SaRA Health

Billing service

RTM billing for physical therapy practices, handled from claim to payment.

RTM only pays off when the claims get paid. SaRA's billing team turns the care SaRA documents into claims, follows them through payment and works the denials.

What the billing team does

PREPARE

Claims from what SaRA records

Monitoring days, clinician time and the monthly live conversation are captured as care happens, so each claim is built from a record made at the time.

SUBMIT

Submitted and tracked

Our team submits claims for 98975, 98977, 98985, 98979, 98980 and 98981 and tracks every one through payment.

RECOVER

Denials worked for you

When a payer denies an RTM claim, we find out why, correct what needs correcting and appeal.

Your billing path

Two ways the claims get out the door. The care is the same either way.

Every practice on SaRA runs the same monitoring. Patients answer check-ins by text, your clinicians see who needs them, and the finished care lands on one list in SaRA. Your billing path decides only who turns that list into claims.

SARA BILLS FOR YOU

Our billing team files the claims

Our billing team prepares and submits your RTM claims and follows them through payment. Your team reviews each item in SaRA and signs off. The codes and the supporting documentation are prepared for you, and you can see where every claim stands without leaving SaRA.

When a payer needs a one-time enrollment before it pays RTM claims, we prepare the paperwork and follow up. Your part is to sign the form and send it back.

YOU BILL IT YOURSELF

Your biller works the list

SaRA still does the watching. Your list shows which patients are ready, with the codes to add and the documentation to copy into your notes. Whoever runs your billing works that list, and your EMR takes it from there.

Step-by-step billing guides for most PT EMRs are inside SaRA, so your biller is never guessing where the codes go.

Your billing path is set when your practice joins SaRA. On both paths, your monthly SaRA invoice is separate from your claims.

When SaRA bills for you

What stays with your clinic.

  • Sign your notes. A visit cannot bill until its note is signed. This is the most common holdup.
  • Sign off in SaRA. Each ready item appears with the codes and documentation prepared. Your sign-off releases it to us.
  • Sign and return enrollment forms when a payer needs one. We prepare them, you sign, we file.
  • Keep your patients' insurance details current so claims go to the right payer the first time.

How the money flows.

Payers reimburse your clinic directly, exactly like the rest of your claims. SaRA's own invoice arrives separately by email once a month, and you can view and pay it inside SaRA. How payment detail comes back to you stays with your practice and your clearinghouse, as it does today.

Your EMR and clearinghouse

SaRA billing runs beside your EMR and your clearinghouse, not instead of them.

When SaRA bills RTM for you, your practice keeps its EMR, keeps its clearinghouse, and keeps its biller. SaRA adds one narrow lane for the RTM claims.

YOUR EMR

Nothing retyped

SaRA reads patient information from your EMR so your team is not retyping it. With WebPT, Raintree, Prompt, athenahealth and Spry the connection is automatic. Some other browser-based EMRs connect through the SaRA browser extension, and your team fills in anything that does not come across.

YOUR CLEARINGHOUSE

Your claims keep their lane

Your biller keeps sending your regular claims through your clearinghouse. SaRA sends only the RTM claims through ours. Your payment reports keep arriving where they arrive today. Depending on your clearinghouse, we may ask your biller for a way to see the RTM payment reports, and we set that up with them directly so you are not in the middle.

YOUR BILLER

No visit billed twice

SaRA is the only one sending the RTM codes. Your biller leaves those alone, and everything else stays theirs, so no visit is billed twice. If you ever move RTM billing back in house, we hand over the list of everything we submitted.

Not every setup fits yet. A practice that bills on paper with no clearinghouse, or whose EMR has no connection yet, is usually not a fit for SaRA billing today. Tell us your EMR and your clearinghouse and we will say which side you land on before you commit to anything.

What we will ask you for

  1. Which EMR you use.
  2. Which clearinghouse your biller uses.
  3. Your main payers, so we can tell you up front which ones need a one-time enrollment form.
  4. An introduction to whoever runs your billing.
  5. A heads up if you change your EMR or clearinghouse, before the switch if you can.

Preventing denials

Getting it right before the claim goes out.

Many RTM denials trace back to the same few problems: codes billed like visits, dates of service that don't fit the code, too few monitoring days, or missing documentation. See the common causes or read why RTM billing is hard.

  • Monitoring days and clinician time captured as they happen
  • Coding rules built into the workflow, including the 2026 codes
  • A record of consent, check-ins, clinician time and the monthly live conversation for every claim
  • People on our team who work RTM claims every day

Who pays for RTM

Medicare and commercial payers.

Our customers have been reimbursed for RTM by Medicare and by commercial payers including UnitedHealthcare, Blue Cross Blue Shield and Aetna. Coverage varies by plan.

MedicareUnitedHealthcareBlue Cross Blue ShieldAetnaOther commercial plans

See what RTM billing would look like for your practice.

A 30-minute demo with our team, covering your payers and your patients.

Book a 30-minute demo