A clinic in Florida had over 200 patients a month worth of billable RTM activity. It billed for exactly none of it.

That's not an outlier; it's the default for clinics that start billing RTM and quietly stop. Under CMS's 2026 codes, that's real reimbursement sitting unclaimed: roughly $26 to $54 per patient per month, per code, depending on transmission days and treatment time logged.

Here's why it happens. Someone has to pull adherence exports out of Wibbi, open a spreadsheet, count therapist interaction minutes, and check whether each patient hit enough transmission days before the billing window closes, every patient each month, without missing a cycle. Miss one cycle and the exercise still happened, the patient still did the work, and none of it becomes a claim.

Brijraj Bhuptani, CEO and Co-Founder of SPRY, has watched this exact pattern shut down RTM adoption across clinics:

"The operational gap between patient engagement and billing has been the real barrier to RTM adoption, not the clinical willingness to prescribe home exercise programs. Therapists have always wanted to extend care between visits. The problem was that doing it in a way that resulted in a paid, clean claim required too many manual handoffs."

What changed 

RTM billing was mostly all-or-nothing. A patient had to hit a high engagement threshold for the month, or the whole month was unbillable. Most outpatient caseloads don't run that consistently; patients travel, get sick, skip weeks,  so clinics stopped billing even when the clinical work kept happening.

2026 replaced that with tiers. Partial months count now.

Source: CMS CY2026 Physician Fee Schedule Final Rule,  cms.gov/medicare/coding-billing/therapy-services. Rates are national non-facility averages; confirm against your local fee schedule before billing. 98975 and 98977 rates weren't independently confirmed and are marked accordingly.

A lower threshold doesn't fix a billing workflow that still runs on someone's memory and a spreadsheet.

What actually closes the gap

SPRY and Wibbi have worked together for two years. Therapists could already prescribe and monitor home exercise programs through Wibbi without leaving SPRY. What was missing was the other half: a path from that patient activity into a bill.

Now it's automatic. When a patient logs adherence or interacts with their therapist in Wibbi, that data moves straight into SPRY's billing workflow ,  transmission counts, interaction logs, monthly RTM summaries, documentation attached. Billing staff review what's eligible and submit. Nobody rebuilds a case file from scratch every month.

Andres Prieto, Wibbi's Marketing Director, frames it the same way: patient engagement data was always Wibbi's strength. The missing piece was a handoff into billing that didn't depend on someone doing it by hand.

If you're already running both platforms, there's nothing new to learn ,  activation happens inside SPRY, no separate login. Not on Wibbi yet? SPRY handles setup directly.

What it's worth

No single number holds for every clinic ,  payer mix, patient volume, and documentation habits all move it. Medicare pays most consistently; some commercial plans reimburse these codes too, though coverage varies. Run your own numbers: wibbi.com/rtm/rtm-calculator.

Wibbi has built rehab exercise software since 1993, as Physiotec ,  20,000+ videos, 18 specialties, 40,000+ specialists across 8,000+ organizations. SPRY runs a 95%+ clean claim rate, HIPAA compliant, ONC certified, HL7/FHIR compliant.

The integration is live now for U.S. PT clinics on both platforms. Not on Wibbi ,  contact SPRY to set it up.

wibbi.com/rtm/rtm-calculator