Best HEP and RTM Software According to Physical Therapists on Reddit

TL;DR

Physitrack ranks first because it is the only platform here that combines a home exercise program builder, built-in RTM billing tied to CPT codes 98975 through 98980, telehealth, and PROMs in one system. The other three each do something well, but none cover the full workflow.

The ranking: 1. Physitrack, 2. MedBridge, 3. Rehab Guru, 4. HEP2go.

What PTs on Reddit Actually Say About HEP and RTM Software

This piece pulls from recurring threads on r/physicaltherapy and r/physiotherapy where PTs ask each other which HEP tool to buy and how to actually bill RTM. Two complaints show up again and again. Read this as an honest editorial summary with real pros and cons for each tool, not vendor copy.

The first complaint is that exercise delivery and billing live in separate worlds. PTs build a beautiful program in one tool, then track RTM time in a spreadsheet or a second system that never talks to the first. HEP2go and Rehab Guru both deliver exercises well, but neither supports RTM billing, so the documentation burden lands back on you.

The second complaint is that nobody understands the RTM codes. Threads fill up with questions about the 16-day device threshold, which management codes stack, and who is allowed to bill. MedBridge bolts RTM onto its platform as a $10 per-episode add-on, which works but adds cost and a workflow PTs say they want to see run live before signing. The rankings ahead weigh RTM capability heavily because that is where the Reddit conversation has moved.

What Is HEP Software and Why RTM Changes the Equation

Home exercise program software is the tool you use to assign exercises to patients and send them home with video demonstrations, sets, reps, and reminders. Instead of photocopying a sheet of stick-figure stretches, you build a program in a library, the patient follows it on an app, and you see whether they actually did the work. MedBridge, HEP2go, Rehab Guru, and Physitrack all do this core job competently.

What changed is that the exact same patient interaction now generates billable revenue. Remote Therapeutic Monitoring pays clinicians to supply a monitoring device, review the adherence data, and manage the patient between visits. CMS has clarified that a software application can qualify as the RTM device (via Nsight Care). Your HEP app can be the billing engine, not just a convenience.

That reframes the buying decision. A tool that delivers exercises but cannot track engagement against the 16-day threshold or log management time leaves money on the table. The rankings ahead weight RTM capability heavily, because the r/physicaltherapy threads have shifted from "which library looks best" to "which platform actually lets me bill 98977 and 98980 without a separate system."

RTM Billing in 2026: CPT Codes, Reimbursement, and What the Reddit Confusion Is Really About

Remote Therapeutic Monitoring pays you to track how patients actually do their home exercises, and the 2026 code set is more generous than most PTs realize. The structure breaks into three pieces. You bill 98975 once to set up a patient and educate them (via ThoroughCare). You bill a device supply code each month for the data your software collects. Then you bill a management code for the time you spend reviewing and responding.

The device code hinges on one number. If a musculoskeletal patient logs data on 16 or more days in a month, you bill 98977 at roughly $51. If they log only 2 to 15 days, you bill the new 98985 instead. The management codes follow your minutes. The base code 98980 covers the first 20 minutes at about $54, and 98981 adds each additional 20 minutes at about $41 (via ThoroughCare).

Stack those for a typical MSK patient and the math lands between $105 and $146 per month. A patient hitting 16+ days with 20 minutes of management generates around $105. Push management to 40 minutes and you reach roughly $146 (via Nsight Care). One hundred patients on full engagement runs near $126,000 a year.

The rules that trip everyone up on Reddit

Most of the confusion in r/physicaltherapy threads traces back to a few mutual-exclusivity rules. You cannot bill both 98985 and 98977 in the same 30-day period, because they are the same MSK device service at different engagement levels. The same logic applies to management codes. You bill either 98979 or 98980 as your base in a calendar month, never both, and 98981 only adds onto 98980 (via ThoroughCare).

The rule that generates the most heated threads is the one-clinician limit. Only one clinician can bill RTM for a given patient in a 30-day period, and the first claim submitted wins (via Nsight Care). You also cannot run RTM and RPM on the same patient in the same month, though RTM does stack cleanly with CCM and BHI (via telehealth.hhs.gov).

The Best HEP and RTM Software for Physical Therapists

We ranked four tools by RTM billing support, exercise library depth, patient engagement features, pricing transparency, and what PTs actually say about them on Reddit. Physitrack takes the top spot, followed by MedBridge, Rehab Guru, and HEP2go.

1. Physitrack: Best All-in-One HEP + RTM Platform

Physitrack wins this list because it is the only tool in the Reddit conversation that handles HEP, RTM billing, telehealth, and outcome measures inside one platform, so you never stitch a billing workflow onto an exercise app after the fact.

Start with the exercise library. Physitrack ships with more than 18,000 exercises, each with professionally produced video, which dwarfs the 7,000-odd library MedBridge offers and the 2,000 in HEP2go. You can also film and upload your own demonstrations, a feature MedBridge does not allow. For a clinic treating mixed caseloads across ortho, neuro, and post-op rehab, library depth is the difference between prescribing the right movement and improvising with a near-enough substitute.

The RTM workflow is the real reason Physitrack leads. The dashboard ties directly to the CPT code set PTs argue about on r/physicaltherapy, covering setup (98975), device supply and monitoring (98977), and the management codes (98980 and 98981). It tracks the 16-day adherence threshold and logs management time, so when the month closes you are not reconstructing whether a patient hit the data requirement from memory. The thread confusion about what counts and when stops being your problem because the software counts for you.

Patients use PhysiApp, which delivers programs, collects pain and difficulty feedback per exercise, and feeds adherence data back to you between visits. PROMs are built in, so the outcome scores that justify your care and support RTM documentation live in the same system as the exercise prescription. Telehealth runs inside the platform too, which means a remote check-in, a program tweak, and the billing log all happen in one place rather than across three browser tabs.

On compliance, Physitrack holds ISO 27001 and ISO 13485 certifications and is registered with the FDA. We will not pretend FDA registration is unique among every competitor, because it isn't. The point that matters for a clinic is that the platform meets a clinical-grade security and quality bar rather than a consumer-fitness one, which matters when you are storing patient health data and billing federal payers against it.

Physitrack also includes 600+ continuing education units (CEUs), delivered through its built-in CPD library called PhysiCourses. That puts it on par with MedBridge's CEU catalog and removes the one argument for choosing MedBridge over Physitrack on education grounds alone.

Physitrack is also used by large UK private clinic networks including Bupa, Nuffield, and Circle, which tells you the platform scales from a solo clinic up to multi-site enterprise without breaking.

The honest cons

Physitrack costs more than a HEP-only tool. If you compare it line-for-line against HEP2go's free tier on exercise prescription alone, Physitrack looks expensive, because you are paying for RTM infrastructure, telehealth, and PROMs that HEP2go simply does not have. That premium only pays back if you use the RTM side.

It is also more platform than a solo PT needs if you never intend to bill RTM and only want to email a printable program. A cash-pay clinician treating a handful of patients a week may find the breadth more than the workflow requires. The tool rewards clinics that treat patient engagement and remote monitoring as part of the care model, not an afterthought.

Pricing is quote-based rather than a fixed public number, so you will need a conversation with sales to size it to your seat count. See the Physitrack site for current plans and a demo.

Best for: any PT clinic that wants to bill RTM and run HEP, telehealth, and outcomes from one platform instead of cobbling together three subscriptions. If RTM revenue is on your roadmap, this is the tool built for it.

2. MedBridge: Best for Clinics That Want CEUs Bundled with HEP

MedBridge earns its second-place spot on the strength of its continuing-education catalog, not its RTM workflow. The platform was built around CEUs first, and that remains its real identity. If your clinic already pays for continuing education and wants its HEP, PROMs, and care tools from the same vendor, MedBridge consolidates that relationship better than anyone on this list.

The HEP side is genuinely strong. MedBridge ships a 7,006-exercise library with professionally produced video for every movement, plus a drag-and-drop builder and a free patient app called MedBridge GO. Patients install nothing if they prefer the web portal, and the app pushes streaks, reminders, and per-exercise pain feedback back to your dashboard. For a clinic that wants polished video and a low-friction patient experience, that combination holds up.

RTM is where Reddit gets honest, and so should you. MedBridge does support the full code set, including 98975 setup, 98977 device supply, and 98980 and 98981 for management time, with a built-in timer and milestone alerts tied to those codes. The workflow is real. The friction is that RTM is not part of the base seat price. On the Care Elite plan you pay a $10 per-episode fee on top of licensing, which means your RTM cost scales with the exact patients you are trying to bill for. Some clinics accept that math. Others read it as a tax on the feature they came for.

Two more limits surface in community threads often enough to flag. MedBridge offers no custom video uploads, so you cannot film your own demonstration when the library lacks the exact cue you give in the clinic. The iOS app is also English-only, with thin non-English patient education resources, which rules it out for clinicians serving multilingual caseloads. Neither is a dealbreaker for an English-speaking MSK clinic that values the stock video library, but both matter if your practice depends on personalized or translated content.

Pricing runs from $169 per seat for HEP-only Care Essentials up to $369 per seat for the full CEU, HEP, and RTM bundle. Group rates for Care Elite get quoted inconsistently across sources, so expect to negotiate rather than read a fixed number off a page.

Best for: continuing-education-driven clinics and organizations that want CEUs and HEP under one vendor.

3. Rehab Guru: Best for Multidisciplinary Clinics Wanting One Dashboard

Rehab Guru earns its spot for clinics running several disciplines under one roof. The platform bundles HEP creation, scheduling, messaging, and telehealth into a single dashboard, which suits practices where physical therapists, occupational therapists, and other staff share patient workflows. If your clinic currently runs scheduling in one tool and exercise delivery in another, Rehab Guru collapses that into a single login.

The appeal is the reduction in software sprawl. You build a home program, book the follow-up, and message the patient without leaving the platform. Occupational therapists managing complex caseloads get the same workflow as the PTs down the hall, which makes Rehab Guru a reasonable choice for a busy multidisciplinary front desk.

Be clear-eyed about the trade-offs. Reviewers describe the interface as busy and the platform as more complex than HEP-only tools, with real onboarding time before staff move quickly. The same write-up calls it overkill for solo practices, and that knock is fair. A single PT who only needs to send exercises will spend the first few weeks navigating features they never asked for.

The bigger gap is RTM. None of the available sources mention remote therapeutic monitoring support in Rehab Guru, so you cannot bill CPT codes 98975 through 98981 from inside the platform. For a clinic focused on scheduling and HEP delivery today, that may not matter. For any practice eyeing the RTM reimbursement covered earlier in this article, it puts a ceiling on what Rehab Guru can do for your revenue.

Pick Rehab Guru if you run a multi-discipline clinic and want one dashboard for scheduling, messaging, and exercises. Look elsewhere if you are solo, or if RTM billing sits anywhere on your roadmap.

4. HEP2go: Best Free Option for Low-Volume or Budget-Constrained PTs

HEP2go earns its spot because the free tier actually works. You can build unlimited basic programs at no cost, pull from a library of 2,000+ exercises with videos and instructions, and share them through a link. Patients open that link on a phone or computer with no app to download and no login to forget. For a new grad building a side caseload or a solo PT watching every dollar, that combination is hard to argue with.

The drag-and-drop builder runs on any device, and the free membership lets you save, create, and print HEPs. PTs on Reddit who recommend HEP2go almost always frame it the same way. It's the tool you start with, not the tool you scale with.

The ceiling shows up fast. HEP2go offers no progress tracking, no adherence reminders, and no analytics, so patients complete exercises in isolation and you find out how they did at the next visit. It also isn't HIPAA-compliant for advanced monitoring, which rules out any structured remote oversight. The free tier caps program complexity and storage, pushing heavier users toward the $10 to $20 Pro plan.

Here's the frank part. HEP2go has zero support for CPT codes 98975 through 98981, so there is no path to RTM billing inside it. If you ever plan to monitor patients remotely and bill for it, HEP2go is a dead end, and you'll be migrating to a platform like Physitrack the moment that revenue line matters.

Side-by-Side Comparison: HEP and RTM Software at a Glance

Here is how the four tools stack up on the features PTs actually weigh when choosing an HEP and RTM platform.

Physitrack is the only tool here that pairs a deep library with RTM billing inside the same workflow. MedBridge supports RTM, but charges per episode on top of the seat license. Rehab Guru and HEP2go leave RTM off the table entirely.

Why Physitrack Leads This List

A full-engagement MSK patient generates roughly $105 a month in RTM reimbursement under codes 98977 and 98980 (via Nsight Care). Run 100 of them and you reach about $126,000 a year. Your software choice decides whether you capture that revenue or watch it sit on the table.

Physitrack ranks first because it ties exercise delivery, adherence tracking, and the RTM management codes into one workflow. You prescribe, the patient logs through PhysiApp, and the billing-ready data lands in one place. That removes the gap Reddit threads keep complaining about, where the HEP tool never talks to the billing side.

MedBridge stays the right call when continuing education drives your buying decision and RTM is secondary. For any clinic that intends to bill RTM at scale, Physitrack is the platform built for it.

How We Chose These Tools

We built this ranking by combining two sources. The first is the lived experience PTs share in r/physicaltherapy and r/physiotherapy, where software recommendation threads and RTM billing questions surface the same frustrations again and again. The second is published feature and pricing data from each vendor and independent reviewers, which we used to verify or correct what the community claimed.

Five criteria shaped the order. We weighted native RTM billing support most heavily because the Reddit conversation has clearly moved toward reimbursement. We also scored exercise library depth, patient engagement features like adherence tracking and reminders, pricing transparency, and overall community sentiment. Where sources disagreed on pricing, we flagged the inconsistency rather than pick a number that flattered any single tool.

Frequently Asked Questions

Can PTAs bill RTM codes? PTAs cannot independently bill RTM, but they can contribute time toward the management codes 98980 and 98981 under general supervision. That time must carry a CQ modifier and sit under a therapy plan of care. The benefit is real. A PTA's monitoring time still counts toward the 20-minute thresholds that drive reimbursement.

Can I bill RTM and in-person therapy in the same month? Yes. RTM and in-clinic visits are separate services, and nothing in CMS rules forces you to choose between them. Physitrack supports this by tracking remote management time alongside your scheduled care. You capture revenue for both the visit and the ongoing remote oversight.

What's the difference between RPM and RTM for physical therapists? RPM tracks physiological vitals like blood pressure, while RTM tracks non-physiological data such as therapy adherence and musculoskeletal status. RTM matters more for PTs because it covers exactly the home program and recovery data you already collect. You cannot bill RPM and RTM for the same patient in the same month, so most PT clinics build their workflow around RTM.

Do I need special software to bill RTM, or can I use any HEP tool? You need software that meets the FDA medical device definition and tracks the data and time those codes require. Physitrack provides that, with an RTM dashboard tied to CPT codes 98975 through 98980. A basic HEP tool like HEP2go offers no RTM support, so it cannot generate a compliant claim.