CMS Telehealth sunset October 2025 — RTM is the permanent pathway 74% compliance — vs. 34% industry baseline FDA-registered SaMD · HIPAA Compliant · CMS RTM Active $117 RTM revenue per patient, month one Harvard Medical School · J&J · Arthrex · Patent US11816806B2 3.4% readmission rate vs. 12.2% standard care · JAMA 2020 1,000+ patients monitored · Zero hardware required CMS Telehealth sunset October 2025 — RTM is the permanent pathway 74% compliance — vs. 34% industry baseline FDA-registered SaMD · HIPAA Compliant · CMS RTM Active $117 RTM revenue per patient, month one Harvard Medical School · J&J · Arthrex · Patent US11816806B2 3.4% readmission rate vs. 12.2% standard care · JAMA 2020 1,000+ patients monitored · Zero hardware required
Clinical Recovery Intelligence

Your patients recover between visits.
Now you can see it.

NextStepCare turns any patient's smartphone into a continuous clinical monitoring system — delivering objective recovery data between visits and generating CMS-billable RTM notes automatically.

Schedule a pilot → See how it works
FDA-registered SaMD HIPAA Compliant CMS RTM Active Harvard Medical School Patent US11816806B2
Clinical Impact
0%
Readmission rate with NSC
vs. 12.2% standard care · JAMA 2020
New Revenue
$0
Per patient, month one
CPT 98975–98980 · $97/mo ongoing
Financial Impact
$0
Saved per prevented readmission
Journal of Arthroplasty
Compliance
0%
Patient compliance rate
vs. 34% industry baseline
74%
Patient compliance
3.4%
Readmission rate
$8,588
Per prevented readmission
$117
RTM revenue / pt / mo
1,000+
Patients monitored
150M+
AI benchmark users
The Patient Journey

From enrollment to RTM billing
in 30 days. Automatically.

Follow a real patient from Day 1 through their first CMS-reimbursed billing cycle — without any change to your clinical workflow.

Day 1
Patient enrolls at checkout
Patient scans your QR code, downloads the NSC app, and completes their intake questionnaire. Under 3 minutes. Zero staff time.
Setup complete
Day 3
First ROM + wound capture
Patented computer vision measures range of motion and wound progression via smartphone camera. Patient receives automated daily protocol reminders.
CV data active
Day 7
Compliance milestone hit
Patient has completed 5 of 7 daily check-ins — 71% compliance. AI benchmarks recovery against national averages for same diagnosis. Trajectory: on track.
74% avg compliance
Day 14
Risk flag detected
ROM measurements plateau — deviation from expected recovery curve. Clinician receives an alert 2 weeks before the next scheduled visit. Intervention possible.
Early alert sent
Day 30
RTM clinical note generated
AI synthesizes 30 days of ROM, activity, wounds, and PROMs into one auditable CMS-compliant clinical note. Structured for CPT 98975–98980 billing.
Note ready to attest
Day 30 + 2 min
Billed. Revenue received.
You review, attest, and submit. CMS reimburses up to $117 for month one. $97 every month after. No new hardware. No new staff. No change to your workflow.
$117 billed
How It Works

Three steps.
One smartphone.

01
Capture
Passive data between every visit
  • Patented CV captures ROM + wound data via smartphone camera
  • Apple Health syncs activity automatically — zero patient effort
02
Analyze
AI turns data into clinical insight
  • Multimodal AI benchmarks recovery against national curves
  • Deviations flagged before complications arise
03
Bill
Reimbursement in one click
  • Auto-generated CMS-compliant RTM note per patient
  • Review, attest, submit in under 2 minutes
Where It Works

Three clinical gaps. One platform.

Use case 01
Orthopedic Recovery

Total joint, knee, ankle. ROM capture between every visit — using the smartphone every patient already carries.

3.4% vs 12.2% readmission · JAMA 2020
Use case 02
Wound Care (DFU)

Diabetic Foot Ulcer monitoring via CV wound scans between visits. Detect deterioration before escalation.

85% of amputations preventable with early detection
Use case 03
Stroke Rehabilitation

ROM capture 4–5× weekly during the neuroplastic window — between appointments, not just at them.

SMD 0.50 upper extremity improvement · JMIR
The Compliance Gap

74% vs 34%.
The gap is the value.

Most practices rely on patient recall. NSC captures objective data continuously — compliance rates more than twice the industry average.

NextStepCare74%
Harvard Medical School research collaboration
Industry Average34%
34% industry baseline for remote patient monitoring

All statistics peer-reviewed and independently published.

Readmission Visualizer

Each dot = 1 in 100 patients. Toggle to see who avoids rehospitalization.

12.2%
Readmission rate
—
Saved per prevented
Provider Voices

What clinicians say.

"It's refreshing to finally get reimbursed for the follow-up care we've always been providing."
Clinical Provider
Podiatric Surgeon
"The patients really enjoy having an interactive app versus traditional handouts. Night and day."
Clinical Provider
Orthopedic Specialist
"Using the patient's smartphone to receive data has been efficient and seamless. Integration was straightforward."
Clinical Provider
NSC Provider
Competitive Moat

No one else can do exactly this.

NSC's category claim — Clinical Recovery Intelligence — is defensible by four compounding barriers that took years to build and are impossible to fast-follow.

"Clinical Recovery Intelligence" is not just a positioning statement. Without FDA SaMD registration, a patented computer vision system, Harvard-validated methodology, and a 150M+ user benchmark dataset, none of our competitors can replicate the clinical note we generate — let alone the longitudinal benchmarking that makes it meaningful.

RegulatoryFDA-registered SaMD
FDA Software as a Medical Device registration creates an institutional trust barrier. Healthcare systems require it for procurement. Navigation takes 2–3 years minimum.
Competitors: rare. Takes 2–3 years to navigate.
IPPatent US11816806B2
The patented computer vision system controls how recovery data is generated — not just analyzed. ROM and wound measurement via smartphone camera is owned IP.
Granted US patent. Controls data creation, not just analysis.
ClinicalHarvard Validation
Active research collaboration with FARIL at Harvard Medical School and Massachusetts General Hospital. Published outcomes in JAMA, Journal of Arthroplasty, JMIR.
Active institutional collaboration. Peer-reviewed and published.
Data150M+ User Benchmark Dataset
The AI is trained on 150M+ users in production — a benchmark dataset that makes NSC's recovery intelligence more accurate over time. Competitors starting today face a compounding deficit.
Compounding advantage. Gets stronger with every enrolled patient.
Published Evidence

Peer-reviewed. Independently published.

JAMA 2020
Readmission rates in post-surgical orthopedic recovery with continuous remote monitoring
Journal of the American Medical Association · Peer reviewed
3.4%
readmission rate vs. 12.2% standard care
Journal of Arthroplasty
Economic impact of prevented readmissions in total joint replacement with remote therapeutic monitoring
Journal of Arthroplasty · Peer reviewed
$8,588
saved per prevented readmission
JMIR
Smartphone-based ROM capture in stroke rehabilitation: upper extremity outcomes in critical neuroplastic window
Journal of Medical Internet Research · Peer reviewed
SMD 0.50
upper extremity improvement
FDA-registered SaMD
HIPAA Compliant
CMS RTM Active
Harvard Medical School
J&J + Arthrex Funded
Patent US11816806B2
Private Insurer Confirmed
For Providers

How much RTM revenue will you generate?

Drag the slider to see your projected revenue. NSC offsets its cost from month one.

Enrolled patients 50
Month One
$5,850
Monthly Ongoing
$4,850
Year One Total
$58,350
Per Patient / Mo
$97–$117

CPT 98975 ($20 one-time) · 98977 ($47/mo) · 98980 ($50/mo). Year 1 = Month 1 + 11 months ongoing.

Start earning RTM revenue →
Three steps to your first claim
1
Enroll in under 3 minutes
Account, protocols (Ortho/Wound/Stroke), patient QR code. Setup complete before your next patient.
2
NSC monitors automatically
Patients scan QR code at checkout. Compliance, ROM, wounds, PROMs collected — zero additional staff time.
3
Bill in under 2 minutes
AI generates your RTM note, prepared against CMS RTM requirements, monthly. Review, attest, submit. Revenue active from month one.
Why Now

The window just opened.
It won't stay open.

CMS Telehealth sunset in October 2025. RTM is now the only permanent, structured reimbursement pathway for between-visit care — and most practices are not yet capturing it.

Practices that establish RTM billing infrastructure now capture a revenue stream that compounds month over month. Practices that wait face a growing gap — both in revenue and in the compliance data that drives better patient outcomes.

Pre-2020
Between-visit care: unmonitored
No structured reimbursement. No data. Clinicians relying on patient recall at next appointment.
2020–2024
Telehealth expansion
CMS provided blanket Telehealth coverage during the pandemic. Many practices built workflows around it.
Ended Oct 2025
Now · 2025–26
RTM is the permanent pathway
CMS maintains RTM codes (98975–98980) as structured, ongoing coverage. This is the infrastructure — not a temporary workaround.
Active reimbursement
2026 →
CRI becomes standard of care
Practices with Clinical Recovery Intelligence infrastructure will have compliance data, outcome benchmarks, and billing history that late adopters cannot replicate.
Compounding advantage
Common Questions

Every question a hospital executive asks. Answered.

What does it cost, and what's the ROI?
NSC's pricing is structured so the platform offsets its cost from month one via RTM reimbursement. A practice with 50 enrolled patients generates $5,850 in month one and $4,850 monthly ongoing — entirely from CMS codes that were previously uncaptured. We're not asking you to spend; we're helping you collect what CMS already owes you.$58,350 year-one revenue at 50 patients
What if patients don't actually use it?
This is the most common objection — and the data answers it directly. NSC achieves 74% patient compliance, compared to a 34% industry baseline for remote monitoring. The platform requires no special hardware and runs on the smartphone every patient already carries. Daily protocol reminders are automated. Compliance is built into the design, not assumed.
How long does setup take, and what changes for my staff?
Provider account setup takes under 3 minutes. Nothing changes for your staff. Patients scan a QR code at checkout — no training, no new workflow, no devices to distribute. NSC monitors automatically. The only staff touchpoint is a 2-minute monthly note review before submitting the RTM billing claim.
Does this integrate with our EHR?
NSC generates a CMS-structured clinical note that can be imported into any EHR system as a standard clinical document. It is built to complement your existing workflow rather than replace it. Integration timelines vary by EHR vendor — our team walks through specifics during onboarding. The zero-risk pilot is structured to validate fit before any technical integration is required.
What's the risk if we pilot and decide not to continue?
Zero. NextStepCare absorbs all onboarding costs during the pilot. You evaluate clinical outcomes and revenue before any commitment is made. There is no long-term contract required to start, no hardware to purchase, and no infrastructure investment. The pilot is designed so that the platform either proves its value in your specific context — or it doesn't, with no cost to you either way.
Get Started

Zero-risk pilot available.

NextStepCare absorbs all onboarding costs. You evaluate outcomes before any commitment is made.

3.4%
Readmission rate
$117
Revenue / patient / mo
74%
Patient compliance
$8,588
Per prevented readmission
Schedule a conversation → Send us a message
example@nextstepcare.com · nextstepcare.com