Keep patients engaged between visits. Get reimbursed for it.
Nudge RTM gives therapists, PCPs, and pulmonologists a structured way to monitor symptoms, deliver therapeutic content, and bill confidently under RTM and BHI codes, without increasing workload.
The gap between visits
Patients spend less than 1% of their time in clinical settings. Between appointments, symptoms shift, progress stalls, and setbacks go unnoticed. Traditional visit-based care was designed for episodes, not continuity.
The result is reactive care: providers learn about deterioration only when patients return, often after patterns have already worsened. This is not a failure of individual clinicians. It is a structural gap that Remote Therapeutic Monitoring was built to close.
Patient time spent in clinical settings
With an average visit lasting 20 minutes and 2-4 visits per year, patients spend less than 1% of their time with a clinician and the rest managing health alone.
Annals of Internal Medicine, 2024RTM service volume growth in one year
Remote Therapeutic Monitoring payments grew from $2.7M to $13.3M between 2022 and 2023, with service volume increasing from 59,040 to 279,464 services.
CMS / PMC, 2024Therapy dropout after first visits
Over 70% of all mental health treatment dropout occurs after the first or second visit, before therapeutic gains can take hold.
World Mental Health Surveys / PMC, 2021How Nudge RTM works
From enrollment to billing in five steps, all automated, all documented.
Enroll
Add patients in minutes. They receive their first check-in via SMS, email, or web link. No app to install, no login to remember.
Engage
Automated workflows deliver symptom assessments and therapeutic exercises on the days you choose. Branching logic adapts content based on responses.
Monitor
Symptom trends are classified as improving, stable, or declining. Risk flags surface concerning patterns automatically.
Review
The evidence view organizes patient responses for clinical decision-making. Structured review forms guide documentation.
Bill
Monitoring days, interaction minutes, and code eligibility are tracked automatically. Monthly reports and PDF exports are ready to submit.
See what your care team sees
A dedicated portal for managing patients, reviewing evidence, and tracking billing, all in one place.
Your RTM command center
See all enrolled patients at a glance. Filter by status, symptom trends, and risk flags to focus on who needs attention.
Symptom trends that tell a story
Track anxiety severity, functional impact, and emotional regulation over time. Trends are classified automatically as improving, stable, or declining.
Getting patients in takes minutes
Patients enroll through a simple form via SMS, email, or web link. No app to download. In multi-provider practices, patients select their therapist during enrollment.
Every therapist sees only their patients
Provider-scoped visibility ensures each therapist accesses only their assigned patients across the dashboard, billing, and reviews. Admins see everyone. Enforced at the API level.
Structured reviews with built-in documentation
A persistent timer tracks clinical time automatically. Record interaction type, browse patient evidence, and submit immutable reviews linked to the reviewing clinician.
Built for reimbursement
RTM and BHI codes make between-visit monitoring a sustainable part of your practice, not volunteer work. Nudge tracks eligibility criteria automatically.
| CPT Code | Description | Notes |
|---|---|---|
| 98975 | Remote therapeutic monitoring, initial setup | First 16+ days of monitoring in a 30-day period |
| 98976 | Device supply, respiratory system | Monthly supply of monitoring device |
| 98977 | Device supply, musculoskeletal system | Monthly supply of monitoring device |
| 98980 | Treatment management services, first 20 min | Clinical time reviewing and acting on RTM data |
| 98981 | Treatment management services, each additional 20 min | Additional clinical review time beyond initial 20 min |
| 98985 New 2026 | Monitoring data, 2-15 days | Covers shorter monitoring windows |
| 98979 New 2026 | Treatment management, 10-19 minutes | Covers shorter clinical review periods |
"We went from chasing patients with phone calls to having every patient get the same quality of follow-up without anyone on the team touching it. RTM finally feels sustainable."
Founder, KuduCare
Therapeutic exercises, built in
Between-visit engagement works best when patients have something meaningful to do, not just forms to fill out. Nudge includes a library of evidence-informed therapeutic exercises delivered automatically through workflows.
Guided breathing
Structured patterns like box breathing and 4-7-8 to support relaxation and respiratory function.
Progressive muscle relaxation
Step-by-step tension-and-release sequences targeting major muscle groups.
Grounding (5-4-3-2-1)
Sensory-based grounding technique for managing acute anxiety and dissociation.
Bilateral stimulation
Alternating sensory input exercises used in EMDR-informed protocols.
Body scan
Guided attention through body regions to build interoceptive awareness.
Thought reframing
Structured prompts for identifying and challenging cognitive distortions.
Gratitude prompts
Brief daily prompts to support positive psychology and mood tracking.
Guided visualization
Narrative-led imagery exercises for stress reduction and emotional regulation.
Compliance you can count on
Every interaction is documented, every opt-out is honored, and every access event is logged. Built for practices that take patient trust seriously.
"The fact that everything is logged, opt-outs are instant, and each therapist only sees their own caseload made compliance conversations with partners straightforward."
Founder, KuduCare
Full audit trail
Every patient interaction, opt-in, opt-out, and data access event is logged with timestamps for regulatory review.
Subscriber consent management
Patients provide documented consent before enrollment, with clear records of what they agreed to and when.
Opt-out handling
Patients can unsubscribe at any time. Workflows pause automatically and the event is recorded in the compliance log.
HIPAA-aligned architecture
Data handling, access controls, and provider-scoped visibility are designed around HIPAA minimum necessary standards.
Secure multi-channel delivery
SMS, email, and web portal communications follow security best practices with no PHI exposed in message previews.
See how RTM works for your practice
Book a walkthrough and we'll show you how Nudge RTM fits into your workflow, your billing, and your patients' lives between visits.
Get in touch