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RTM audit packet · Margaret Reyes
Documentation supporting one prepared RTM charge line. Generated 2026-09-15.
Sound Physical Therapy · Seattle, WA
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Prepared RTM charge line
PatientMargaret Reyes Clinic record linkMRN-84920 · Match to episode in clinic EHR CPT code98977 · Musculoskeletal device supply Modifiers · UnitsGP · 1 unit Place of service11 (Office) Date of service2026-09-14 30-day period2026-08-16 to 2026-09-14 Billing stateReviewed & Approved
S
Attested claim snapshot
Frozen when the PT reviewed this line
CPT code98977 Modifiers · UnitsGP · 1 unit Data days18 qualified days in period (≥16 required) Reviewed byHarrison Shu, PT, DPT (NPI: 1982736450) Attestation timestamp2026-09-15 16:42 UTC
✓ Clinical review complete: verified patient engagement, exercise data logs, and plan of care compliance.
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Clinical and regulatory requirements
FDA device classificationMeets FDA Section 201(h) medical device definition (Software as a Medical Device) Documented consentRecorded 2026-08-15 14:10 UTC (Electronic opt-in signed by patient) Plan of careActive knee osteoarthritis episode established by treating physical therapist Data day qualification18 days with scheduled exercise engagement recorded
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Timestamped data-day log
Raw daily session activity recorded by patient
Date Status Exercises Completed Effort / Pain Verification
2026-09-14 Completed 4 of 4 (Step Up, Quad Sets, Heel Slides, Bridge) RPE 5 / Pain 2 App session telemetry
2026-09-12 Completed 4 of 4 (Step Up, Quad Sets, Heel Slides, Bridge) RPE 6 / Pain 3 App session telemetry
2026-09-10 Completed 4 of 4 (Step Up, Quad Sets, Heel Slides, Bridge) RPE 5 / Pain 2 App session telemetry
2026-09-08 Partial 3 of 4 (Quad Sets, Heel Slides, Bridge) RPE 4 / Pain 2 App session telemetry
2026-09-06 Completed 4 of 4 (Step Up, Quad Sets, Heel Slides, Bridge) RPE 5 / Pain 2 App session telemetry
2026-09-04 Completed 4 of 4 (Step Up, Quad Sets, Heel Slides, Bridge) RPE 5 / Pain 3 App session telemetry
2026-09-02 Completed 4 of 4 (Step Up, Quad Sets, Heel Slides, Bridge) RPE 4 / Pain 2 App session telemetry
2026-08-31 Completed 4 of 4 (Step Up, Quad Sets, Heel Slides, Bridge) RPE 5 / Pain 3 App session telemetry
2026-08-29 Completed 4 of 4 (Step Up, Quad Sets, Heel Slides, Bridge) RPE 6 / Pain 4 App session telemetry
2026-08-27 Completed 4 of 4 (Step Up, Quad Sets, Heel Slides, Bridge) RPE 5 / Pain 3 App session telemetry
2026-08-25 Completed 4 of 4 (Step Up, Quad Sets, Heel Slides, Bridge) RPE 5 / Pain 2 App session telemetry
2026-08-23 Completed 4 of 4 (Step Up, Quad Sets, Heel Slides, Bridge) RPE 4 / Pain 2 App session telemetry
Showing qualified data days within the 30-day monitoring window. Tamper-proof audit record frozen on review.