Remote Therapeutic Monitoring is now in Fusion

Every week, your team checks in on home exercise adherence, watches pain trends, and follows up with the clients who’ve gone quiet. And every week, almost none of that work makes it onto a claim.

That changes now. Remote Therapeutic Monitoring (RTM), powered by Wibbi, is live inside Fusion by Ensora Health, and it turns the follow-up you’re already doing into billable, documented care.

Care beyond the visit, now with billing built in

Home Exercise Programs keep clients engaged with their plan of care between sessions. RTM is the next layer of Fusion’s connected care approach: it lets your team monitor that between-visit work, document it, and bill for it, all inside the same Wibbi connection already running in Fusion. If your practice uses Fusion’s Wibbi-powered HEP integration, RTM builds directly on that connection instead of asking you to set anything up from scratch.

How it works inside Fusion

1. Enroll an eligible client in RTM through the same Wibbi connection already assigning their home program.
2. The client’s adherence data and self-reported symptoms sync back to Fusion automatically.
3. Fusion maps that data to the applicable RTM billing codes and generates claims for the monitoring work your team is already doing.

No toggling between systems. No duplicate documentation. The clinical work and the billing work happen in the same place.

Why this matters now

Under the 2026 Medicare Physician Fee Schedule Final Rule, CMS added two new RTM codes that lower the bar for qualifying. One covers shorter monitoring windows (as few as 2 days of data instead of 16), and the other covers shorter monthly review time (10 minutes instead of 20). The signal from CMS is clear: what happens between visits counts as care, and clinicians should be paid for managing it.

Your clients spend far more time at home than in your practice, and the work your team does to keep them on track during that time has clinical value and, now more than ever, billable value. When the 2026 rules opened the door wider, we built RTM into Fusion so practices could walk through it without adding a vendor, a login, or a duplicate workflow.

In practice, the new codes mean clients you previously couldn’t bill RTM for, because you didn’t hit the old thresholds, may now qualify. More of your existing caseload is eligible than this time last year.

The 2026 RTM codes at a glance

For the full billing walkthrough, including reimbursement rates and the day-by-day workflow from enrollment to claim, see our guide to driving new revenue with RTM and HEP.

What your clients get

Your clients get programs built from Wibbi’s library of more than 20,000 exercise videos and 300-plus templates, delivered through a mobile app that makes it easy to follow along, log progress, and report pain, all HIPAA-compliant. Clear videos and simple tracking mean clients actually do their programs, and when they don’t, you know early enough to intervene instead of finding out at the next visit.

What this means for your practice

Revenue. Monitoring work you’re likely already doing informally becomes billable, without adding in-clinic visits. 2026 also brought a modest increase to the Medicare conversion factor itself, which lifts reimbursement across the board.

Clinical visibility. Know what’s actually happening between sessions before a client walks back through the door, instead of relying on a client’s memory of the last two weeks.

Simplicity. One system that handles both sides, plus an expansive range of outpatient capabilities.  

You’ve already been doing the work RTM pays for. Now you can bill for it.

Frequently asked questions

What is remote therapeutic monitoring?

Remote therapeutic monitoring is a Medicare billing category, introduced in 2022, that reimburses clinical staff for monitoring a client’s status between visits using self-reported and device-collected data: exercise completion, pain levels, and functional response to treatment. Unlike an informal phone check-in, RTM is a structured, billable service with its own documentation and time requirements.

Do I need the HEP integration to use RTM in Fusion?

Yes. RTM in Fusion builds on the Wibbi HEP connection, because the adherence and self-reported data captured through home programs is what RTM monitors and bills for. If you’re not using HEP yet, that’s the starting point.

Sources

CMS CY2026 Medicare Physician Fee Schedule Final Rule; CMS Transmittal R13431CP; CMS Therapy Code List 2026 Annual Update (MM14250). Tier 1 (government/CMS).

Wibbi, 2026: $100+ additional reimbursement per monitored client per month in a well-implemented RTM program. Tier 2 (named partner; attribute with “according to Wibbi”).

APTA Practice Advisory: Remote Therapeutic Monitoring Codes Under Medicare. Tier 1 (professional association).