Provider Frequently Asked Questions
Billing & Reimbursement
1. When do I bill for RTM codes?
○ CPT 98975 This initial setup code is billable once per episode of care,
after the patient successfully downloads the app and connects their
profile.
○ CPT 98977 This code is billable monthly. The patient must have at least
16 days of activity logged within a 30-day period. Our platform will
provide a list of eligible patients on the 25th of each month for your
billing team.
○ CPT 98980 The 20 minutes of physician review and interaction is
justified by the clinical notes generated in your dashboard.
○ How do I know who is eligible for billing?
○ NSC will provide a monthly report on the 25th of each month that
includes a list of all patients who have met the 16-day activity
requirement for billing.
2. Which insurances cover NSC?
○ NSC is fully covered by CMS Medicare). For private insurance,
reimbursement varies by state. We recommend attempting to bill for it,
as many providers have seen success.
Onboarding & Workflows
4. How do I register for my physician dashboard account?
○ Visit www.nstepcare.com, click on the "Physician Dashboard" link, and
follow the simple registration process.
5. What is considered onboarding for a physician?
○ Onboarding is complete once you have registered on the dashboard,
received your personalized QR code, and have added your top 3
most-used protocols to your library.
6. How do I change a protocol for a patient?
○ All changes to a patient's protocol must be made on the web-based
physician dashboard to ensure accuracy and compliance.
7. Is NSC FDA listed/approved?
○ Yes. NSC is classified as a Software as a Medical Device SaMD.
8. Are Medical Assistants allowed to educate patients on how to use the NSC
app?
○ Yes, Medical Assistants and other clinical staff can educate patients on
how to use the app, as they are operating under the order of a licensed
provider.
Support & Customization
9. What if a protocol or exercise is not in the library?
○ We are always looking to expand our library. Just reach out to the
NextStepCare support team at support@nstepcare.com, provide the
exercise details and an example, and our team will add it to the library
within one week.
10. How much does it cost?
○ We offer a simple, tiered pricing model based on the number of
providers in your practice. Schedule a brief call with us to determine the
plan that best fits your needs.
