If you look strictly at the headline conversion factor, Medicare PT/OT Fee Schedule reimbursement for physical and occupational therapy appears to have received a welcome boost for 2026. However, the actual impact on your clinic's bottom line is more nuanced. While the baseline conversion factor rose by over 3%, a new permanent 2.5% efficiency adjustment applied to non-time-based work Relative Value Units (RVUs) offsets those gains for certain services. Depending on your cli

Remote Therapeutic Monitoring (RTM) is the use of medical devices to collect non-physiological data, such as therapy adherence and pain levels, from patients at home. Despite its potential, many practices have resisted launching RTM programs, citing rigid rules that often resulted in significant clinical effort going unreimbursed. What changed with RTM billing in 2026? Beginning January 1, 2026, new RTM CPT codes allow PT and OT practices to bill certain Remote Therapeutic Mo

Remote Therapeutic Monitoring (RTM) is being pitched to therapy practices as a new revenue stream. RTM can be legitimate and clinically helpful, but it is also easy to implement poorly. The difference comes down to workflows, documentation, and payer rules. RTM can be valuable, but only when it is implemented intentionally, compliantly, and with a clear operational plan. This post breaks down what RTM actually is, who it is appropriate for, and where practices tend to run int