Practice Better runs day-to-day health and wellness practice operations: clinical charting and documentation (including an optional AI Charting Assistant), client scheduling, HIPAA-compliant telehealth, integrated billing and payments, a client portal, secure messaging, forms and note templates, programs and courses, food and lifestyle journaling, and team-practice tools such as a shared calendar, custom roles, team chat, and managed billing. Practice Better also documents session-duration tracking for telehealth, Zoom, and in-person visits so actual duration can appear on superbills, CMS-1500 forms, and Session History reports — appointment-oriented clinical billing 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
48
Providers reviewed
7
Shifts covered
88
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
Practice Better practices manage charting, schedules, telehealth, payments, programs, client messaging, and team collaboration on one all-in-one EHR and practice-management platform — with Starter through Team plans that scale by clients, storage, and practitioner seats. Practice Better also publishes session-duration tracking so providers can record how long a visit lasted and surface that duration on superbills, CMS-1500 forms, and Session History exports. 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 — Practice Better keeps running charting, scheduling, telehealth, payments, programs, 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 session timers at payroll time.
A separate reviewer approves payroll status before the period closes, then hands the approved hours to payroll as evidence.
Session timers are not a second-approver payroll gate
Practice Better is published as all-in-one EHR and practice management software for health and wellness providers: scheduling, charting (including an optional AI Charting Assistant add-on from about $10/month per practitioner), telehealth, client portal, integrated billing and payments, secure messaging, forms and note templates, fixed-date and evergreen programs, food and lifestyle journaling, Fullscript and diagnostic connections, and team tools such as a shared calendar, custom roles and permissions, team chat, managed billing, and multi-site access. Public pricing on Practice Better’s pricing page lists Starter from about $35/month (about $25/month billed annually), Grow about $69/month, Plus/Professional about $99/month, and Team/Scale from about $155/month for two practitioner licenses with additional practitioners about $50/month each (up to about 200), plus add-ons such as Connector Hub about $49 USD/month and ePrescribe about $49 USD/month, with 14-day trials on paid plans (Team trial about 30 days) and no long-term contracts. Practice Better help documentation also describes Tracking Session Duration for telehealth, Zoom, and in-person or phone sessions so actual duration can appear on superbills, CMS-1500 forms, and Session History reports — useful for time-based clinical billing, not as a staff payroll attendance clock. Reviewed public Practice Better product, pricing, teams, and help 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, telehealth stack, or programs platform — Practice Better already publishes that product, and Keito makes no claim to charting, scheduling, telehealth, insurance forms, patient payments, or client programs. It is that the hours behind a paycheck deserve AI-drafted entries a staff member confirms and a separate reviewer approves, rather than treating session timers or calendar blocks as payroll attendance. The boundary is deliberate: Keito has no EHR, telehealth, or patient-billing tools, and it claims no native Practice Better integration, automatic import, or synchronisation. Practice Better keeps running the practice; Keito is where staff hours get an independent review before payroll.
Choose Practice Better when the practice needs all-in-one EHR, scheduling, telehealth, payments, programs, and team tools purpose-built for health and wellness providers
Choose Keito when the problem is independently reviewed payroll hours that Practice Better session-duration logs are not designed to replace as a second-approver gate
Prove it in one pay period: Keito runs alongside Practice Better, reviewing hours without touching charts, schedules, or client programs
Workflow fit
Keito keeps Practice Better alternative connected to client, project, billable status, approval, and invoice context before the work reaches finance.
Choose Practice Better when the practice needs all-in-one EHR, scheduling, telehealth, payments, programs, and team tools purpose-built for health and wellness providers
Choose Keito when the problem is independently reviewed payroll hours that Practice Better session-duration logs are not designed to replace as a second-approver gate
Prove it in one pay period: Keito runs alongside Practice Better, reviewing hours without touching charts, schedules, or client programs
Keito drafts a time entry from the shift a staff member worked; they confirm and correct it instead of reconstructing attendance from calendars or session timers at payroll time.
Practice Better calendars, team reports, and session-duration 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.
Practice Better publishes all-in-one EHR and practice management — scheduling, charting, telehealth, payments, programs, client portal, and team 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.
Practice Better documents session-duration tracking so providers can record visit length for superbills, CMS-1500 forms, and Session History; 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.
Practice Better calendars, team reporting, and session 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.
Practice Better 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 Practice Better.
Practice Better presents Starter, Grow, Plus/Professional, and Team plans scaled by clients and practitioner seats (public list prices from about $35/month Starter to Team from about $155/month plus per-practitioner fees), with paid-plan trials and no long-term contracts.
Data movement
Team-designed, tested exports and API handoffs moved in deliberate stages.
Practice Better’s own payments, Connector Hub, Zoom, Fullscript, 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, Practice Better, which runs all-in-one EHR charting, scheduling, telehealth, payments, programs, and team tools for providers. Because Practice Better 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.
Practice Better manages charts, schedules, telehealth, payments, programs, and team collaboration, and it documents session-duration tracking so providers can record how long a visit lasted for superbills, CMS-1500 forms, and Session History reports. Reviewed public Practice Better materials describe that as appointment-oriented clinical billing duration, 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. Practice Better already owns charting, scheduling, telehealth, payments, and programs. 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. Practice Better still owns the chart and the visit; Keito owns the independently reviewed hours record.
Choose Practice Better when the business needs all-in-one EHR and practice management — charting, scheduling, telehealth, payments, programs, a client portal, and team tools — on one platform for health and wellness providers. Keito does not reproduce any of it: no charting, no telehealth, no patient payment processing, no client programs. 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 a session 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 Practice Better integration, automatic import, or two-way synchronisation — Practice Better’s own EHR, scheduling, telehealth, payments, Connector Hub, 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 Practice Better 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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