Orva vs. Keet Health: RTM as a Revenue Channel vs. RTM as a Feature

What Keet Is Built For

Keet was built as a broad digital engagement platform for MSK care. Its core offering combines home exercise programming, patient-reported outcomes, secure messaging, and an RTM dashboard in one suite. It was designed to work within the WebPT ecosystem, making it a natural fit for clinics already on that EMR who wanted a single vendor for patient engagement across multiple digital initiatives.

Keet's RTM offering centers on a dashboard where clinicians can see patient adherence, activity progress, and minutes of remote therapeutic monitoring time logged, particularly toward the management codes 98980 and 98981. Secure messaging is part of the platform and contributes to monitoring time tracking.

What Keet does not clearly document publicly is how it handles the overlap between the 30-day device period and the calendar month management cycles, whether real-time eligibility status is visible across all six RTM codes in a single view, or whether billing reporting exports are structured for direct claim submission without additional tools. Those are worth asking directly before you commit.

RTM as an Engagement Feature vs. RTM as a Billing System

This is the core structural difference between the two platforms, and it matters more than it might initially seem.

Keet was built to improve patient engagement across MSK care broadly. RTM is one component of that platform, optimized for the overall patient experience alongside HEP, outcomes, and messaging. The result is an RTM workflow that tends to feel like a dashboard reporting on activity and monitoring time after the fact, rather than a real-time eligibility engine showing clinicians and billers exactly which codes are billable today, where each patient sits in their cycle, and what needs to happen before each billing window closes.

Clinics that have evaluated both platforms and chosen Orva tend to describe the same friction: Keet required additional steps to close the billing cycle, whether that meant exporting data, building eligibility spreadsheets, or cross-referencing activity logs with billing windows manually. The RTM component felt like part of a broader engagement workflow rather than a billing compliance system.

For clinics where RTM is one of several digital initiatives running alongside an existing tech stack, that may be acceptable. For clinics where RTM is a primary revenue channel that needs to run reliably every month, that structural difference tends to matter.

What the Net Health Acquisition Means in Practice

Net Health has confirmed that Limber will be the preferred RTM and outcomes solution for WebPT and Clinicient customers, with integration targeted for early 2026. That does not mean Keet disappears immediately, but it does mean the product roadmap is now oriented around consolidation into a different platform.

For any clinic currently on Keet or evaluating it, the right questions to ask Net Health directly are: Is Keet being maintained as an independent product or merged into Limber? What does your contract look like at renewal under Net Health terms? And what is the specific migration timeline for features and data?

These are due diligence questions worth getting in writing before signing anything.

What Orva Is

Orva is a full patient engagement platform built specifically for outpatient PT and orthopedic clinics. That means HEP, patient-reported outcome surveys, secure messaging, and the most capable RTM billing engine available — all in one place, designed around how these clinics actually operate.

The RTM billing side is where Orva is most differentiated. Every part of the platform is architected around how RTM billing actually works: 30-day device periods, calendar month management cycles, code eligibility thresholds, and the documentation requirements that determine whether a claim gets paid or denied. Orva tracks all of this automatically across all six codes: 98975, 98985, 98977, 98979, 98980, and 98981. Clinicians and billers see in real time which patients qualify, which codes are billable today, and what needs to happen before each billing window closes.

Secure messaging in Orva is integrated directly into RTM qualification logic. Messages count toward monitoring time in a way that is structured and visible for reimbursement, not logged separately and reconciled later.

Beyond the platform itself, Orva actively manages RTM billing for its clinic partners at no additional cost. That means handling documentation, generating billing reports, and submitting claims on your behalf — so your staff does not have to close the billing cycle manually. This is not a feature most platforms offer at all, let alone at no extra cost.

In active Orva clinics, patient engagement runs above 90%. Setup takes under two minutes per patient. Clinics are typically live within an hour. Pricing is per patient, and you only pay for patients who qualify. And because Orva is independently owned, none of that changes as a result of an acquisition.

Who Should Consider Keet

Keet makes the most sense for clinics already embedded in the WebPT ecosystem who want a single vendor for HEP, PROMs, secure messaging, and RTM in one platform. If your primary goal is engagement continuity within an existing WebPT workflow, and RTM is one of several digital initiatives rather than a standalone revenue channel you need to optimize, Keet's broader suite has historically served that need.

That said, given the Net Health acquisition and the stated plan to consolidate toward Limber, the more relevant question for any clinic currently on Keet or evaluating it is what the migration plan looks like and what your contract terms are at renewal. Those are answers to get in writing from Net Health before you commit.

Who Should Choose Orva

Orva is the stronger fit for independent outpatient PT practices and orthopedic groups where RTM is a primary revenue channel, not a feature running quietly in the background. Clinics that choose Orva over Keet typically share a few things in common: they want real-time qualification visibility, not just a dashboard showing activity after the fact; they want pricing aligned with outcomes, not seat-based fees that accrue regardless of engagement; and they want the billing cycle to close without additional manual steps.

If you are a current Keet user evaluating your options before the Limber migration, Orva offers a clean onboarding path. Setup is fast, there are no implementation fees, and we have helped clinics transition from other platforms before.

The Questions Worth Asking Before You Decide

For any clinic evaluating Keet or reconsidering it after the acquisition, ask these before committing: Is Keet being maintained as an independent product or merged into Limber, and on what timeline? What does your contract look like at renewal under Net Health? Can the platform show you real-time eligibility status across all six RTM codes in a single view? And can you see a live billing report before you sign?