Real RTM™, delivered by your own therapists.
Keep your therapists connected to patients between visits, with home programs, messaging, and RTM built into one system.
Start your free trial7-day free trial·RTM included·No setup fee
See Real RTM™ in under two minutes.
Care from your own therapists between every visit, with an app your patients want to open.
Hear it from the clinics using Orva every day
Owners and therapists on what changed for their patients, their staff and their RTM program.
We’d considered RTM for a while, but nothing felt right for our patients or our staff, until Orva.
Our own therapists stay connected with patients between visits, patients want to use the app, and every requirement is tracked in the background.
It fits right into how we already work, making the BIG Difference, and the Orva team has been with us every step of the way.
It’s the best HEP and RTM platform we’ve used.”
Brendon Blake, PT, DPTOwner, Back in the Game Physical Therapy
“Our patients frequently tell us how much they appreciate the app. It has helped them stay compliant and feel more connected to their care.”
“Accessing data for billing and generating reports is seamless, saving me valuable time.”
“The ability to easily build my own custom exercises and upload the video in minutes is amazing.”
“What has stood out the most is their customer service. It has been among the best I’ve experienced.”
One place for everything that happens between visits
A patient app people want to open, a portal that shows your therapists who needs attention, and every RTM requirement tracked in the background.
Home programs patients follow on their own phone
Orva is a consumer-grade app, held to the same standard as the banking and shopping apps your patients use every day.
- Guided exercise videos, including exercises your therapists record themselves
- Reminders and streaks that keep patients going between visits
- Pain check-ins, outcome surveys and messages with their therapist in one place
See who’s on track and who needs your attention
Every patient’s activity, pain and progress in one view, so your therapists can step in the same day.
- Flagged adherence, so no patient quietly falls behind
- Validated outcome measures built into the recovery flow
- Programs built exactly the way your therapists want them, in minutes
Every RTM requirement, tracked in the background
Days of data and management time are captured automatically, and your team sees which codes each patient has met as the month goes.
- All six musculoskeletal codes, including 98985 and 98979 added in 2026
- Real-time interactions easy to log, in person or by phone
- Monthly RTM documentation ready to bring into your EMR
Keep your EMR and still use Orva
Orva clinics run on these EMRs and more. Many chose Orva over the home exercise and RTM tools built into their EMR, because Orva works.
and more
Text check-ins and outsourced callers were never Real RTM™
Real RTM keeps your own therapists available, responsive and proactive between visits, through an app your patients want to open.
Medicare has proposed ending payment for outsourced RTM
Under the proposed 2027 Physician Fee Schedule, RTM would be paid only when the work is done by clinical staff the billing practice employs. Orva is built around your own team delivering care between visits, the model the proposal keeps.
7-day free trial · No credit card · No contract to start- July 2026Proposed rule released
- Around November 1, 2026Final rule expected
- January 1, 2027Proposed start of the employed-staff requirement
Start RTM with your next patient
No implementation project, no hardware to ship and no contract to start.
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01
Start your free trial
Create your clinic’s account and explore Orva with a demo patient. No credit card or sales call, and you choose a plan only if you keep going.
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02
Enroll your next patient
At the visit, assign a home program and outcome measures, and set up the app with the patient before they leave.
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03
Orva tracks the rest
Days of data and management time are captured automatically, so your therapists can focus on the patients who need them.
See what Real RTM™ is worth to your clinic
Medicare reimburses RTM in all 50 states. Set your patient volume and engagement for a first-year estimate at 2026 Medicare rates.
See the monthly numbers
| Month | Patients on RTM | Fully engaged | Partially engaged | Total |
|---|---|---|---|---|
| Month 1 | 40 | $2,535 | $875 | $3,410 |
| Month 2 | 80 | $4,593 | $1,533 | $6,126 |
| Month 3 | 120 | $6,650 | $2,191 | $8,841 |
| Month 4 | 120 | $6,650 | $2,191 | $8,841 |
| Month 5 | 120 | $6,650 | $2,191 | $8,841 |
| Month 6 | 120 | $6,650 | $2,191 | $8,841 |
| Month 7 | 120 | $6,650 | $2,191 | $8,841 |
| Month 8 | 120 | $6,650 | $2,191 | $8,841 |
| Month 9 | 120 | $6,650 | $2,191 | $8,841 |
| Month 10 | 120 | $6,650 | $2,191 | $8,841 |
| Month 11 | 120 | $6,650 | $2,191 | $8,841 |
| Month 12 | 120 | $6,650 | $2,191 | $8,841 |
| Year one | $73,627 | $24,319 | $97,946 |
See these numbers with your own patients in them.
7-day free trial · No credit card · No contract to startOrva clinics have been reimbursed for RTM by
Commercial coverage varies by plan and region.
and more
Orva, Inc. has signed the APTA Digital Transparency Pledge. It reflects our commitment that digital physical therapy services are performed or directed by licensed physical therapists, in accordance with applicable regulations and APTA’s Standards of Practice for Physical Therapy.
Estimates use 2026 Medicare national average non-facility rates and assume one new group of patients starts each month, with each patient’s engagement holding for every month on RTM. Fully engaged months use 98977 ($39.75) and 98980 ($53.77), partially engaged months use 98985 ($39.75) and 98979 ($26.05), and 98975 setup ($21.71) is counted once per qualifying patient. Additional time under 98981 is not included. Actual payment varies by locality, payer, contract and documentation. This is a planning estimate, not billing advice.