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.
Billing service
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.
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.
Our team submits claims for 98975, 98977, 98985, 98979, 98980 and 98981 and tracks every one through payment.
When a payer denies an RTM claim, we find out why, correct what needs correcting and appeal.
Your billing path
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.
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.
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
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
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.
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 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.
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.
Preventing denials
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.
Who pays for RTM
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.
A 30-minute demo with our team, covering your payers and your patients.