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Billing RTM codes in EmpowerEMR: step-by-step

How to enter RTM charges in EmpowerEMR, both within a visit and as a non-visit event.

Written by Valeed Malik

Part 1: Billing RTM as part of a visit

  1. Open the patient's profile and select Add Daily Note.

  2. Click Compose Note.

  3. Paste the SaRA-provided billing justification into the Assessment > Additional Comments section (or into a dedicated RTM section if your templates have one). If the EMR asks for a time on an untimed code (therapist minutes), enter 1.

  4. Click to add charges to the Chargesheet.

  5. Add the applicable RTM codes to the Chargesheet.

  6. Preview the note for completion.

  7. Enter your signing PIN and finalize the note.

Part 2: Billing RTM outside of a visit (non-visit event)

  1. Click the calendar icon and select the date of service closest to when the patient became billable.

  2. Create an appointment (time of day is not relevant) and click Add Appt.

  3. Create a new note with + New Note.

  4. Since this is not a visit, select "No" for "Count this as a patient visit" — this keeps your visit count accurate.

  5. Click Compose Note.

  6. Paste the SaRA billing justification into Assessment > Additional Comments (or your RTM section).

  7. Add charges to the Chargesheet and add the RTM codes.

  8. Preview, then sign and finalize the note. If prompted that there is no scheduled visit that day, select OK to continue.

If anything looks different in your EmpowerEMR configuration, message us through the in-app chat and we'll help.

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