Exer is a digital health company building AI-powered mobile apps that analyze human motion to help providers achieve better outcomes for MSK and Chronic Care, without the need for extra hardware or sensors.

Exer’s proprietary artificial intelligence (AI) technology maps human movement using nothing more than the camera on your mobile device. By using Human Pose Estimation (CNNs), twenty-four key body points are identified and tracked to evaluate motion characteristics of the human body. Our suite of applications are able to enhance accessibility, accountability and adherence in the health and wellness industry.

Exer's app is a tool that helps surgeons and QHPs analyze their patients progress to produce better outcomes for MSK and Chronic Care.

Our mobile apps are FDA Class II Medical Devices that run on smartphones (iPhones) and which help orthopedic surgeons and PTs with both assessment and ongoing treatment. Exer is prescribed by providers and helps them unlock the new set of insurance codes for Remote Therapeutic Monitoring (RTM) of patients. 

Exer unlocks a powerful post-operative experience that surgeons and their team can bill for - in 2022 we've seen 86% success rate on billing with private insurance and 100% for Medicare, averaging $125 per patient per month in new profit for surgeons.

Right now we offer two primary products:
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Exer Health - a remote patient self-assessment app for MSK, which is available to demo anytime from the Apple App Store. We do not make this available directly to consumers, so our team will set you up with a demo account.

Gait - an in-clinic assessment tool for MSK which is available to demo anytime from the Apple App Store - also restricted to health professionals, and our team can set you up with a demo account.

No hardware: Our software works on a phone, tablet, or laptop - any existing device with a 2D camera. This makes things much easier for patients and practitioners.

Proprietary tech: Our neural net is homegrown over almost 4 years of data that is unique and exclusive to us. With that foundation we've built a one-of-a-kind "Motion Engine" strengthened by multiple patents.
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Experienced team: Our core team has been building and investing in emerging technology for decades with a proven track-record of success. 

Provider centric: We’re the only company in the MSK space that works with practitioners instead of trying to replace them… and because of the RTM codes it means we’re all economically aligned. 

Regulatory work: Exer's attains FDA Class II Medical Device designation for all of our apps and worked closely with CMS representatives to tailor RTM codes i way that supports better remote and in-person care.

The 5 new remote therapeutic monitoring (RTM) codes are in the 2022 CMS physician fee schedule and they represent a major expansion in the reimbursement for remote care.

As defined by CMS, remote therapeutic monitoring, or RTM, refers to the remote monitoring and management of non-physiological patient data. This includes general medicine care, such as the status of a patient’s musculoskeletal or respiratory system. It also includes the adherence and response to medication and therapy.

Previous codes for the reimbursement of remote patient monitoring were different. RPM codes (sometimes called remote physiologic monitoring) allows only for the monitoring of physiological data such as glucose levels, heart rate, or other vital signs.

RPM is reimbursed as E/M codes - Evaluation and Management - so it's also only billable by a physician or their staff under general supervision.

The new RTM codes billing as "general medicine" make them useful outside of conventional clinical settings, and generally mean that the range of professionals who can use them potentially include PTs, OTs, NPs, SLPs, nurses, aides and clinical social workers.

Exer is working with various types of healthcare professionals - notably PTs and OTs - to submit reimbursement requests for a wide array of patient episodes.

RPM is also reimbursed as “evaluation and management (E/M),” meaning it can only be billed by a physician, although it can be performed by clinical staff under general supervision. The new RTM codes, however, allow reimbursement on a ”general medicine” basis, outside of conventional clinical settings. That means that reimbursement is through the billing practitioner(s), which can potentially include a much wider range of professionals like PTs and PTAs, OTs and OTAs, NPs and Pas, SLPs, nurses, aides and clinical social workers.

If you're curious about another perspective on the RTM landscape, check out this primer on RTM, and follow ups on the proposed updates to RTM for 2023 and for 2024.

Physicians and eligible qualified healthcare professionals, are permitted to bill RTM as general medicine services. A physician or other qualified healthcare professional is defined in the CPT Codebook as “an individual who is qualified by education, training, licensure/regulation (when applicable) and facility privileging (when applicable) who performs a professional service within his/her scope of practice and independently reports that professional service.”

Accordingly, RTM codes are available for use by physical therapists (PT) and occupational therapists (OT).

In the final rule, CMS stated the primary billers of RTM codes are projected to be physiatrists, nurse practitioners, and physical therapists. The new RTM codes, classified as general medicine codes, should open up opportunities for therapists, psychologists, and other eligible practitioners who cannot currently bill for RPM (as RPM is an E/M code).

CPT code 98980 requires a minimum of 20 minutes of time in a month, dedicated to remote therapeutic monitoring treatment management of the patient. This time must also include at least one interactive communication with the patient/caregiver during the month (e.g., via phone or video).

CPT code 98981 has the same requirements as CPT code 98980, except is it used for additional 20 minutes per month, as an add-on code.

Yes, the clinical use cases eligible for device supply reimbursement under RTM are limited to these areas. The RTM device supply code 98977 is similar to the RPM device supply code (99454), but not identical. The RTM device supply code descriptor indicates far more limited clinical use cases. Namely, 98977 is only for transmissions to monitor the musculoskeletal system.

Code 98975 may be billed once per episode of care. An episode of care begins when the remote therapeutic monitoring service initiates and ends with the attainment of targeted treatment goals.

Codes 98977 may be billed once per 30 days.

Code 98980 may be billed once per calendar month regardless of the number of therapeutic monitoring modalities performed in a given calendar month.

Code 98981 may be billed once per calendar month for each additional 20 minutes completed within such month.

CPT code 98977 requires the RTM device to monitor at least 16 days of data per each 30-day period, in total.

Yes.

CMS stated that self-reported/entered data may be part of the non-physiologic data for purposes of RTM codes.  (“Reportedly, RTM data can be patient reported, as well as digitally uploaded while RPM requires that data be physiologic and be digitally uploaded.”).  RTM codes still require the device used to meet the FDA’s definition of a medical device, self-reported RTM data via mob classified as Software as a Medical Device (SaMD) will qualify for reimbursement. This differs from RPM codes, which require the device to digitally (automatically) record and upload patient physiologic data (i.e., data cannot be patient self-recorded, self-reported, or entered manually into the device).