Your Team, Our Expertise: A Simpler Way to Run RTM In-House

How physical therapy practices can build an efficient, scalable Remote Therapeutic Monitoring program without managing everything themselves.

Physical therapy practices can run RTM in-house by training existing qualified staff or directly employing a trained remote clinician. PhyxUp is developing a model that supports both paths through training, technology, and operational infrastructure. The right staffing path depends on existing staff capacity and the patient volume the program will support.

Remote Therapeutic Monitoring (RTM) is becoming an important part of how physical therapy practices support patients between visits.

But with CMS proposing changes to remote monitoring requirements for 2027, many practices are reconsidering how they staff and operate their RTM programs.

If the proposed rule is finalized as written, Medicare would generally require clinical staff providing RPM and RTM services to be directly employed by the billing practice rather than working as outside contractors. The proposal is described in the CMS CY 2027 Medicare Physician Fee Schedule proposed rule.

For practice owners, this raises a practical question: How can we bring RTM in-house without building every training, monitoring, documentation, and billing process from scratch?

At PhyxUp, we are building a flexible RTM model that allows practices to employ their own remote clinicians while leveraging PhyxUp’s training, technology, and operational infrastructure.

Your practice owns the care team. PhyxUp helps make RTM easier to operate.

Two Simple Ways to Build Your RTM Team

Every practice has different staffing needs. Some already have clinicians who can take on remote monitoring responsibilities. Others need additional support.

Option 1: Train Your Existing Staff

Already have a PT, PTA, or other appropriately qualified clinical team member who can support RTM? PhyxUp can help train them.

Our training covers patient onboarding, monitoring workflows, patient communication, documentation, time tracking, and monthly billing preparation. Your team can use PhyxUp’s platform to manage RTM patients alongside their existing clinical responsibilities. This can be a cost-effective option for practices with available staff capacity, allowing them to get started without immediately hiring additional employees.

Option 2: Hire a PhyxUp-Trained Remote Clinician

Don’t have enough staff available? PhyxUp can help connect your practice with remote physical therapists who have already been trained on our RTM workflows.

Your practice directly employs the clinician, while PhyxUp provides technology, training resources, and operational infrastructure. Instead of recruiting someone and developing an RTM process from the ground up, your practice can start with a clinician who already understands remote patient engagement and RTM documentation.

Either way, your practice maintains control of its clinical team while PhyxUp helps simplify the work around it.

1. Less Administrative Work for Your Practice

Hiring an RTM clinician is only one part of building a successful program. The ongoing work includes monitoring patient activity, scheduling follow-ups, documenting interactions, tracking time, identifying inactive patients, and preparing information for billing. Without a structured system, these responsibilities can quickly become another administrative burden.

PhyxUp brings these activities together in one platform. Our RTM workflow helps teams:

• Enroll and onboard patients
• Monitor patient engagement and activity
• Identify patients who need follow-up
• Organize outreach and scheduling
• Document patient interactions
• Track RTM management time
• Prepare monthly RTM documentation
• Support billing and claims workflows
• Review patient and program performance

Instead of managing spreadsheets, multiple communication tools, and disconnected records, your team can work through one organized system. Your clinicians focus on patients. PhyxUp helps simplify the operations around them.

Before enrolling patients, use our 2026 RTM patient eligibility checklist to review clinical fit, payer coverage, and patient participation.

2. Better Staffing Efficiency and More Predictable Costs

One of the biggest challenges in RTM is knowing how much staff time a program actually requires. How many patients can one remote clinician manage? When should you hire another person? Is your existing team working efficiently?

PhyxUp provides visibility into patient volume, clinician workload, outreach activity, and documentation progress. A smaller practice may begin by training an existing team member. As enrollment grows, it can add a dedicated remote clinician when patient volume supports the additional cost. A larger organization may distribute RTM responsibilities across a centralized team rather than assigning separate staff to every location.

With clearer workload information, practices can:

• Use existing staff capacity more effectively
• Reduce unnecessary administrative work
• Plan staffing costs around actual workload
• Identify opportunities to improve clinician productivity
• Expand their RTM teams as patient enrollment grows

The goal is not simply to enroll more patients. It is to build an RTM program where staffing costs, clinical workload, and reimbursement can be managed sustainably. A well-organized RTM program should become more efficient as it grows, not more complicated.

Our RTM profitability guide shows how to compare reimbursement with staffing, platform, and billing costs before expanding the program.

3. Standardized Training That Makes RTM Easier to Manage

RTM requires a consistent process. When every clinician handles patient outreach, documentation, and time tracking differently, it becomes difficult for practice leaders to understand how the program is performing.

PhyxUp helps standardize patient onboarding, monitoring, follow-up, documentation, and monthly completion. This creates several operational benefits:

• New team members can learn an established workflow
• Managers can review program activity more consistently
• Documentation processes become more organized
• Clinicians can identify outstanding patient tasks more easily
• Practices can maintain consistent workflows as their teams grow

Rather than having each clinic develop its own process, multi-location groups can implement a shared operating model.

4. Easier Staff Transitions and Business Continuity

Clinicians take vacations, change schedules, or leave for new opportunities. When an RTM program depends entirely on one employee’s personal workflow, these changes can disrupt patient monitoring and create additional work.

With PhyxUp, patient activity, monitoring records, communication history, and RTM documentation are organized within the system. An authorized team member can more easily understand what has been completed and what still needs attention. PhyxUp training and established workflows can shorten new-clinician onboarding and help practices maintain continuity.

5. Automation That Reduces Manual Follow-Up

RTM involves many small, recurring tasks. A patient stops engaging. Another needs a call. A clinician needs to complete documentation. A monthly billing period is approaching. Across dozens or hundreds of patients, these tasks can consume significant staff time.

PhyxUp helps organize and automate parts of this workflow through:

• Patient engagement and inactivity tracking
• Follow-up task organization
• RTM time tracking
• Documentation management
• Monthly workflow reminders
• RTM billing preparation
• Program-level visibility through dashboards

Rather than manually reviewing every patient every day, clinicians can identify where their attention is needed. Automation does not replace clinical judgment. It helps clinicians spend less time organizing work and more time supporting patients.

6. Simplified Billing and Revenue Cycle Workflows

Clinical monitoring is only part of RTM. Practices also need accurate documentation, appropriate billing workflows, and visibility into reimbursement.

PhyxUp connects RTM operations with billing support, organizing information for claims preparation and submission. Depending on the service arrangement, this can include documentation review workflows, claim preparation, submission support, and payment tracking.

This helps practices avoid treating RTM operations and billing as disconnected processes. Reimbursement still depends on payer policies, eligibility, documentation, and other requirements, but a more organized workflow can reduce avoidable administrative gaps.

Our 2026 month-end RTM billing workflow explains how to track data days, document management time, and review claims before submission.

7. Scale Across Multiple Clinics Without Building Separate RTM Teams

For growing therapy groups, RTM becomes more valuable when it can be managed consistently across locations. Instead of building a separate remote monitoring process at every location, an organization may establish a centralized RTM team employed by the practice.

That team can support eligible patients across locations through a common platform, subject to applicable clinical, licensure, supervision, and billing requirements. PhyxUp provides a shared system for coordinating tasks, monitoring patients, tracking clinician workload, and reviewing performance. As enrollment grows, the practice can expand the team without redesigning the operating model.

One standardized workflow. Multiple locations. A scalable RTM program.

8. More Than RTM Software or Staffing Support

Practices need people who understand remote care, a reliable workflow, patient-facing technology, documentation and billing support, and a way to manage the program efficiently. PhyxUp brings these pieces together:

• Trained Clinicians: Access to remote physical therapists familiar with RTM workflows, or training for your existing team.
• RTM Technology: A centralized platform for monitoring, engagement, communication, documentation, and workload management.
• Workflow Automation: Tools that help clinicians stay organized, identify patients needing attention, and complete recurring tasks.
• Operational Infrastructure: Established workflows, training resources, and program visibility to make daily management easier.
• Billing Support: Connected documentation and revenue cycle workflows to help practices manage RTM reimbursement.

Instead of piecing together separate staffing, software, training, and billing solutions, practices can build their RTM programs around one coordinated operating system.

The Future of RTM: Practice-Owned Care, Technology-Enabled Operations

CMS’s proposed changes may encourage more practices to integrate RTM directly into their clinical teams. We see this as an opportunity to make remote monitoring more connected, efficient, and sustainable.

Practices should be able to maintain control over their patients and clinical staff without having to develop every operational process themselves. Whether you are a small independent clinic or a growing multi-location organization, PhyxUp can help build an RTM program that fits your staffing needs and supports future growth.

Your Team. Our Expertise. One Simpler Way to Run RTM.

Ready to Build Your In-House RTM Program?

Whether you want to train your existing staff, hire a PhyxUp-trained remote clinician, or transition from an outsourced RTM model, we are here to help.

Complete the form below to tell us about your practice and RTM goals. We can discuss your staffing options, training needs, and the technology, operational, and billing support that may fit your team.