RTM Reimbursement Calculator
Active SOS Connect · Chiropractic and pain practices

Model your RTM reimbursement

Enter six numbers to see an estimate, then open the detailed options if you want to tune the assumptions. The calculator estimates what three RTM management codes (98979, 98980 and 98981) could return each month and over your first year.

Start here: six inputs

Defaults are set to an aggressive but plausible case for a chiropractic or pain practice. Change any number and the results update. Open the detailed options below to adjust everything else.

Billing by code, steady state

Your first 12 months

What moves the number most

Steady-state annual collected revenue, changing only commercial coverage and clinical fit. Everything else stays as you set it.

Rates and assumptions

The rates below are CY2026 Medicare national non-facility averages, used only as a benchmark. Your estimate multiplies them by the commercial payer percentage you set above (130% by default in the Expected scenario), so the dollars you see are commercial estimates, not Medicare payments.

Read before you rely on this

These are estimates built from your inputs and national benchmark rates for 2026. They are not a promise of payment, and Active SOS does not bill or collect on your behalf. Actual payment depends on the payer, documentation and claim acceptance.

This version models commercial and private insurance only, using the three RTM treatment management codes: 98979 (10 to 19 minutes), 98980 (first 20 minutes) and 98981 (each additional 20 minutes). Confirm each payer's RTM policy and contracted rate before counting a patient as billable.

Each code needs a documented live, two-way interaction in the month in addition to the management time. The calculator applies your live-interaction percentage to all three for that reason.

Confirm with your billing or compliance advisor how each payer applies device requirements to RTM management codes before you bill them.

Active SOS is priced as a flat subscription, never as a share of your billing or collections.