Healthie runs day-to-day health and wellness practice operations: clinical charting and documentation, client scheduling, HIPAA-compliant telehealth (including Zoom), Stripe payment processing and invoicing, a client portal, CMS-1500 and ClaimMD insurance workflows, Fullscript and lab connections, and group-practice tools such as a shared calendar, roles and permissions, and team chat. Healthie also offers a Time Tracker widget that times a patient encounter and logs duration to a chart form for clinical or billing codes — appointment- and encounter-oriented inputs, not a dedicated employee time-clock or punch history for payroll attendance. Keito is the layer practices add for the hours: AI-drafted time entries a staff member confirms, reviewed and approved by someone else, with any change reasoned and recorded, before the hours become a paycheck.
Illustrative review queue
Illustrative pay period
Hours reviewed
Entries confirmed
52
Providers reviewed
8
Shifts covered
96
Hours tied to each shift
Staff member, role, and period on every entry
Reviewed before payroll runs
A separate reviewer confirms hours before the batch closes
Evidence behind payroll
Reviewed hours back the payroll run
Healthie practices manage charting, schedules, telehealth, payments, insurance claims, and client messaging on one HIPAA EHR and practice-management platform — with Core through Group plans that scale by active clients and team seats. Healthie also publishes encounter-oriented time logging so providers can time a patient visit and save duration to a chart form for clinical or billing workflows. What reviewed public materials do not describe is a required second-approver payroll attendance workflow before staff hours become a paycheck. Keito answers the payroll question that leaves open: did each staff member confirm their hours, and did a separate reviewer approve them, before those hours became a paycheck.
Set up providers, support staff, and reviewers in Keito in days — Healthie keeps running charting, scheduling, telehealth, payments, ClaimMD, and the client portal exactly as it does today.
Keito drafts a time entry from the shift a staff member worked, so they confirm hours instead of reconstructing attendance from calendars or encounter timers at payroll time.
A separate reviewer approves payroll status before the period closes, then hands the approved hours to payroll as evidence.
Encounter timers are not a second-approver payroll gate
Healthie is published as HIPAA-compliant EHR and practice management software for health and wellness providers: scheduling, charting (including optional AI charting add-ons), telehealth, client portal, Stripe payment processing and invoicing (2.9% + $0.30), CMS-1500s, ClaimMD eligibility and claims (separate ClaimMD fees), Fullscript, eLabs, DoseSpot e-prescribing, and group tools such as a shared calendar, roles and permissions, and internal team chat. Public pricing on Healthie’s pricing page lists Core from about $19.99/month (10 active clients), Essentials about $49.99 (250 clients), Plus about $129.99 (unlimited clients), and Group from about $149.99/month plus about $50/month per clinician, with yearly billing about 10% lower, a 14-day Plus trial, and no credit card required to start. Healthie+ also documents a Time Tracker widget that starts and stops during a patient encounter and logs duration, start, and end to a configured chart form — useful for time-based clinical billing codes, not as a staff payroll attendance clock. Reviewed public Healthie product and pricing materials do not describe a required second reviewer who must approve employee hours with a distinct payroll approval status before payday. Keito’s argument is not that practices need a new EHR, scheduler, or telehealth stack — Healthie already publishes that platform, and Keito makes no claim to charting, scheduling, telehealth, insurance claims, or patient payments. It is that the hours behind a paycheck deserve AI-drafted entries a staff member confirms and a separate reviewer approves, rather than treating encounter timers or calendar blocks as payroll attendance. The boundary is deliberate: Keito has no EHR, telehealth, or insurance-billing tools, and it claims no native Healthie integration, automatic import, or synchronisation. Healthie keeps running the practice; Keito is where staff hours get an independent review before payroll.
Choose Healthie when the practice needs HIPAA EHR, scheduling, telehealth, payments, and insurance workflows purpose-built for health and wellness providers
Choose Keito when the problem is independently reviewed payroll hours that Healthie patient-encounter time logs are not designed to replace as a second-approver gate
Prove it in one pay period: Keito runs alongside Healthie, reviewing hours without touching charts, schedules, or claims
Workflow fit
Keito keeps Healthie alternative connected to client, project, billable status, approval, and invoice context before the work reaches finance.
Choose Healthie when the practice needs HIPAA EHR, scheduling, telehealth, payments, and insurance workflows purpose-built for health and wellness providers
Choose Keito when the problem is independently reviewed payroll hours that Healthie patient-encounter time logs are not designed to replace as a second-approver gate
Prove it in one pay period: Keito runs alongside Healthie, reviewing hours without touching charts, schedules, or claims
Keito drafts a time entry from the shift a staff member worked; they confirm and correct it instead of reconstructing attendance from calendars or encounter timers at payroll time.
Healthie calendars, dashboards, and encounter time logs surface visits and clinical duration; Keito’s reviewer settles payroll status for every entry before the period closes.
Reviewers approve staff hours and hand the evidence to payroll for labor-cost review, through exports the team designs and tests itself.
The difference is not just recording time. It is whether the record can support billing, project decisions, and client conversations.
Product shape
A standalone workspace for reviewed, payroll-ready hours and labor-cost evidence.
Healthie publishes HIPAA EHR and practice management — scheduling, charting, telehealth, payments, insurance tools, client portal, and group calendar/roles.
How time is captured
AI drafts a shift-specific entry from the time worked; the staff member confirms it, and a separate reviewer approves before it becomes a paycheck.
Healthie documents encounter-oriented Time Tracker logging so providers can time a patient visit and save duration to a chart form; reviewed materials do not describe that path as a required second-approver payroll attendance workflow.
Correction and review
Every reviewed hour carries a reviewer, an approval state, and a reasoned record of any change, tracked from the first draft.
Healthie calendars, reports, and encounter timers help practices see visits and clinical duration; they are not documented as a second-approver payroll attendance gate.
Review before payroll
A reviewer distinct from the staff member settles payroll status per entry before the period closes.
Healthie keeps the EHR and practice-management source of truth; payroll-grade attendance review is commonly handled outside the core platform.
Pricing and adoption
Published flat team pricing and a setup measured in days, run alongside Healthie.
Healthie presents Core, Essentials, Plus, and Group plans scaled by active clients and clinician seats (public list prices from about $19.99/month Core to Group from about $149.99/month plus per-clinician fees), with a 14-day Plus trial.
Data movement
Team-designed, tested exports and API handoffs moved in deliberate stages.
Healthie’s own Stripe, ClaimMD, Zoom, Fullscript, API, and marketplace integrations belong to its platform; connecting reviewed-hours data to outside payroll tools is not an assumed automatic sync with Keito.
It is software a health or wellness practice adopts instead of, or alongside, Healthie, which runs HIPAA EHR charting, scheduling, telehealth, payments, and insurance tools for providers. Because Healthie already covers that much of running the practice, an alternative rarely replaces all of it at once. Keito is the alternative for independently reviewed staff hours: AI-drafted entries a staff member confirms, approved by a separate reviewer before those hours become a paycheck.
Healthie manages charts, schedules, telehealth, payments, and insurance workflows, and it documents a Time Tracker widget so providers can time a patient encounter and log duration to a chart form for clinical or billing codes. Reviewed public Healthie materials describe that as encounter-oriented duration logging, not a dedicated employee time clock or a required second-approver payroll attendance workflow before hours become a paycheck.
The gap is payroll attendance review, not EHR or practice management. Healthie already owns charting, scheduling, telehealth, payments, and claims. Keito adds the hours layer: it drafts a time entry from the shift worked, the staff member confirms it, and a separate reviewer settles payroll status before the hours become evidence. Healthie still owns the chart and the visit; Keito owns the independently reviewed hours record.
Choose Healthie when the business needs HIPAA EHR and practice management — charting, scheduling, telehealth, payments, insurance tools, and a client portal — on one platform for health and wellness providers. Keito does not reproduce any of it: no charting, no telehealth, no ClaimMD claims, no patient payment processing. It is the wrong choice if the immediate need is an EHR rather than an independently reviewed record of staff hours.
Each reviewed record keeps the staff member, role, shift or period, duration, description, payroll status, reviewer, approval state, and pay period, tied to the hours worked rather than an encounter timer alone. That package backs the payroll run and gives a practice manager a reviewed answer when a staff member’s hours are questioned.
No. Keito claims no native Healthie integration, automatic import, or two-way synchronisation — Healthie’s own EHR, scheduling, telehealth, payments, ClaimMD, and marketplace workflows belong to its platform, not Keito’s. Capture in Keito is its own workflow: AI-drafted, typed, timed, and manually entered records that pass review before becoming payroll evidence. A practice can keep Healthie for EHR and practice management and run Keito alongside it as the independent review layer for staff hours, with any transfer between them designed and tested by the team.
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