New Revenue for Behavioral Health

Your Patients Already Qualify for $1.5M in Untapped RTM Revenue

Remote Therapeutic Monitoring is a federally backed CMS billing program paying up to $160 per patient per month. The behavioral health industry has left it almost entirely unclaimed. Kana is the first clinical AI platform built to change that.

See My Revenue Estimate How Kana Enables RTM
$1.5M+
New annual RTM revenue for a 100-therapist organization at 30% panel adoption — middle case
$160
Max monthly RTM billing per enrolled patient
6x
Return on Kana's cost against middle-case RTM revenue
CMS-Approved Billing
No Hardware Required
No New EHR or Workflow
HIPAA Compliant
FHIR / HL7 Integration
Billable by Non-Physician Providers
The Opportunity

Behavioral Health Has Always Qualified for RTM.
Nobody Built the Platform.

CMS created billing codes specifically for cognitive behavioral therapy. Medicare pays for them. Yet 95% of RTM revenue flows to physical therapists and orthopedic clinics — because no one positioned RTM for behavioral health.

RTM pays for monitoring patients between clinical sessions through a mobile app. No hardware. No new workflow. Patients self-report on their smartphones — and CMS reimburses your organization for every interaction.

CMS designed RTM to track exactly what your patients already do between sessions:

  • Therapy adherence and goal completion
  • Mood tracking and functional status reporting
  • Medication adherence monitoring
  • Standardized assessments — PHQ-9, GAD-7, and others
  • Asynchronous communication with the assigned therapist
Remote Patient Monitoring (RPM)
Remote Therapeutic Monitoring (RTM)
Tracks

Vitals — blood pressure, glucose, SpO2. Physiological data from connected devices.

Tracks

Therapy adherence, mood, assessments, medication. Behavioral and functional data.

Hardware

FDA-cleared devices shipped to patients. High operational overhead.

Hardware

None. Patients use their smartphone. Zero device logistics.

Who Bills

Physicians only, under medical billing codes.

Who Bills

Therapists, counselors, and non-physician providers under their own NPI.

The Billing Codes

What CMS Pays — Per Patient, Per Month

Four CPT codes generate your RTM revenue. Kana's platform is built to satisfy the billing requirement for every single one.

CPT 98975
$19 one-time
Initial patient setup and education on the RTM platform. Billed once at enrollment per patient.
CPT 98978 — Core Behavioral Health Code
$55 /month
App-based monitoring supply for cognitive behavioral therapy digital therapeutics. The primary monthly supply code for behavioral health RTM programs.
Requires 16+ patient data submissions per 30 days
CPT 98980
$50 /month
First 20 minutes of clinical staff time reviewing RTM data and managing patient care per month.
Requires 1+ interactive patient communication
CPT 98981
$41 /month
Each additional 20-minute increment of clinical staff RTM review time per month. Stackable for higher-acuity patients requiring more clinical attention.

Rates are approximate Medicare reimbursement values. Commercial payer coverage varies. Verify with your billing team before projecting revenue.

How Kana Enables RTM

Every RTM Billing Requirement.
Already Built into Kana.

Kana was not retrofitted for RTM. The patient mobile app was built for behavioral health workflows from the ground up — and it satisfies every CMS billing requirement out of the box.

Daily Timestamped Submissions
Patients log mood, journals, and goal progress daily. Every submission is timestamped and stored, automatically satisfying the 16+ days per 30-day billing period requirement.
Satisfies CPT 98978 data requirement
Standardized Assessments
PHQ-9, GAD-7, and other evidence-based screeners assigned by therapists, completed by patients in the app, and surfaced directly on the clinical dashboard.
Supports CPT 98978 and 98980 documentation
Asynchronous Communication
Patients message their assigned therapist directly through the app. Every interaction is logged and timestamped, satisfying the interactive communication requirement for CPT 98980.
Satisfies CPT 98980 communication requirement
Automated Time Logging
Every therapist action — reviewing data, messaging patients, updating care plans — is automatically logged with precise timestamps. No manual documentation required for billing.
Enables CPT 98980 and 98981 documentation
Therapy Goal Tracking
Therapists assign goals through Kana. Patients mark completion through the app. Progress data flows into the clinical dashboard and supports the RTM documentation trail.
Supports CPT 98978 adherence documentation
EHR Integration
Kana integrates via FHIR and HL7 beneath your existing EHR. RTM documentation flows directly into patient records — no rip-and-replace, no new system to learn.
Epic, Cerner, and major EHRs supported
Revenue Calculator

See Your Organization's RTM Revenue Potential

Adjust the sliders to match your organization. See what RTM can generate for your panel.

Number of Therapists
100
Avg Patients per Therapist
40
4,000
total patients in your panel
Get a Custom Projection for My Org
Your RTM Revenue Potential
$2.88M
$240K per month
Based on 1,600 enrolled patients at 40% panel adoption — billed across CPT 98978, 98980, and 98981 at ~$150/patient/month

Actual revenue depends on patient engagement rates, payer mix, and clinical time documentation. Schedule a call to get a projection specific to your organization.

Get Started

Find Out Exactly How Much RTM Revenue Your Organization Can Generate

Tell us about your organization and we will build a custom RTM revenue projection — specific to your panel size, patient population, and payer mix. No commitment required.

Custom RTM revenue projection for your panel and payer mix
Walkthrough of how Kana satisfies each CPT requirement
30-minute session with the Kana clinical team
No sales pressure. Straight answers only.
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A member of the Kana clinical team will reach out within one business day to schedule your RTM revenue review. Check your inbox at the email you provided.