore produce a $50 HealthArc charge.
Invoicing + credits
Payment-linked invoicing.
The stated terms are no upfront program fee and net-30 invoicing for reimbursed codes. Denied codes are credited on the next invoice, with quarterly reconciliation.
Clinical + billing responsibility
Your practice keeps oversight.
HealthArc supports enrollment, monitoring, care-management records and claims staging. Your practice approves the care pathway, handles clinical escalation and remains accountable for the claims it bills.
No upfront program fee does not mean no costs. Device inventory, clinical oversight, billing, integration and other practice expenses need their own review. The signed agreement governs service scope, invoices, denial handling and reconciliation.
Getting started
A practical launch, with clear owners.
Start with a focused HealthArc introduction for your practice manager, clinical lead and biller. Use it to settle the pathway, the record flow and the commercial terms.
Map the pathway.
Use an initial 20-minute planning call to discuss patient selection, the home-care plan, monitoring measures, alert thresholds and who responds to an escalation.
Confirm eligibility & costs.
Review provider scope, payer mix, regulatory requirements, patient cost-sharing and overlapping services. Agree how exceptions and unbillable periods will be handled.
Agree the service contract.
Confirm the $25-per-reimbursed-code structure, included work, supervision, privacy arrangements, invoicing, denial credits and the practice's retained responsibilities.
Test the record flow.
Choose the supported EMR workflow or PDF route. Test a referral, a patient check-in, escalation and the month-end record before enrolling the first cohort.
Prepare devices & patients.
Order suitable devices against the current wholesale quotation. Prepare model-specific education and accessible check-in options. Explain any monitoring cost-sharing before consent.
Review the first service period.
Check data completeness, patient experience, clinical usefulness and claim support after the applicable reporting period. Review actual payments and costs before expanding.
HealthArc describes Athena claims staging and integration options for eClinicalWorks and Epic, with PDF care records for other EMRs. Confirm availability, interfaces, permissions, costs and implementation timing for your own system. Do not assume every feature is already connected.
Questions from practice teams
What to settle before enrollment.
The details that matter to clinicians, practice managers, billers and patients.
Is this already operating?
Yes. MV.Health has confirmed that participating practices are working with HealthArc and receiving reimbursement through this setup. That does not establish coverage for every payer, condition or patient. Ask for the current onboarding requirements for your practice.
Does the MV device send usage data to HealthArc?
No. The MV app provides device control, not usage telemetry. The monitoring record comes from patient-reported check-ins through HealthArc and the care team's documented work.
What does a qualifying data day mean?
It is a day supported by qualifying monitoring data under the applicable service and payer rules. It is not simply a device session or a reminder sent to the patient. HealthArc and your billing team must substantiate the count. The clinical plan, not a billing target, determines device-use frequency.
Does the management call have to last 20 minutes?
No. For 98980, qualifying review and treatment-management work can contribute to the first 20 minutes, alongside at least one real-time interaction with the patient or caregiver. The 2026 code 98979 covers the shorter 10-19-minute range when its requirements are met. Do not report both for the same management period.
Can PTs and OTs take part?
Eligible therapists can report RTM within their scope and applicable requirements. CMS specifies therapy-plan and modifier rules for therapist-delivered services; certain physician or other practitioner musculoskeletal services also require a therapy plan. Review provider type, setting, personnel and supervision before launch.
Does no upfront fee mean the device or monitoring is free?
No. The stated no-upfront-fee term concerns the HealthArc program fee. The practice separately purchases devices and incurs its own costs. Patients may have deductible, coinsurance or copayment obligations for RTM. Explain verified patient-specific costs before enrollment; do not promise free monitoring.
Is $70 per month net profit?
No. It is the upper end of the handout's $60-$70 monthly amount after a $50 HealthArc fee and before billing fees, device cost and other practice costs. The handout illustrates a 4-6% biller fee, but your own contract determines the actual fee. Neither a three-month device-cost recovery nor twelve paid months is guaranteed.
Do we need to hire a monitoring team or replace our EMR?
HealthArc is intended to provide day-to-day monitoring support without your practice building a separate monitoring operation. Your team still needs onboarding, clinical escalation and billing oversight. Confirm the supported integration or PDF route for your EMR and any local implementation work.
What happens when a patient misses check-ins or a claim is denied?
Review the actual data days, management time and continued clinical need. A lower code is appropriate only when all of its requirements are met; some periods may not be billable. The handout provides for denied-code credits and quarterly reconciliation, subject to the signed HealthArc agreement.
Can we bill RTM alongside RPM or other care-management services?
Medicare does not permit concurrent RPM and RTM billing. Other services have their own rules, including time-overlap and global-period restrictions. Check current payer policy and never count the same work twice.
What should we send MV.Health to get started?
Share your practice type, intended clinical pathway, payer mix, EMR and the appropriate clinical or operations contact. MV can coordinate the HealthArc introduction and product review. Keep patient-identifiable information out of website enquiries.
Sources and review date
Keep the service and billing rules current.
Reviewed 2 November 2026 using the MVHealth RTM Info - Clinician Handout and current program updates, alongside the primary guidance below. The code guide is for 2026; recheck effective rules and payment rates for later service dates.
MV.Health + HealthArc | PDFDownload the RTM clinician handout Two-page program overview: practice workflow, HealthArc support, billing codes and illustrative economics. Read alongside the qualifications on this page.CMS2026 therapy-code update New and revised RTM codes, therapy plans and modifier context.APTA | January 2026RTM practice advisory Setup, qualifying data days, management time and documentation.CMS | MLN bookletTelehealth & remote monitoring Medicare remote-monitoring principles and concurrent-billing restrictions.CMS | Payment referencePhysician fee schedule lookup Check the year, locality and setting. Commercial contracts differ.CMS | Provider guidanceTherapy services Plan-of-care, therapist and reporting requirements.MV.HealthMV product & clinical resources Model-specific guides, clinical evidence and practice resources.
Educational planning information, not individualized medical, legal or billing advice. Commercial terms require a written HealthArc agreement and current MV quotation. Device registration is not FDA approval, a payer coverage decision or validation of the complete RTM program.
Plan your HealthArc introduction
Bring your team. Map your first cohort.
Talk with MV.Health about the devices and a HealthArc introduction. We will help frame the clinical pathway and the practical questions for your practice manager and billing team.
- Practice type and intended clinical pathway.
- Patient population and payer mix, without patient identifiers.
- EMR and current billing workflow.
- Clinical lead, practice manager and billing contact.