The landscape of healthcare delivery is evolving. With the 2026 CMS Final Rule introducing significant changes to Remote Therapeutic Monitoring (RTM) billing codes, embracing compliant technology is no longer a luxury but a necessity for delivering optimal patient care and maintaining financial viability. These new regulations expand RTM eligibility to shorter monitoring periods and lower management time thresholds, creating opportunities for practices across all specialties to serve more patients and capture previously unbillable revenue. RTM platforms empower healthcare providers to monitor patients’ non-physiological data crucial for therapeutic interventions while adhering to these new regulatory standards. This continuous insight allows for timely interventions, personalized care plans, and ultimately, improved patient outcomes. This post will explore the best RTM platforms ready for the 2026 changes, helping you choose the right solution to future-proof your practice.
Leading Remote Therapeutic Monitoring Platforms for 2026
Choosing the right RTM partner is crucial for navigating the 2026 CMS changes and maximizing the new revenue opportunities. Here are some of the leading RTM platforms designed to meet the specific needs of forward-thinking healthcare organizations.
1. Actuvi
Actuvi is a comprehensive digital health platform that functions as a digital extension of a clinic, with a strong focus on Remote Therapeutic Monitoring (RTM) compliance for the 2026 CMS Final Rule. It moves healthcare beyond the limitations of traditional, in-person appointments by creating a system for continuous and connected care. The platform is designed to be the central hub for a practice’s remote RTM operations, using intelligent automation to manage patient engagement, communication, and administrative tasks. Actuvi captures real-time, non-physiological patient data from multiple sources—including its FDA-compliant Software as a Medical Device (SaMD) mobile app, medical devices, and patient self-reporting—and organizes it into a single, unified view. The platform supports RTM programs across musculoskeletal, respiratory, and cognitive behavioral therapy conditions, making it ideal for the newly expanded patient populations under 2026 rules, including post-surgical patients, episodic conditions, medication titration, and transitional care management. The platform also includes integrated telehealth capabilities, allowing clinics to conduct secure video calls and virtual visits directly within the Actuvi system. Actuvi provides the tools for practices of any size to launch, manage, and scale a successful RTM program, claiming a 3-week implementation timeline with zero IT burden.
Pros:
- Complete RTM Billing Automation: Actuvi automates essential back-office operations specific to RTM compliance. This includes automated time tracking for patient interactions qualifying for the new 2026 CPT codes (including 98979 for 10-minute management time and 98984/5/6 for 2-15 day monitoring), generating CPT-ready billing reports, and sending appointment or medication reminders to patients, which frees up staff to focus on patient care.
- AI-Driven Patient Compliance for RTM: Actuvi’s AI automates patient engagement through text messages to improve therapeutic adherence. The platform uses AI texting to engage non-compliant patients, ensuring continuous data collection required for RTM billing. This approach meets patients where they are, using familiar technology to enhance compliance with care plans and reduce the burden on staff.
- Customizable RTM Programs with Full Implementation Support: Medical practices can build their own custom assessments and monitoring plans, called “tracks,” to fit their specialty and patient needs across musculoskeletal, respiratory, and CBT conditions. Actuvi designs clinical workflows for practices, manages bulk import of patient lists, and provides ongoing optimization with weekly reports to track program performance. The platform partners with clinics every step of the way, including training administrative and clinical staff.
2. HealthArc
HealthArc offers a comprehensive virtual healthcare platform that simplifies remote patient monitoring and care coordination for various specialties. The platform is designed to support chronic and therapeutic patient care by integrating medical devices with intelligent clinical software. HealthArc provides dedicated RTM programs for musculoskeletal, respiratory, and cognitive behavioral needs, tracking non-physiological data including medication and therapy adherence through their Software as a Medical Device (SaMD) patient app and cellular-enabled medication adherence sensors.
Pros:
- Extensive Device Integration: Integrates with over 40 medical devices for various conditions, including cellular, Bluetooth, and wearable devices from major brands.
- Zero Upfront Implementation Costs: HealthArc offers its RTM program with no initial charges or hidden fees, reducing the financial barrier to entry.
- Dedicated Clinical Support Teams: Provides pod-based teams of enrollment specialists, RNs, LPNs, and medical assistants to support patient programs and reduce staff burden.
Cons:
- Complexity of Multi-Device Platform: The breadth of device integrations across multiple care types may require a learning curve for practices looking for a streamlined, app-based solution.
- Emphasis on Device-Based Monitoring: While they support SaMD apps, the platform’s strength is in connected device integration, which may be less relevant for therapy-focused RTM programs.
3. Tenovi
Tenovi offers Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) solutions centered on cellular-connected devices that eliminate the need for patient setup, apps, or Wi-Fi. Their platform is designed for ease of use and scalability, with a strong focus on medication adherence for musculoskeletal and respiratory conditions. Tenovi’s RTM solutions track non-physiological data including medication adherence, device usage, and pain levels using specialized tools like the Tenovi Pillbox, PatchRx Smart Pill Bottle Cap, and Adherium Hailie Sensors.
Pros:
- Cellular Connectivity Eliminates Patient Barriers: Offers 50+ cellular-connected devices that require no apps or Wi-Fi, simplifying the patient experience and improving adherence.
- Specialized Medication Adherence Tools: Deep specialty in medication management with proprietary tracking devices for pills and inhalers.
- Developer-Friendly API for Scalability: A single API provides access to data, fulfillment, and support, allowing for seamless integration and program growth.
Cons:
- Primary Focus on Medication Adherence: The platform’s strength is in tracking device usage and medication adherence, which may be less comprehensive for broader therapeutic monitoring needs like pain scales or functional assessments.
- Device Costs May Apply: While cellular connectivity simplifies use, practices may need to factor in the cost of proprietary devices for patients.
4. Limber Health
Limber Health provides a comprehensive, hybrid care platform for physical therapy and rehabilitation practices. Their solution combines an extensive digital exercise library with tools for Remote Therapeutic Monitoring (RTM), Home Exercise Programs (HEP), and Patient-Reported Outcomes (PROs) to deliver connected care both in and out of the clinic. The platform features over 7,000 professionally produced videos covering specialties like Musculoskeletal & Orthopedic, Neurology, Pelvic Health, and Hand Therapy, and has been clinically validated through trials conducted at Mayo Clinic.
Pros:
- Unmatched Digital Exercise Content Library: Over 7,000 professionally produced exercise videos provide rich content for home exercise program assignments and patient education.
- Clinically Validated Platform: Efficacy has been validated through clinical trials at Mayo Clinic, adding credibility and research backing.
- Integrated RTM with PROs and MIPS Reporting: Combines RTM functionality with Patient-Reported Outcomes collection and supports MIPS reporting through its Qualified Clinical Data Registry (QCDR).
Cons:
- Primary Focus on Rehabilitation and Physical Therapy: The platform is designed specifically for PT, OT, and rehab practices, making it less versatile for other healthcare specialties.
- Exercise-Based RTM Emphasis: The strength is in home exercise program monitoring, which may not fully address the needs of practices requiring broader therapeutic data tracking beyond exercise adherence.
5. Biofourmis
Biofourmis provides a technology-enabled, AI-driven care delivery platform designed to extend care to patients at home across all levels of acuity. Their solutions integrate continuous data collection, FDA-cleared predictive analytics, and in-home service coordination to manage patients remotely, facilitate hospital-at-home programs, and support care transitions. The platform enables continuous patient monitoring featuring an integrated personal emergency response system, arrhythmia detection, and fall detection, supported by a 24/7 command center with dedicated nursing teams.
Pros:
- Enterprise-Level AI-Powered Analytics: Utilizes FDA-cleared predictive analytics to identify early signs of patient deterioration and enable proactive interventions.
- Comprehensive Hospital-at-Home Support: Designed for delivering hospital-level care at home, ideal for large health systems managing complex, high-acuity patients.
- 24/7 Clinical Monitoring and Support: Provides round-the-clock monitoring through a dedicated command center, reducing burden on practice staff.
Cons:
- Enterprise-Focused Solution: Primarily designed for large hospitals and health systems, making it potentially cost-prohibitive and overly complex for smaller practices.
- Emphasis on Acute Care Over Therapeutic Monitoring: The platform’s strength is in continuous physiological monitoring and hospital-at-home programs, rather than the non-physiological, therapy-focused data central to RTM billing.
How to Choose the Best RTM Platform for the 2026 Changes
Choosing the optimal RTM platform for your practice requires careful consideration of several factors, focusing on how well it supports compliant therapeutic monitoring under the new 2026 CMS Final Rule.
First, evaluate the platform’s versatility across specialties and its readiness for the 2026 CMS Final Rule changes. Does it offer customizable tools to track non-physiological data for musculoskeletal, respiratory, and cognitive behavioral therapy conditions? Can it handle both chronic conditions and the newly billable short-term, episodic, and post-operative cases (2-15 days)? Can it accommodate the new 10-minute management time billing threshold? The platform should be adaptable to your specific patient populations and therapeutic interventions.
Integration capabilities are paramount for operational efficiency. The system should seamlessly integrate with your existing EHR and EMR platforms to consolidate patient records, eliminate duplicate data entry, and streamline clinical workflows. This integration is essential for accurate documentation and billing compliance.
Consider the ease of use for therapeutic monitoring for both your staff and patients. An intuitive clinician portal and a simple mobile app are key for sustained patient engagement and staff adoption. Providers and care team members need to quickly access patient data and respond to alerts without a steep learning curve.
Scalability and RTM-specific support are vital for long-term success. The platform should scale with your patient volume as your program grows, and the vendor should have deep expertise in the 2026 RTM CPT codes and billing requirements. Actuvi, for instance, helps build custom RTM programs designed for future compliance and provides full implementation support. Assess the vendor’s expertise in navigating CMS regulations and their commitment to continuous platform updates as rules evolve.
Finally, thoroughly understand the RTM billing and compliance support the platform provides. The system must accurately track time and interactions qualifying for the 2026 CPT codes, including the new shorter monitoring periods (98984/5/6) and lower management time thresholds (98979). Automated time tracking, billing report generation, and clear audit trails are essential. By focusing on these aspects, such as Actuvi‘s complete practice automation, unified data integration, and customizable care plans, you can select a platform that not only meets today’s compliance standards but is also positioned to evolve with future regulatory changes.
What’s Next?
The adoption of Remote Therapeutic Monitoring is rapidly becoming a best practice in modern healthcare delivery, and adapting to the 2026 CMS Final Rule changes is essential for maximizing patient care and revenue opportunities across all specialties. As you consider launching or upgrading your practice’s RTM services, exploring these future-ready digital health platforms is a critical step. This technology empowers you to provide more responsive, individualized, and effective care while capturing previously unbillable revenue streams for post-operative, episodic, and transitional care patients.
