Prompt RTM Billing Integration Step-by-Step Setup Guide

Below is a quick step-by-step guide for correctly setting up the RTM Billing integration between Prompt and Prompt Engage.

Quick Summary

• Company Settings: Enable RTM company-wide.
• Payer Rules: Turn on RTM billing defaults (or apply to specific payers).
• Case Level: RTM status must be Active.

• Prompt Engage: Verify RTM is enabled for the patient.

  
  

Step 1: Company Settings (Prompt)

1. Go to Company → Settings.
2. Click EDI Settings to expand the menu.

3. Look for RTM Payer Rules — it should be suggested

   

This rule defaults to Suggested, which populates a yellow checkout alert when appropriate to suggest a provider utilizes the correct RTM code. Setting this to Required populates a red checkout alert and providers will not be able to complete checkout unless the correct code is used or the wrong code is removed. 

4. Next, go to Clinical Settings (still under Company Settings).
5. Scroll down and find the option:

   • “Enable this if your company performs any RTM services.”

     

Step 2: Payer Rules Setup (Prompt)

1. Go to Address Book → Payers.

   

2. Review your Insurance Type Rules.
3. Scroll down to find Remote Therapeutic Monitoring Status.
4. Make sure the following options are enabled (ON):
   • RTM Status: Default ON
   • Bill RTM Codes as Part of Actual Visit: ON

   • When Secondary Payer: ON

     

5. If you want these settings to apply to all payers by default, enable them at this default level.
6. If you only want to enable RTM for specific payers (insurances):
   • Select each payer individually.
   • Apply the same RTM settings manually for that payer.

   • Example: Turn ON for Medicare only.

     
     

Step 3: Add RTM Code to your Charge Master (Prompt)

1. Go to Company → Select the Facilities tab
2. Choose your Facility 
3. Select Fee Schedule and click the ‘Pencil’ icon to Edit 
4. Unlock the Fee Schedule 
5. Add the RTM Code in the field: “Add Another CPT Code”
6. Enter the Charge Amount and click the “Clock” icon to choose if it will be Timed or Untimed
7. Click “Save Fee Schedule”

For a more detailed instructions, visit this page: Edit an Existing Facility's Charge Master. 

Step 4: Patient Case Level Setup (Prompt)

1. Go to the Patient’s Case.
2. Confirm that the RTM Status is set to Active.

   • (This ensures the patient is included in RTM billing processes.)

     

Step 5: Prompt Engage Setup

1. Open Engage or any of the patient’s Engage HEPs in Prompt.
2. Verify that RTM is enabled for that patient in Engage.

   • This ensures billing codes sync correctly between systems.