CMS reimburses clinics for monitoring patients between visits and providing preventative care. For behavioral health and cognitive behavioral therapy (CBT) clinics, monitoring mood, anxiety, sleep, medication adherence, and therapy exercise completion falls under Remote Therapeutic Monitoring (RTM), not 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 blood pressure, heart rate, 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 mood scores, PHQ 9 and GAD 7 results, therapy exercise adherence, and medication response.

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. RTM is also the only remote monitoring benefit with a supply code dedicated to cognitive behavioral therapy monitoring, so the program fits how therapy already works between sessions.

That's what Actuvi enables behavioral health and CBT 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 RTM platforms for behavioral health and CBT clinics, including how they handle patient enrollment, monitoring, documentation, and billing.

RTM cannot be billed alongside RPM for the same patient in the same month. For a deeper RTM specific breakdown, read our ranking of RTM software for behavioral health and CBT clinics.

The 2026 CMS Final Rule fundamentally changed the economics of Remote Therapeutic Monitoring for CBT and behavioral health clinics. With the new CPT codes 98986 and 98979, CMS added a 2 to 15 day CBT device supply tier alongside the existing 16 to 30 day code, plus a new 10 to 19 minute treatment management tier.

For the first time, mental health clinics can bill for shorter monitoring periods and partial month engagement. Intensive outpatient transitions, episodic anxiety or depression flare ups, and medication 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 cognitive behavioral therapy 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 Therapeutic Monitoring (RTM) Software for Cognitive and Mental Health Clinics

Website: Actuvi.com

Actuvi is the best remote therapeutic monitoring platform built for behavioral health and cognitive behavioral therapy programs at scale: large clinics, multi-site groups, and hospital networks running mental health and CBT programs. It natively covers the full RTM CPT code set, including the 2026 additions: the dedicated CBT supply codes (98978, and the new 98986 for 2 to 15 days of data), the 2 to 15 day supply codes for the other monitoring types (98984, 98985), 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 mental health (PHQ 9, GAD 7, and clinic-specific scales) and custom therapy exercises, 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 session. 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 RTM software for cognitive and mental health clinics in 2026 is Actuvi. It is built for the specific work of behavioral health and CBT programs: validated mental health assessments like PHQ 9 and GAD 7, mood and sleep tracking, therapy exercise adherence, and medication response monitoring, with native support for the full 2026 RTM code set, including the dedicated CBT supply codes. 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 cognitive and mental health clinics that want an RTM program that drives real outcomes and consistent reimbursement.

Our #1 Pick: Actuvi

Actuvi extends in-clinic care for behavioral health and CBT 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 mood and medication monitoring, finish assigned therapy exercises, and continuous tracking captures mood, anxiety, sleep, and symptoms as they develop. When a PHQ 9 or GAD 7 score crosses a patient's threshold, the care team gets an alert and can step in early, adjust treatment, or bring the patient in before the next session.

Every monitoring submission builds a longitudinal record for each patient, so providers see how today's PHQ 9 score relates 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 Therapeutic Monitoring (RTM) Platforms for Cognitive and Mental Health Clinics at a Glance

Remote Therapeutic Monitoring (RTM) Software Comparison

Actuvi: Mastering the Core of Remote Therapeutic Monitoring (RTM)

Executing a successful RTM program for behavioral health and CBT care requires more than pinging a patient for a mood 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 (PHQ 9, GAD 7, sleep, 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 a PHQ 9 score of 14 today, providers see the longitudinal trend. They see how that 14 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 Behavioral Health: Assessments, PREMs, and PROMs

Actuvi provides highly specific measurement tools for behavioral health care.

• Customizable Assessments: Clinics can build and deploy unique assessments tailored to their specific therapy tracks, from standardized mood scales to clinic-specific CBT protocols.

• 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 change and care quality, which is vital for compliance and outcome based care models.

The Operational Guardrails

Every RTM 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 behavioral health and CBT programs, Actuvi supports custom mental health assessments and therapy exercises built for quick daily completion. Remote monitoring supplements scheduled sessions with ongoing symptom and adherence data: it captures mood, anxiety, sleep, and medication response as they develop, and when a score crosses a patient's threshold, Actuvi alerts the care team so they can step in early, adjust treatment, and help prevent avoidable crises, 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 therapy exercises 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: Behavioral health and CBT clinics, including large multi-site groups, that want a fully managed RTM program with built in omnichannel compliance tools, automated billing, and the ability to enroll hard to reach patient populations.

How Other RTM Platforms Compare

Blueprint

Website: Blueprint.ai

Blueprint is a modern platform built specifically to enhance measurement based care, making it highly aligned with cognitive behavioral therapy clinics. The platform enables clinicians to collect, analyze, and act on client data by tracking symptom changes and evaluating treatment effectiveness between therapy sessions.

• Pros: Purpose built for mental health workflows with strong capabilities for standardized assessments like PHQ 9 and GAD 7. Focuses heavily on providing actionable insights that therapists can use to adjust clinical approaches during sessions.

• Cons: Patient outreach relies primarily on standard app based engagement rather than automated omnichannel text messaging. The platform is purpose built for behavioral health measurement based care.

CoachCare

Website: CoachCare.com

CoachCare offers a unified monitoring dashboard paired with a custom branded patient app. Having historically served behavioral health and weight management clinics, the platform provides familiar workflows for tracking therapeutic responses, mood journaling, and staff time for billing.

• Pros: The custom branded app gives psychology and CBT clinics their own digital identity. Familiarity with behavioral modification workflows.

• Cons: Patient engagement runs through the clinic's custom branded app.

Case Management Hub

Website: SocialWorkPortal.com

Case Management Hub stands out as a comprehensive case management tool designed for social workers, therapists, and behavioral health teams. It provides a highly structured system for managing intake, assessments, treatment plans, and session notes in one centralized location.

• Pros: Excellent flexibility for building tailored workflows to track cognitive patterns and behavioral interventions. Strong reporting and analytics functionality for tracking goal completion.

• Cons: The platform centers on case management and documentation rather than automated remote monitoring. Patient engagement runs through the web portal.

Medsien

Website: Medsien.com

Medsien runs remote care programs through its own care team, acting as an extension of the practice, with administrative automation for eligibility screening, enrollment, and billing. It pitches speed and efficiency for clinics looking to implement scalable care management programs and start billing quickly.

• Pros: Very fast implementation with a lightweight administrative setup. Covers the basics of patient reported data collection efficiently.

• Cons: Monitoring is performed by Medsien's third-party care team rather than the clinic's own staff.

Actuvi Is the Best Remote Therapeutic Monitoring (RTM) Software for Cognitive and Mental Health Clinics in 2026

A successful Remote Therapeutic Monitoring program for behavioral health and CBT 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 mental health assessments alongside fully customizable PREMs and PROMs, it adapts to the exact workflows of behavioral health and CBT programs.

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

Start with Actuvi.