The between-visit platform for physical therapy
Home exercise programs, outcome measures, messaging and remote therapeutic monitoring in one app your patients want to open, run by your own therapists in the workflow you already have.
“It’s the best HEP and RTM platform we’ve used.”
- Built forOutpatient PT, orthopedic and musculoskeletal clinics
- Delivered byYour own therapists, under your own plans of care
- RTM coverageAll six musculoskeletal codes in one workflow
- ComplianceHIPAA-aligned, with a Business Associate Agreement
Recovery happens where you can’t see it
A patient on a twice-weekly plan spends about two hours a week in your clinic. The rest of the week is where adherence holds or slips, and most clinics find out which at the next visit.
of the 168 hours in a week happen outside your clinic for a patient seen twice a week.
Assumes one-hour visitsProgress stalls before anyone notices
A patient who stopped their program in week two arrives in week four having lost ground. The plan changes after the setback instead of before it.
Drop-off looks like a scheduling problem
Patients rarely announce they’re done. They disengage at home first and cancel later, and by then the relationship has already ended.
Four capabilities that work as one patient experience
Each part feeds the others. Adherence makes outcome scores readable, messaging makes a slipping week recoverable, and all of it builds the record that supports RTM.
Home exercise programs built your way
Build a video-guided program in minutes and it lands in the patient’s app. They see what to do today, and you see what they completed.
Explore home exercise programsOutcome measures that run themselves
Validated measures arrive in the same app on the schedule you set, scored automatically and shown next to the adherence data that explains them.
See how outcomes workRemote therapeutic monitoring that closes the month
Days of data, management minutes and the live interaction requirement are tracked as the month runs, so you see where each patient will land while there’s still time to act.
See how RTM worksMessaging tied to the plan of care
Patients ask the questions they’d otherwise hold for days, and the conversation stays with the patient record instead of on a personal phone.
Built into the patient appOne workflow in place of four tools
Nothing here asks your team to work outside their routine. Orva runs alongside your EMR, and each step fits the visits your therapists already run.
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1
Assign the plan
The therapist builds the program during or right after the visit. Consent and setup happen once, at the start of the episode.
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2
The patient engages
Exercise completion, symptom check-ins and outcome measures come back as they happen, from the phone the patient already carries.
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3
You see the signal
Adherence trends, symptom changes and threshold status surface for each patient, so you reach out to the ones who are drifting.
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4
The month comes together
Qualifying codes, thresholds met and documentation are assembled for each patient, so your biller reviews a summary instead of rebuilding the month.
“Accessing data for billing and generating reports is seamless, saving me valuable time.”
Between-visit care is a reimbursable service
Remote therapeutic monitoring is a defined service with its own thresholds, its own documentation standard and its own place on the Medicare fee schedule. It pays for structured care between appointments, delivered by the clinician managing the patient.
Running a cash-pay clinic? Orva works with RTM billing turned off, and the patient experience stays the same.Adoption is the whole problem
Every number on this page depends on whether the patient opens the program. Most platforms treat that as the clinic’s problem. We treat it as the product.
Held to the standard of every other app on the phone
This week your patient booked a flight, moved money between accounts and reordered a prescription from that phone. It’s the 2020s, not the 1970s, and Orva is a consumer-grade app built to hold up next to those. Less friction means better adherence, and adherence drives both the clinical result and the billing threshold.
In a randomized trial, people with musculoskeletal conditions stuck to their home programs better on an app with remote support than on paper handouts.
Lambert et al., Journal of Physiotherapy, 2017Built for musculoskeletal care
Orva wasn’t adapted from vitals monitoring. Day-count tiers, therapy modifiers, plan-of-care attachment and assistant rules are the mechanics of therapy billing, and Orva is built around them.
Your therapists, not an outside 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. That’s Real RTM™.
Start with one caseload
You don’t need a committee, a capital request or an integration project to find out whether this works. Start a trial, enroll a few patients and judge it on what comes back.
“Our patients frequently tell us how much they appreciate the app. It has helped them stay compliant and feel more connected to their care.”
Who Orva is built for
Orva fits best where home exercise is central to the plan of care and your own therapists deliver it.
A strong fit
- Outpatient physical therapy and orthopedic clinics
- Practices where home exercise is central to the plan of care
- Clinics running RTM today that struggle with tracking or month-end
- Clinics starting RTM for the first time that want it to hold up to review
- Multi-site groups that need consistency across locations
- Cash-pay clinics that want the patient app without RTM billing
Probably not a fit
- Practices looking for physiologic monitoring of vitals
- Clinics that want an outside vendor to handle the clinical work
- Settings with no home program component
- Organizations looking for a full EMR rather than a layer alongside one
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
What clinics ask before starting
The quickest way to answer the rest is to try Orva on your own caseload.
Does Orva replace our EMR?
No. Orva runs alongside your EMR and covers what happens between visits. Notes, scheduling and billing stay where they are, and Orva clinics run on WebPT, Prompt, Athelas, HelloNote, Stride, TheraOffice and more.
Who does the RTM work, our team or Orva?
Your team. Orva is software your therapists run, so the clinical work stays with the people already treating the patient.
Orva captures days of data and management time automatically, and your clinicians log their real-time interactions in Orva.
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’s drifting and reaching out, which is clinical time that counts toward the management codes.
Month-end shrinks the most, because documentation builds as the month runs instead of being reconstructed afterward.
Will our patients use it?
It’s the 2020s, not the 1970s. Your patients manage their money, groceries, flights and prescriptions from their phones, and they bring that expectation to their recovery. A printed exercise sheet loses that comparison before the patient reaches the parking lot.
Orva is a consumer-grade mobile app built to the standard patients apply everywhere else. The best way to judge it is on a real caseload with your own patients, which is what the free trial is for.
What about patients without a smartphone?
Every practice has some. Those patients continue on your existing approach while the rest of the caseload moves to a structured program. RTM doesn’t require universal enrollment to be worth running.
Is Orva HIPAA compliant?
Orva operates as a business associate and signs 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.
Do we have to bill RTM to use Orva?
No. Cash-pay clinics use Orva with RTM billing turned off, and the patient experience stays the same.
We tried a HEP tool before 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 someone else’s problem. It shows in how the app looks, how it behaves and how much it asks before giving the patient anything useful.
The other difference is what happens with what comes back. A content library doesn’t track days of data or management minutes, so engagement never turns into a structured RTM record.
Can we start with one location or one therapist?
That’s the recommended way to start. Run it on a single caseload, see what adherence and month-end look like, then expand based on results.
What does it cost?
Our pricing is based on results. The fastest way to see whether Orva fits your clinic is the 7-day free trial, with no credit card required.
See what happens between visits
Start a 7-day free trial, explore Orva with a demo patient, and see the app from your patient’s side before you enroll a real one.
7-day free trial · No credit card · No contract to start- Home exercise, outcomes, messaging and RTM in one app
- All six musculoskeletal RTM codes tracked as the month runs
- Delivered by your own therapists, under your own plans of care
- A Business Associate Agreement before you enroll a patient
- RTM built in, or turned off for cash-pay
Reimbursement figures use 2026 Medicare national average non-facility rates for 98975 ($21.71) once, then 98977 ($51.44) and 98980 ($54.11) in each month, and are adjusted by locality. Commercial payer coverage and rates vary. This page is general information about the Orva platform and is not billing, legal or coding advice. Research cited comes from Lambert TE et al., Journal of Physiotherapy, 2017;63(3):161-167, which describes home exercise generally, not results specific to Orva. The month view and patient examples are illustrative. See the RTM overview for code-level detail and current requirements.