Orva patient app showing exercise adherence, pain tracking, completed surveys, and recovery progress

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 trial

7-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

“Orva has made the process so much simpler.”

Jacqui Broering, PT, MPTOwner, Performance Physical Therapy & Wellness

“So user-friendly for both the patients and therapists.”

Phil McKelvyPhysical Therapist, South Arkansas Rehabilitation
Patients

“Our patients frequently tell us how much they appreciate the app. It has helped them stay compliant and feel more connected to their care.”

Sarah Topp, PT, DPTPerformance Physical Therapy & Wellness
Billing

“Accessing data for billing and generating reports is seamless, saving me valuable time.”

Dr. Michele Rigel, DPT, CDPOwner, At Home Rehab & Wellness
Home programs

“The ability to easily build my own custom exercises and upload the video in minutes is amazing.”

Samuel Kelokates, PTOwner, Kelos Physical Therapy
Support

“What has stood out the most is their customer service. It has been among the best I’ve experienced.”

Daniel Ng-Choy, PTAAquatic Solutions Physical Therapy

Hear it from your own patients next.

7-day free trial · No credit card · Set up in your clinic today

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
Explore home exercise programs
Orva patient app showing exercise adherence, pain tracking, completed surveys and recovery progress

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
See how outcomes work
The Orva provider portal showing patient activity scores and RTM code tracking with qualification status

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
See how RTM works
Musculoskeletal RTM codesTracked per patient, every month
98975Setup and patient education
989852 to 15 days of dataNew in 2026
9897716 to 30 days of data
9897910 to 19 minutes of managementNew in 2026
98980First 20 minutes of management
98981Each additional 20 minutes

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.

WebPT Prompt Athelas HelloNote Stride TheraOffice 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.

The old way
Real RTM™ with Orva
Automated text check-ins
An app patients want to openTheir program, progress and therapist in one place, built to the standard of the apps they use every day
Outsourced callers your patients have never met
Your own therapistsCare between visits from the people who already know the patient and the plan of care
RTM bolted onto software built for something else
One system built for RTMHome programs, outcomes, messaging and RTM designed together for physical therapy from day one
See how Orva compares with other RTM platforms

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
  1. July 2026Proposed rule released
  2. Around November 1, 2026Final rule expected
  3. January 1, 2027Proposed start of the employed-staff requirement

Start Real RTM™ with your next patient

No implementation project, no hardware to ship and no contract to start.

  1. 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.

  2. 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.

  3. 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.

Run your numbers

See your clinic's first year with RTM

Set how many patients you start each month and how engaged they are. Every code is selected for you, and the year builds as patient groups overlap.

40
55%
16 or more days of data and 20 or more minutes a month (98977 and 98980)
25%
2 to 15 days of data and 10 to 19 minutes a month (98985 and 98979), billable since 2026
Months on RTM per patient
Every 100 patients you enroll
Fully engaged Partially engaged Below the thresholds
First-year RTM revenue $110,650
$9,996Per month once patient groups overlap
$312Per qualifying patient, full episode
$25,684From patients who only qualify under the 2026 tiers
Revenue by month, year one120 patients active at a time

See these numbers with your own patients in them. Enroll a patient and the codes track themselves.

Start free trial

Estimates use 2026 Medicare national average rates and assume one new group of patients starts each month. Fully engaged months use 98977 and 98980, partially engaged months use 98985 and 98979, and 98975 set-up 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.

Orva is a proud sponsor of the Duke Arthroplasty Club