In the rapidly evolving field of healthcare, the difference between telehealth and remote therapeutic monitoring (RTM) in physical therapy is a key question that many patients ask.
Understanding these two digital health approaches can help patients choose the most appropriate service to enhance their rehabilitation journey. In this blog, we’ll break down these concepts, explore who can benefit from each, and highlight the value they bring to physical therapy.
What is Telehealth in Physical Therapy?
Telehealth in physical therapy is a comprehensive approach that enables a full evaluation and care plan for patients remotely.
During a telehealth session, the physical therapist conducts a thorough assessment, addresses multiple aspects of the patient’s treatment plan, and may adjust exercises and other therapeutic interventions. Telehealth offers a virtual space where patients can engage with their physical therapist in real-time.
These virtual sessions are similar to an in-clinic appointment, but from the comfort of home or other convenient locations.
One of the significant advantages of telehealth is its flexibility. Physical therapists can modify the patient’s care plan based on live feedback, ensuring the patient is performing exercises correctly and making necessary adjustments to ensure progress.
Key features of telehealth include:
- Full patient evaluation and treatment plan
- Real-time feedback and adjustments to exercises
- Comprehensive care, similar to an in-clinic experience
What is Remote Therapeutic Monitoring (RTM)?
While telehealth provides a full physical therapy treatment session, remote therapeutic monitoring (RTM) focuses on more specific and short-term needs.
RTM is designed to bridge the gap between in-person or telehealth appointments by addressing questions or concerns that arise between visits. Patients might use RTM to check in with their therapist about their form during an exercise, pain they’re experiencing, or progress they’re making on their plan of care.
RTM often involves brief interactions, such as a quick video chat or phone call, where the therapist can provide guidance on specific issues. This targeted communication helps maintain continuity of care, ensuring that patients stay on track with their rehabilitation even when they can’t physically attend a session.
Key features of RTM include:
- Targeted check-ins for specific issues between appointments
- Short, focused sessions to address immediate concerns
- Enhanced patient engagement and accountability
Telehealth vs. RTM: Can You Use Both?
A common question patients ask is whether they can utilize both telehealth and RTM services. The answer is yes! Depending on your insurance provider and the specifics of your treatment plan, it’s possible to use both services in conjunction.
Currently, RTM services are covered by select payers, such as Medicare, Blue Cross Blue Shield, and certain workers’ compensation plans. Other payers, like Aetna and Humana, are gradually adopting RTM as well.
Telehealth, on the other hand, tends to have broader coverage, with more insurance companies reimbursing for these services.
Who Benefits from Telehealth and RTM in Physical Therapy?
The difference between telehealth and RTM also lies in who can benefit most from each physical therapy service.
For example, telehealth is ideal for patients who need a full session with their physical therapist, especially when travel or other barriers prevent in-person visits.
On the other hand, RTM is perfect for patients who may only need a quick check-in or have a specific question about their home exercise program.
Telehealth is best for:
- Patients who require a comprehensive evaluation or follow-up visit
- Those unable to attend in-clinic appointments regularly
- Individuals who need real-time feedback on their progress
RTM is best for:
- Patients with specific, immediate questions between appointments
- Individuals needing feedback on specific exercises
- Patients who require short-term guidance but not a full visit
A Real-World Example of RTM in Action
To understand the power of RTM, consider the experience shared by Steven Kiak, the digital health manager at CORA Physical Therapy.
In a Clinical Conversations episode, Steven recounted a story about a 78-year-old patient who had recently undergone a total knee replacement. After her initial evaluation in the clinic, she wasn’t able to attend her next few appointments due to personal reasons, but she had several questions about her recovery.
Through RTM, Steven was able to address her concerns about an elevated heart rate and other symptoms she experienced during her home exercises.
By reviewing her medical history and discussing her symptoms in more detail, Steven recognized potential red flags and recommended that she visit her local emergency room.
His swift action through RTM ultimately led to the discovery of a life-threatening condition, which was treated immediately.
This example highlights the life-saving potential of RTM. Even when a patient can’t attend in-clinic appointments, RTM allows physical therapists to remain engaged in their care and provide timely interventions when needed.
The Impact of Digital Health on Physical Therapy Outcomes
Both telehealth and RTM contribute to better physical therapy outcomes.
Digital health tools like these allow therapists to engage with patients more frequently, improving adherence to home exercise programs and overall accountability. As Ashley Langford, Director of Clinical Excellence at CORA, explains, “Physical therapy is only effective if patients follow through with it.”
By incorporating telehealth and RTM into a patient’s care plan, therapists can ensure continuous support and engagement, leading to faster recovery times and better results.
Patients who participate in digital health programs are often more motivated to complete their exercises and stay committed to their rehabilitation, which results in improved outcomes.
How Does RTM or Telehealth Work for the Patient?
Patients often wonder how telehealth and RTM sessions are conducted and what equipment is needed.
At CORA Physical Therapy, the process is simple and accessible. For telehealth, patients receive an email with instructions and a link to join the session via a secure, HIPAA-compliant platform like MedBridge. The process is similar to a virtual doctor’s visit, where patients meet with their therapist face-to-face through video conferencing.
RTM, on the other hand, may involve a quick phone call or video chat to address specific concerns. Even if a patient doesn’t have traditional exercise equipment, therapists can get creative by suggesting household items that mimic clinic tools—like using a gallon of milk as a weight or a cushion for balance exercises.
Conclusion: Why You Should Consider Telehealth and Remote Therapeutic Monitoring in Your Physical Therapy Plan
Whether you choose telehealth or remote therapeutic monitoring, or a combination of both, digital health services can play a crucial role in your physical therapy journey.
These tools provide the flexibility, accessibility, and continuity of care that patients need to achieve the best possible outcomes. By staying engaged with your physical therapist through telehealth and RTM, you’ll not only enhance your recovery but also take an active role in managing your health.
For patients at CORA Physical Therapy, these services are part of a broader effort to ensure that every patient receives personalized, high-quality care—no matter where they are.
