Welcome to OneStep!

OneStep is a digital care platform that allows you to monitor patient's motion from anywhere using only a smartphone.

We make this easy for you by:
  • Providing automatic gait data capture for efficient CPT code reimbursement
  • Tracking clinician time spent reviewing data
  • Immediate analysis of patient mobility on a smartphone to encourage engagement and motivation
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The world of RTM

Devised by CMS to monitor a patient’s response to therapy remotely, Remote Therapeutic Monitoring (RTM) CPT codes provide PT, OT and ST professionals with reimbursements for time spent reviewing patient data, documentation, and fostering patient engagement

RTM is not meant to replace in-person care, but rather - enable more care options
by monitoring patient progress remotely and making necessary adjustments to their HEP for improved patient outcomes. 
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       " Before RTM I always wanted to know if my patients were doing what I recommended. RTM gives me that insight and allows me to address any functional deficits before they become too debilitating. "


- OneStep customer PT

The RTM Process*

Measure Patients

CPT Code 98977

Perfect for the busy clinician, this code is all about collecting patient data. All you need to do is encourage your patient to walk or perform their HEP daily, or 16 out of 30 days to be exact.

OneStep automatically tracks patient data and active days, even if they forget to open their app - thanks to our background data. We’ll notify you once achieved, or if your patient requires a quick nudge to get there!


Bill every 30 days
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Review Data

CPT Code 98980

This code is all about reviewing the patient data collected. Data review includes monitoring patient progress, making HEP adjustments, and chatting with patients, all using OneStep. This can be done between sessions, or in case of patient cancellations, and leads to increased adherence, and improved patient outcomes.

OneStep automatically tracks and monitors the 20 minutes needed for this code, and alerts you in cases where documentation is missing.

Bill monthly
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Register Patients

CPT Code 98975

This code is for registering and educating your patient. Invite patients to OneStep and explain the benefits of remote care.
This code can only be billed after 98977 to ensure patient data is being collected.


Bill once per episode of care
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Continued Monitoring

CPT Code 98981

If you’ve already achieved 20 minutes of patient data review, you can continue to monitor and review patient data during the month for additional 20-minute periods for code 98981! We’ll let you know when you’ve achieved any of the additional 20 minute blocks. 

Bill monthly for up to 4 iterations  
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* Billing is flexible - It is possible to bill individual CPT codes based on preference

Bonus Content

OneStep's RTM Protocol

Monitor patient progress and track CPT code completion and requirements.

Clinical Intervention Guide

A "cheat sheet" with possible clinical meanings and interventions.

RTM FAQ

Frequently asked questions to help explain RTM.



Frequently asked questions 

What are the benefits to RTM?

RTM opens up new revenue opportunities for providers, while enabling them to offer personalized care remotely, regardless of location, using digital tools and technology.
In addition, the RTM codes provide PT, OT and ST professionals with innovation and flexibility, and reimbursements that recognize the valuable time spent on activities such as reviewing patient data, documentation, and fostering patient engagement, using cutting edge technology.
For patients they can receive support and improved care quality with RTM as it allows for more consistent monitoring, and includes communication between patients and their providers.

Does RTM replace in person visits?

No!
RTM is not intended to replace in-person visits, but rather to supplement it as an adjunct to in-person care. RTM allows you to gather information about the patient in their natural environment, between in person visits, to foster the therapeutic alliance.

Which patients are relevant for RTM billing?


In general, patients relevant for billing Remote Therapeutic Monitoring codes with the help of OneStep are those who:
  • Are ambulatory
  • Have a smartphone and know the basics of using it (usually if they can text that's good enough)
  • Could benefit from nudges and encouragement to perform their HEP
  • Have been discharged from inpatient care. This can mean patients going to sub acute rehab, outpatient rehab, assisted living or home health.


We are happy to share from our experience and help you figure out which of your patients could be relevant. For more information on RTM codes, see our detailed guide.

What do I need to do to bill code 98977?

Billing code 98977 requires having 16 days of patient data to review in a 30 day period. This can be achieved by patients completing measurements and walks in the app, but also by having the patient approve background information to help maximize data collection. 

To capture background information -
  • On an iPhone - users will need to set the "Location" permission to 'Always allow', and toggle on the "Motion & Fitness" permission. 
  • On an Android - users will need to disable “Battery optimization” to let the app run in the background. This will not drain the phone battery, but will allow natural data to be collected even when the patient is not actively in the app.
For more information on RTM codes, see our detailed guide.

How do I report an event for 98975 and 98980

Events for both codes can easily be reported on the OneStep clinical portal under the 'Documentation' tab.
Choose the type of event, how long it took, and any additional details you want to make note of.

Can multiple providers contribute to RTM monitoring?

Yes. Multiple providers (i.e. a few PTs or a PTAs) can contribute to RTM monitoring with only one of them billing. This means PTAs can help with recording walks and measurements, and clinicians can help with reviewing patient data for code 98980/81. 

Will patients have to pay a co-pay for RTM services?

If a patient’s insurance has a patient responsibility (co-pay or co-insurance), then patients receiving RTM services may need to pay for those services, just as they would for any other therapy services they receive.
This can vary based on insurance and should be verified with the billing department or your payor. In the case of Medicare, there is a 20% co-pay for all services rendered by the provider, including RTM. 

What is the OneStep app?

The OneStep app is designed to help you measure patients, detect risk of fall and monitor their gait. Any phone can be used for the measurements (Android or iOS).OneStep is HIPAA compliant and data is not stored on the phone or shared with third parties.
For each patient there is an option to record a walk, or complete a fall risk assessment.
Patient measurements and data will be analyzed and available to be viewed on the online OneStep clinic.

What is the difference between the clinician and patient app?

There are two options when logging into the OneStep app - logging in as a patient or a clinician.When logging in as a clinician you will be able to see a list of all your patients, onboard new ones, and check in on how each patient is doing. You can also use the clinician app in cases where your patient does not have a cellular phone, for measurements and tests.
When logging in as a patient you will be able to see a list of all relevant tests and measurements assigned to the you to complete. And do them on your own time.
Any phone can be used for either version of the app, and since OneStep is HIPAA compliant, data is not stored on the phone or shared with third parties.

How can I contact support?

To contact support from the patient overview screen press the question mark button and then "Chat with us", or be in touch with us at [email protected].
MEET OUR TRAINING TEAM

Stephanie DeShano Wakeman, PT DPT

Stephanie is the Director of Clinical Operations for OneStep. Stephanie has experience in all areas of physical therapy, but her main interest is in orthopedics, health innovation and health promotion. 
Stephanie is passionate about improving both the individual and population health using a holistic blend of technology and high touch care. She is dedicated to improving the systematic delivery of health through excellent leadership, innovation, education, and improving practical clinical applications from the advancement of remote monitoring and motion analysis.