For clinicians & care teams
Catch AFib episodes
your patients never
mention at the visit.
Most AFib is paroxysmal and asymptomatic between episodes. Ziva uses Apple Watch irregular rhythm notifications and on-demand ECG to surface episode burden, triggers and anticoagulation adherence - continuously, not at the next visit.
HIPAA compliant · EHR integration · Apple Watch rhythm detection · RPM & CCM eligible
Integrates with
EpicCernerathenahealtheClinicalWorksMEDITECHNextGen+ more
Why continuous rhythm monitoring changes outcomes
AFib managed between appointments
catches what the visit misses.
Revenue estimates are illustrative and vary by payer mix. Apple Watch, Fitbit and Garmin devices are FDA-cleared or CE-marked for AFib detection, not a diagnostic replacement for a 12-lead ECG.
Simple enrolment
From referral to monitored rhythm
in under a week.
Most AFib patients already own a compatible wearable. Ziva configures it for clinical use and fills the gap for anyone who doesn't.
1
Refer a patient in seconds
Search your patient in the Ziva portal or EHR. Select the AFib protocol. Ziva handles everything next.
2
Apple Watch connects, pulse ox ships
Isabella links the patient's existing Apple Watch, Fitbit or Garmin for proactive rhythm detection, and ships a validated pulse oximeter - the traditional device that drives RPM-qualifying data.
3
Episodes and adherence flow to your dashboard
Rhythm alerts, on-demand ECGs and anticoagulation adherence populate the panel. Isabella coaches on triggers in between.
4
Visit prep happens automatically
Before every appointment, a 30-day summary is attached to the patient chart - episode burden, longest duration, triggers, and anticoagulation adherence.
5
Billing documentation generated
RPM-qualifying data tracked automatically. Month-end billing summary ready for your billing team to submit.
Recent enrolments
+ Enrol patient
Patient
Enrolled
Status
Helen R., 69*
Existing watch linked
Today
Active
Walter S., 71*
Device in transit
Yesterday
In transit
Nancy P., 64*
21 days episode-free
3 days ago
Active
Typical time to first data
1–5 days
Same-day if the patient already owns a compatible watch; 3–5 days if a device ships.
*Stories are inspired by real patient experiences and health patterns observed in care. Names, images, quotes, and certain details have been changed or combined to protect privacy. Individual experiences and outcomes may vary.
Helen R., 69* — 30-day view
Alert active
AFib episodes — last 30 days
Episodes / wk
3
Longest episode
4h 20m
Anticoag adherence
100% ✓
Isabella · Clinical summary
"3 irregular rhythm notifications this week, up from 1/week last month. Episodes cluster on days following poor sleep (<5.5h) and evening alcohol. Apixaban adherence 100% — recommend rate/rhythm control review."
Monitoring & alerts
See episode burden rising
before it's a stroke risk.
Most AFib is paroxysmal and asymptomatic - patients often can't tell you when or how often it happens. Ziva gives you episode frequency, duration, symptom correlation and anticoagulation adherence on one longitudinal record.
✓Apple Watch, Fitbit and Garmin irregular rhythm notifications, plus on-demand ECG where supported
✓Episode burden trended against personal triggers — sleep, alcohol, caffeine, stress
✓Anticoagulation adherence logged and correlated with episode frequency
✓Escalation documented in EHR — rising burden generates clinical notes posted directly to the patient record
✓Configurable alert thresholds — per patient, per rhythm-control strategy
*Stories are inspired by real patient experiences and health patterns observed in care. Names, images, quotes, and certain details have been changed or combined to protect privacy. Individual experiences and outcomes may vary.
Seen enough? Let's talk about your AFib panel.
30-minute demo. We'll walk through enrolment, rhythm alerts, EHR integration, and the revenue model for your practice.
AI patient coaching
Your rhythm-control plan,
reinforced every day.
Most AFib patients see their cardiologist once or twice a year. Isabella fills the days in between - coaching on trigger avoidance, anticoagulation timing, and lifestyle factors, within the parameters your team sets. When it reaches a clinical limit, it escalates to you.
✓Personal trigger patterns surfaced from sleep, alcohol and activity logs
✓Anticoagulation reminders with dose-level adherence logged to your dashboard
✓On-demand ECG prompted when the watch flags an irregular rhythm
✓Clear escalation logic — Isabella alerts your team when coaching isn't enough
Trigger coaching — Walter S.*
Isabella → Patient
"Your last two episodes both followed nights under 5.5 hours of sleep. Your care team's guidance is 7+ hours on nights before higher-stress days. Want a wind-down reminder at 9:30pm?"
Anticoagulation — Nancy P.*
Isabella → Patient
"21 days episode-free and 100% apixaban adherence this month — keep it up. Reminder set for tonight's dose at 8pm as usual."
Escalation → Dr. Patel's team
Isabella → Provider alert
"Helen R.*'s episode burden has tripled over 3 weeks despite full anticoagulation adherence. Flagging for urgent clinical review - beyond lifestyle coaching scope."
Patient engagement
Two devices, two jobs
— proactive care and billable data.
Apple Watch, Fitbit and Garmin catch episodes proactively between visits - most patients already own one, so adoption is easy. RPM billing still runs on a validated pulse oximeter, which Ziva ships to every enrolled patient regardless of what they're already wearing.
16+
days of pulse ox data per month
The RPM billing threshold (CPT 99453/99454). Isabella's reminders keep pulse ox wear-time consistent, month after month.
Same-day
Setup for existing watch owners
Isabella links a patient's existing Apple Watch, Fitbit or Garmin for proactive rhythm alerts - on top of, not instead of, the pulse ox that drives billing.
Daily
Isabella coaching
Personal trigger insights and anticoagulation reminders, timed to the patient's own pattern rather than a generic schedule.
Want to show your patients what Ziva looks like?
The patient-facing AFib page explains Ziva in plain language - shareable directly with patients before enrolment.
What flows into your EHR automatically
📥
Rhythm episodes → vital signs
Every notification and on-demand ECG posts as an observation in the patient chart
🔔
Rising burden → EHR documentation
Escalations generate clinical notes posted directly into the patient's EHR record
📋
30-day summary → pre-visit notes
Auto-generated before every scheduled appointment
💊
Anticoagulation adherence → patient record
Dose-level logging posted to the chart and correlated with episode frequency
📊
RPM time log → billing documentation
Monthly billing summary compiled and ready to submit
EHR sync & automation
Fits into how you already work.
Not the other way around.
Ziva integrates with Epic, Cerner, athenahealth, eClinicalWorks, MEDITECH, NextGen and more via HL7 FHIR R4. Episodes, alerts and billing documentation flow into your existing system.
✓HL7 FHIR R4 — episodes post directly to the chart as vital signs
✓Configurable alert routing — inbox, task list, or pager by severity
✓Pre-visit summary auto-attached before every appointment
✓No new login — all data surfaced inside your existing tools
RPM & CCM billing
AFib patients qualify for
both RPM and CCM billing.
Medicare and most commercial insurers reimburse RPM and CCM separately - and most AFib patients with comorbidities such as hypertension or heart failure qualify for both. Ziva tracks all qualifying data and generates documentation automatically.
RPM — Remote Patient Monitoring
99453Device setup (one-time)~$19
99454Device supply, 16+ days/month~$46/mo
99457Management, first 20 min/month~$48/mo
99458Each additional 20 min~$39/mo
CCM — Chronic Care Management
For patients with 2+ chronic conditions (AFib + hypertension, heart failure, or diabetes)
99490Standard CCM, first 20 min/month~$62/mo
99439Standard CCM, each additional 20 min~$47/mo
RPM and CCM can be billed together in the same month. Approximate Medicare rates. Commercial rates vary. Consult your billing team and compliance officer.
RPM + CCM revenue estimate
Patients on RPM
45
10200
Also eligible for CCM (2+ conditions)
28
0= RPM count
RPM
Device supply + management (99454/99457)—
Additional time (99458)—
CCM — standard
First 20 min (99490)—
Additional 20 min (99439)—
Combined monthly revenue (RPM + CCM)
—
— annually
Illustrative only. RPM and CCM can be billed together in the same month. Actual revenue depends on payer mix, patient eligibility, and billing compliance.
Security & compliance
Built for healthcare.
Trusted by clinical teams.
Ziva was designed from the ground up for clinical environments - not adapted from a consumer app. Every data flow, access control, and integration meets the standards your compliance team requires.
🔒
HIPAA compliant
BAA available. All PHI encrypted in transit and at rest.
✅
End-to-end encrypted
All PHI encrypted in transit and at rest. HL7 FHIR R4 compliant data exchange.
🏥
US data residency
All patient data stored and processed within the United States.
📋
Audit-ready logs
Consent records, access logs, and billing documentation stored and exportable.
Book a demo
See Ziva in action with
your AFib panel.
30 minutes. We walk through the platform, configure alert thresholds for your protocols, review the EHR integration, and design a pilot for your practice.
✓Live walkthrough of the dashboard and patient views
✓EHR integration review for your specific system
✓Revenue estimate based on your actual patient panel
✓First pilot cohort enrolled within 2–3 weeks of go-live
Request a 30-minute demo
We'll walk through enrolment, alert configuration, and the revenue model for your practice.
Book my demo →No commitment. We'll follow up within 1–2 business days.
Questions
Provider FAQ
Yes. Apple Watch, Fitbit, Garmin and Samsung Galaxy Watch are FDA-cleared or CE-marked for AFib detection via irregular pulse rhythm notifications, with on-demand ECG on supported models. It's not a replacement for a 12-lead ECG, but it has high sensitivity for catching paroxysmal episodes between visits.
No. RPM billing (CPT 99453/99454) runs on a validated pulse oximeter, which Ziva ships to every enrolled patient regardless of what they already own. An Apple Watch, Fitbit or Garmin adds proactive rhythm detection on top of that - valuable for care, but not the billing-qualifying device.
Via a connected pillbox or app-logged confirmation, timestamped per dose and correlated with episode frequency on the same record - so a missed dose is visible as a pattern, not discovered at the next visit.
Ziva integrates with Epic, Cerner, athenahealth, eClinicalWorks, MEDITECH, NextGen and more via HL7 FHIR R4. For systems not listed, Ziva provides a standalone portal and CSV export.
Ziva automatically tracks device supply days (CPT 99454), clinical time spent (CPT 99457/99458), and consent records. A billing-ready summary is generated per patient per code at month-end for your billing team to submit. Ziva does not submit claims directly.
Yes. Fully HIPAA compliant, BAA available. All data encrypted in transit and at rest. Patient data is never sold or used for advertising. US data residency.