Patient engagement software for physical therapy clinics
Home exercise programs, outcome measures, messaging, and remote therapeutic monitoring in one patient experience. Orva gives your clinic visibility into the twenty-eight days a month your patients are not in front of you, and turns that care into revenue you can bill.
Set up your own account and enroll a patient today. No procurement process, no implementation project.
- Built for Outpatient PT, orthopedic, and musculoskeletal clinics
- Delivered by Your own therapists and staff, under your own plans of care
- Covers All six musculoskeletal RTM codes in one workflow
- Compliance HIPAA-aligned platform with a Business Associate Agreement
A month of care, as your clinic sees it
Thirty days for one patient on a twice-weekly plan. Switch the view.
Eight visits a month is a typical twice-weekly plan of care. The other twenty-two days are reconstructed from memory at the next appointment.
Same eight visits, same clinical plan. The difference is that the twenty-two days in between now produce a record, and that record supports the RTM codes.
Recovery happens where you cannot see it
A patient on a twice-weekly plan spends roughly two hours a month in your clinic. The other seven hundred are where adherence either holds or collapses, and most clinics find out which one happened at the next visit, from memory, secondhand.
The patient is not passive in those seven hundred hours either. They are on their phone, doing everything else in their life through software that is genuinely good, and then reaching for a folded sheet of stick figures when it is time to do their exercises. That contrast is doing real damage to your outcomes, and it is not a contrast patients experience anywhere else in the 2020s.
Progress stalls before anyone notices
A patient who quietly stopped their program in week two arrives in week four having lost ground. The plan gets adjusted after the setback instead of before it, and the episode stretches.
Drop-off looks like a scheduling problem
Patients rarely announce that they are done. They disengage at home first, then cancel. By the time it shows on the schedule, the relationship has already ended.
Real work goes unbilled
Clinics already check in, adjust programs, and answer questions between visits. Without structured capture, none of that qualifies for reimbursement and all of it is absorbed as overhead.
Four capabilities, one patient experience
Each part is built to feed the others. Adherence data makes outcome measures interpretable, messaging makes adherence recoverable, and all of it becomes the record that supports RTM.
- Video guidance for every exercise
- Completion visible per patient, per day
- Program changes reach the patient instantly
- A real app, not a printed sheet
- Measures delivered in the patient's routine
- Trends visible across the episode
- Answered in the app, not chased by phone
- Outcomes data ready for payer conversations
- All six musculoskeletal codes in one workflow
- Both billing clocks tracked independently
- Threshold status per patient before month-end
- Documentation assembled for the biller
- Secure messaging inside the care plan
- Context from the patient's actual activity
- Contact captured for the RTM record
- Off personal phones and text threads
One workflow, four disconnected tools replaced
Nothing here asks your team to work outside the routine they already have. The clinical work is the same work. What changes is that it becomes visible, and then billable.
-
Assign the plan
The therapist builds the program during or right after the visit and launches the patient into it. Consent and set-up education happen once, at the start of the episode.
-
The patient engages
Exercise completion, symptom responses, and outcome measures come back day by day, from the app on the phone the patient already carries.
-
You see the signal
Adherence trends, symptom changes, and threshold status surface per patient, so the ones drifting are the ones you reach out to.
-
The month closes itself
Qualifying codes, thresholds met, and supporting documentation are assembled per patient. Your biller reviews a summary instead of rebuilding the month by hand.
Between-visit care is a reimbursable service
Remote therapeutic monitoring exists because structured care between appointments changes outcomes, and Medicare pays for it accordingly. It is not a billing trick layered onto a visit. It is a defined service with its own thresholds, its own documentation standard, and its own place on the fee schedule.
What follows is one engaged patient, one month, at 2026 Medicare national averages.
2026 Medicare national averages, non-facility. Adjusted by locality; commercial payers set their own rates. Ongoing months without the set-up code total $93.52.
Adoption is the whole problem
Every metric on this page depends on one thing, which is whether the patient actually opens the program. Most platforms treat that as the customer's problem. We treat it as the product.
Held to the standard of every other app on the phone
Your patient booked a flight, moved money between accounts, and reordered a prescription from that phone this week. Orva is built to sit next to those apps and survive the comparison, because that is the bar patients apply whether or not healthcare software wants to be judged on it. Every point of friction removed is a percentage point of adherence kept, and adherence is what drives both the clinical result and the billing threshold.
Built for musculoskeletal care specifically
Orva was not adapted from vitals monitoring. Day-count tiers, therapy modifiers, plan-of-care attachment, and assistant rules are the actual mechanics of therapy billing, and a platform built for chronic medical management does not track any of them.
Your staff, not an outside monitoring service
Orva is software your team runs. The clinical work stays with the people already treating the patient, which keeps the relationship in your clinic and keeps you clear of the staffing questions CMS has raised about outsourced monitoring arrangements.
Start with one therapist and one caseload
You do not need a committee, a capital request, or an integration project to find out whether this works. Create an account, enroll a handful of patients, and judge it on what comes back.
Who this is for
Orva is built for a specific kind of practice. It is worth being direct about where it fits and where it does not.
- Outpatient physical therapy and orthopedic clinics
- Practices where home exercise programs are central to the plan of care
- Clinics running RTM today and struggling with threshold tracking or month-end closeout
- Clinics that have never billed RTM and want a first program that will hold up to review
- Multi-site groups that need consistency across locations
- Teams that want to deliver monitoring with their own staff
- Practices looking for physiologic remote patient monitoring of vitals
- Clinics that want to hand the clinical work to an outside monitoring vendor
- Settings where care is delivered entirely in person with no home program component
- Organizations that need a full EMR rather than a between-visit layer alongside one
What clinics ask before starting
Does Orva replace our EMR?
No. Orva runs alongside your documentation system and handles what happens between visits, which is where most EMRs have no coverage. Your notes, scheduling, and billing stay where they are.
How much work is this for our staff?
Assigning a program takes a few minutes at the end of a visit. After that, the daily work is reviewing who is drifting and reaching out, which is clinical time that counts toward the monitoring codes rather than uncompensated overhead. The month-end work is the part that shrinks most, because the documentation is assembled as the month runs instead of reconstructed afterward.
Will our patients actually use it?
It is the 2020s, not the 1970s. Your patients manage their money, their groceries, their flights, and their prescriptions from their phones, and they arrive at your clinic carrying that expectation whether or not the software they are handed can meet it. A folded exercise sheet loses to that comparison before the patient reaches the parking lot.
Orva is a consumer-grade mobile application built to the standard patients already apply everywhere else in their lives. That is a design commitment rather than a guarantee, so the right way to settle it is on a real caseload with your own patients, which is why you can start without a contract.
What about patients without a smartphone?
Any practice will have some. Those patients continue on your existing approach, and the rest of the caseload moves to a structured program. RTM does not require universal enrollment to be worth running.
Is Orva HIPAA compliant?
Orva operates as a business associate and enters into a Business Associate Agreement with each clinic. Protected health information is handled under that agreement, and the BAA is available for your counsel to review before you enroll a patient.
What does it cost?
You can create an account and start without paying anything. Beyond that, our pricing is based on results, so what you pay tracks what the program produces rather than sitting on your books as a fixed cost. A walkthrough is the fastest way to see what that looks like for your caseload.
We already tried a HEP tool and adoption was poor. Why would this be different?
Most exercise tools were built to deliver content and treat whether the patient opens it as somebody else's problem. That shows up everywhere, in how the app looks, how it behaves, and how much it asks of the patient before showing them anything useful. Software that feels like a form patients have been assigned gets used like one.
The second difference is what the tool does with what comes back. A content library has no reason to track day counts or management minutes and no way to turn engagement into a billable record, so adoption stays a soft benefit instead of a line on a claim.
Can we start with one location or one therapist?
That is the recommended way to start. Run it on a single caseload, look at what adherence and month-end closeout actually look like, then expand on evidence rather than on a projection.
Start with one caseload this week
Create an account, build a program, and enroll a patient. You will know within a month whether the between-visit picture is worth having, and that is a better basis for a decision than any demo.
Prefer to see it first? A walkthrough runs about thirty minutes and uses your patient mix.
- Home exercise, outcomes, messaging, and RTM in one place
- All six musculoskeletal RTM codes tracked as the month runs
- Delivered by your own staff, under your own plans of care
- Business Associate Agreement available before you enroll a patient
Reimbursement figures on this page are 2026 Medicare national averages for the non-facility setting and are adjusted by geographic locality. Commercial payer coverage and rates vary. This page is general information about the Orva platform and is not billing, legal, or coding advice. See the RTM overview for code-level detail and current requirements.
