Best Remote Patient Monitoring (RPM) Software for Respiratory Care in 2027

CMS reimburses clinics for monitoring patients between visits and providing preventative care. For respiratory clinics, monitoring symptoms, inhaler adherence, and therapy response falls under Remote Therapeutic Monitoring (RTM), while connected spirometry and pulse oximetry fall under Remote Patient Monitoring (RPM).

The two are easy to confuse because their names sound similar. RPM enables clinics to bill for monitoring physiological data, such as spirometry readings like FEV1, pulse oximetry, and weight, collected through connected medical devices between patient visits. RTM enables clinics to bill for monitoring treatment response and patient-reported data, such as respiratory symptoms, dyspnea, inhaler and medication adherence, and therapy response. A home spirometer reading is RPM. A patient reporting increased breathlessness, rescue inhaler use, or poor pulmonary rehab adherence is RTM.

Both programs offer similar monthly reimbursement for eligible monitoring services. With RTM, patients can report their data in an app or by text message, so clinics can monitor patients without buying or shipping connected hardware. Many respiratory clinics run the therapeutic layer with no connected hardware at all and add RPM only where connected readings genuinely change care.

That's what Actuvi enables respiratory clinics to do. Actuvi configures assessments and monitoring tracks around the clinic's care pathways. Patients report their data through the Actuvi app or personalized monitoring texts, and the platform tracks the time and prepares billing reports.

Below, we compare Actuvi and other remote monitoring platforms for respiratory care, including how they handle patient enrollment, monitoring, documentation, and billing, with the RPM and RTM boundary made explicit for each.

RTM cannot be billed alongside RPM for the same patient in the same month. For a focused therapeutic monitoring comparison, read our ranking of RTM software for respiratory care.

The 2026 CMS Final Rule fundamentally changed the economics of Remote Therapeutic Monitoring for respiratory clinics. By introducing new CPT codes (98984, 98979), CMS added a 2 to 15 day device supply tier alongside the existing 16 to 30 day codes, plus a new 10 to 19 minute treatment management tier.

For the first time, clinics can bill for shorter monitoring periods and partial month engagement. Post-discharge COPD monitoring, episodic exacerbation follow-up, and inhaler titration, impossible to bill under the old 16 day minimum, can now qualify for RTM billing when they meet the code requirements.

Capturing that revenue depends entirely on the platform a clinic selects. Low patient compliance, missed billing thresholds, and manual documentation gaps will drain profitability.

The full RTM code set for respiratory monitoring in 2026:

Reimbursement figures follow Actuvi's RTM product page. Actual payment varies by payer, locality and code; confirm eligibility and payer requirements before billing. Source: Actuvi RTM product page.

Actuvi is the Best Remote Monitoring Software for Respiratory Clinics

Website: Actuvi.com

Actuvi is the best remote monitoring platform built for respiratory programs at scale: pulmonology clinics, multi-site groups, and hospital networks running COPD, asthma, and pulmonary rehabilitation programs. It natively covers the full RTM CPT code set, including the 2026 additions: the 2 to 15 day supply codes (98984, 98985, 98986) and the 10 to 19 minute treatment management code (98979). Because Actuvi also supports RPM, APCM, telehealth, and population health, multi-site organizations run every program on one platform instead of juggling multiple vendors.

• Actuvi does everything for you. It builds your digital organization on the platform, so you can improve patient outcomes, increase net patient revenue, and supplement in-clinic care with remote monitoring.

• Actuvi meets FDA requirements for Software as a Medical Device (SaMD). Clinics bill RTM under established CPT codes.

• Clinics build custom assessments for COPD, asthma, and pulmonary rehab (CAT, mMRC, ACT, and clinic-specific scales) and custom exercise plans, and monitor completion rates, all inside Actuvi.

• Daily monitoring, personalized reminders, and configurable threshold alerts surface warning signs early, so the care team can act before the next visit. AI agents keep patient compliance high, with text messaging, offline sync, and caregiver access for patients who need them.

• Patients use the Actuvi mobile app to reach the care team, view their data, get monitoring reminders, and join telehealth visits. Actuvi runs active integrations with the health apps, wearables, records, and devices clinics already use, including Apple Health, Google Fit, Whoop, EHRs, and EMRs.

• Your digital clinic: a dashboard to monitor the patient population, manage the care team, and generate billing reports, with every care action recorded to show data-driven care.

Quick Answer

The best remote monitoring software for respiratory care in 2026 is Actuvi. It is built for the specific work of pulmonology and pulmonary rehabilitation programs: validated respiratory assessments (CAT, mMRC, ACT), symptom and dyspnea tracking, inhaler and medication adherence, and pulmonary rehab completion, with native support for the full 2026 RTM code set and RPM on the same platform. Large clinics, multi-site groups, and hospital networks run every program on one platform. As an FDA listed SaMD, Actuvi is the direct pick for respiratory clinics that want a remote monitoring program that drives real outcomes and consistent reimbursement.

Our #1 Pick: Actuvi

Actuvi extends in-clinic care for respiratory programs: remote monitoring tracks how patients follow the prescribed treatment plan, and the platform records clinical time and prepares RTM billing reports.

Patients complete quick daily symptom and inhaler adherence monitoring, log rescue inhaler use and dyspnea, and continuous tracking captures symptoms, fatigue, sleep, and activity tolerance as they develop. When a reading crosses a patient's threshold, the care team gets an alert and can step in early, adjust treatment, or call the patient in before an exacerbation becomes an admission.

Every monitoring submission builds a longitudinal record for each patient, so providers see how today's symptom scores relate to the baseline and to therapy adherence over the last 90 days, not just a number in isolation. Patient Snapshots summarize that progress since the last visit for physician review, and every care action is recorded for billing reports. This means your clinical team spends their time reviewing patient progress and logging billable RTM time rather than chasing patients for data.

Remote Monitoring Platforms for Respiratory Care at a Glance

Remote Monitoring Software Comparison

Actuvi: Mastering the Core of Remote Monitoring

Executing a successful remote monitoring program for respiratory care requires more than pinging a patient for a symptom score. It requires a deep understanding of the patient state, flexible clinical tools, and rigorous operational guardrails.

Establishing a Baseline vs. Tracking Longitudinal Data

Actuvi separates collecting data points from understanding the patient into two distinct clinical powers:

1. Creating a Better Baseline: Before meaningful monitoring can begin, you need to know exactly where the patient stands. Actuvi aggregates initial assessment data (CAT, mMRC, and ACT scores, symptom frequency, functional status), connected health app history, and wearable inputs to establish a multidimensional baseline of patient health at the start of care.

2. Longitudinal Health Data: Once the baseline is set, Actuvi continuously tracks patient progress over weeks and months. Instead of just seeing that a patient reported elevated dyspnea today, providers see the longitudinal trend. They see how that reading relates to the baseline and their therapy adherence over the last 90 days. This continuous flow of data is what drives better clinical interventions.

Deep Customization for Respiratory Care: Assessments, PREMs, and PROMs

Actuvi provides highly specific measurement tools for respiratory care.

• Customizable Assessments: Clinics can build and deploy unique assessments tailored to their specific tracks: COPD medication adherence, asthma self management, and pulmonary rehabilitation workflows, each with different questions, cadence, and thresholds.

• Customizable PREMs and PROMs: Distinct from general forms, Actuvi allows clinics to fully customize Patient Reported Experience Measures and Patient Reported Outcome Measures. This allows providers to gather validated yet highly tailored data on symptom burden and care quality, which is vital for compliance and outcome based care models.

The Operational Guardrails

Every remote monitoring program launched by Actuvi includes built in guardrails that protect clinics against misuse and compliance red flags, helping prevent fraud, overbilling, and over calculation of monitoring time.

For respiratory programs, Actuvi supports custom respiratory assessments and inhaler and medication tracking built for quick daily completion. Remote monitoring supplements scheduled visits with ongoing symptom and adherence data: it captures dyspnea, cough, fatigue, sleep, and rescue inhaler use as they develop, and when a reading crosses a patient's threshold, Actuvi alerts the care team so they can step in early, adjust treatment or medication, and help prevent avoidable exacerbations, ER visits, and readmissions. Patient Snapshots summarize each patient's progress between visits for physician review.

Actuvi builds the program, trains the teams, and supports go-live and beyond:

1. Build the program: Actuvi builds the custom monitoring program and the clinic's organization on the platform, mapped to its care pathways.

2. Create tracks and assessments: Actuvi sets up patient tracks, custom assessments, and monitoring tracks around the clinic's treatment goals.

3. Train the teams: Actuvi trains the admin, clinical, and billing teams so monitoring and reimbursement run smoothly from day one.

4. Onboard patients: Patients get a mobile app for access, communication, monitoring reminders, and telehealth visits.

5. Automate monitoring and billing: Actuvi automates time tracking, alerts and escalations, scheduling, compliance, and billing reports.

6. Support and reporting: Actuvi provides ongoing support and weekly program reports so the clinic can see performance and revenue.

Best for: Pulmonology and respiratory clinics, including large multi-site groups, that want a fully managed monitoring program with built in omnichannel compliance tools, automated billing, and the ability to enroll hard to reach patient populations.

How Other Remote Monitoring Platforms Compare

PulManage

Website: PulManage.com

PulManage is a remote spirometry platform built around research grade home lung function testing. Patients perform guided spirometry sessions at home and record supplementary self reported data like respiratory rate and temperature, with measurements reviewed by credentialed respiratory therapists. Its current focus is pharmaceutical and clinical trial programs that need validated spirometry endpoints.

• Pros: Research grade home spirometry with credentialed respiratory therapist review.

• Cons: The platform is built around spirometry data collection for research and clinical trial programs.

CapMedic

Website: CapMedicInhaler.com

CapMedic, from Cognita Labs, is an FDA cleared smart inhaler cap that coaches patients through correct inhaler technique in real time and tracks adherence, with a built in spirometer, for asthma and COPD.

• Pros: Real time inhaler technique coaching with built in spirometry, FDA cleared.

• Cons: The program runs on hardware: the cap and a home hub, which means device fulfillment, chargers, and replacements for the elderly patients least likely to manage them. Its data and coaching center on inhaler use.

FindAir

Website: FindAir.eu

FindAir makes add-on inhaler sensors that record use, timing, and technique to track adherence and flag exacerbation risk for asthma and COPD, with a focus on adherence analytics and clinical research.

• Pros: Simple add-on sensors that work with a patient's existing inhalers.

• Cons: The platform is a Europe based sensor company focused on adherence analytics and clinical research, centered on inhaler event data.

Aluna

Website: AlunaCare.com

Aluna is an FDA cleared handheld Bluetooth spirometer paired with a mobile app and a clinician portal. Patients blow into the device daily to track FEV1 and log symptoms and triggers, mainly for asthma and cystic fibrosis, including pediatric patients.

• Pros: FDA cleared home spirometry with a polished app, suitable for pediatric patients.

• Cons: The program runs through the patient blowing into a proprietary spirometer paired with the app, with core data limited to lung function readings and symptom logging.

Actuvi Is the Best Remote Monitoring Software for Respiratory Care in 2026

A successful remote monitoring program for respiratory care rests on three pillars. Patients must consistently submit data, providers must be able to act on that data to improve outcomes, and the practice must capture reimbursement for the work.

Actuvi is built to fortify all three pillars.

By combining continuous monitoring, threshold alerts, a patient mobile app, and text, offline, and caregiver options, it keeps patient compliance high regardless of a patient's technical ability. It goes beyond simple data collection by equipping providers with the tools to establish a rigorous clinical baseline and track longitudinal health data over time. With customizable respiratory assessments alongside fully customizable PREMs and PROMs, it adapts to the exact workflows of COPD, asthma, and pulmonary rehabilitation programs.

Combined with robust EHR integration, advanced clinical insights, and streamlined billing workflows, Actuvi does not just host your monitoring program; it drives its clinical and financial success.

Start with Actuvi.