Will patients have to pay a co-pay for RTM services? How can I communicate that to patients?

If your patient’s insurance benefit has a patient responsibility (i.e. 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, such as chiropractic or PT services. For example, for Medicare, there is a 20% co-pay for all services rendered by the provider, and RTM would fall under this. The patient would be responsible for 20% of the reimbursed amount for the RTM codes. We recommend communicating that to your patients in the same way you would any other co-payment by explaining the patient's plan of care, stating that it includes RTM services and that depending on what their insurance provider reimburses, they may need to pay a co-payment. As always, reach out to your billing department and/or your payor contacts for verification.