CMS reimburses clinics for monitoring patients between visits and providing preventative care. For pain and musculoskeletal clinics, monitoring pain, treatment response, and exercise adherence 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 vital signs 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 pain scores, 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.

That's what Actuvi enables pain and orthopedic 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 pain and orthopedic 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 evaluation of RTM platforms for pain and orthopaedic clinics.

The 2026 CMS Final Rule fundamentally changed the economics of Remote Therapeutic Monitoring for pain management and orthopedic clinics. By introducing new CPT codes (98985, 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 surgical patients, episodic flare up cases, and medication titration populations, 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 musculoskeletal monitoring in 2026:

Actuvi is the Best Remote Therapeutic Monitoring (RTM) Software for Pain and Musculoskeletal Clinics

Website: Actuvi.com

Actuvi is the best remote therapeutic monitoring platform built for pain and musculoskeletal programs at scale: large clinics, multi-site groups, and hospital networks running pain management and musculoskeletal 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 and custom exercise plans, upload custom workout videos as part of a plan, 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 RTM software for pain and musculoskeletal clinics in 2026 is Actuvi. It is built for the specific work of pain and orthopedic programs: musculoskeletal assessments, custom exercise plans, pain score trending, and caregiver enrollment for elderly populations, with native support for the full 2026 RTM code set. 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 pain and musculoskeletal clinics that want an RTM program that drives real outcomes and consistent reimbursement.

Our #1 Pick: Actuvi

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

Patients follow exercise prescriptions with uploaded workout videos, complete quick daily pain and medication monitoring, and continuous tracking captures pain, fatigue, sleep, and symptoms 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 the next appointment.

Every monitoring submission builds a longitudinal record for each patient, so providers see how today's pain 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 Pain and Musculoskeletal 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 pain and musculoskeletal care requires more than pinging a patient for a pain 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 (pain scores, range of motion, 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 pain level of 6 today, providers see the longitudinal trend. They see how that 6 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 MSK: Assessments, PREMs, and PROMs

Actuvi provides highly specific measurement tools for musculoskeletal care.

• Customizable Assessments: Clinics can build and deploy unique assessments tailored to their specific therapy tracks, monitoring adherence to custom exercise regimens or pain 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 functional recovery 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 pain and orthopedic programs, Actuvi supports exercise prescriptions with uploaded workout videos and medication tracking built for quick daily completion. Remote monitoring supplements scheduled visits with ongoing symptom and adherence data: it captures pain, fatigue, sleep, mood, and symptoms 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 complications, 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 exercise plans 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: Pain management and orthopedic 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

MovementRx

Website: MovementRx.com

MovementRx was built by practicing physical therapists in Michigan who transitioned their internal RTM workflow into a software product, and it is marketed primarily to independent PT, OT, and SLP clinics, with support for multi-location groups and hospital outpatient billing. The platform combines home exercise programs with remote monitoring, offering a clinician curated exercise library with ready made protocols across major MSK conditions. They offer a full service model where their own licensed PTAs and COTAs handle the monitoring workflow on behalf of the clinic.

• Pros: Built by practicing PTs, so the workflows reflect real clinical operations. The full service option removes the monitoring burden from clinical staff entirely.

• Cons: Patient outreach relies primarily on app based engagement and manual nudges. The platform is purpose built for PT, OT, and SLP rehab. The full service option means MovementRx's own staff, not the clinic's, perform the monitoring.

Orva

Website: GetOrva.com

Orva is a clean, straightforward platform built specifically for outpatient PT and orthopedic clinics. It focuses strictly on the musculoskeletal RTM workflow, providing video guided exercise routines, adherence streaks, and clear visibility into billing qualification based on day and time thresholds.

• Pros: Purpose built for MSK with a very simple, focused interface that will not overwhelm small clinics. Excellent visibility into which patients qualify for billing before claims go out.

• Cons: The platform is purpose built for the musculoskeletal workflow, with engagement through standard app reminders and adherence streaks.

OrthoRPM

Website: OrthoRPM.com

OrthoRPM distinguishes itself by using motion based tracking to collect objective data on how patients perform their prescribed exercises at home. Designed for orthopedic and neurological rehab, it provides a centralized dashboard for clinicians to view patient activity and compliance across their panel, moving beyond standard self reported data.

• Pros: Objective motion data is an excellent tool for tracking structured orthopedic and neurological rehab recovery.

• Cons: The platform is built around structured orthopedic and neurological rehab, with engagement through app based motion tracking.

CoachCare

Website: CoachCare.com

CoachCare offers a unified monitoring dashboard paired with a custom branded patient app, with roots in device based remote monitoring for pain management and weight management clinics. It added RTM through its PatchRx partnership, with workflows for tracking therapeutic responses, medication adherence, and staff time for billing.

• Pros: The custom branded app gives clinics their own digital identity. Familiarity with pain management use cases.

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

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 includes a pain management workflow to track pain levels and medication adherence.

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

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

Kaia Health

Website: KaiaHealth.com

Kaia Health is a widely known digital therapeutics platform that utilizes smartphone based motion tracking and AI guided coaching to help patients manage MSK pain. It has a strong footprint in the direct to consumer and employer benefit space.

• Pros: Excellent consumer experience with in app motion tracking guidance. A highly polished interface and a broad MSK content library.

• Cons: Kaia is built for the employer and health plan channel rather than clinic RTM billing workflows.

Actuvi Is the Best Remote Therapeutic Monitoring (RTM) Software for Pain and Musculoskeletal Clinics in 2026

A successful Remote Therapeutic Monitoring program for pain and musculoskeletal 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 MSK assessments alongside fully customizable PREMs and PROMs, it adapts to the exact workflows of pain and orthopedic 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.