For pulmonologists, allergists & PCPs
Manage your asthma
patients between every
appointment.
Controller adherence, rescue inhaler frequency, trigger patterns, nighttime symptoms, and wearable data - so your team sees the full picture before every visit, not just a recall-based history every few months.
HIPAA compliant · EHR integration · RTM billing eligible · Setup in weeks
Integrates with
EpicCernerathenahealtheClinicalWorksMEDITECHNextGen
Why continuous monitoring changes asthma outcomes
A clinic visit every few months captures one moment.
Daily data shows what's actually happening.
Simple enrolment
From referral to monitored patient
in under a week.
Controller adherence tracking and rescue inhaler logging start immediately - no wearable required. Connecting Apple Watch or Oura adds HRV, sleep, and activity data automatically.
1
Set medication schedule
Enter controller inhaler name, dose, and schedule. Add rescue inhaler for use tracking. Isabella builds reminders from your parameters. Under 3 minutes.
2
Patient onboards via Ziva app
Isabella walks the patient through their inhaler schedule, symptom logging, and trigger tagging. Designed for ease - the app works well for all ages.
3
Adherence and rescue data streams in
Every controller confirmation and rescue inhaler use is logged and timestamped. Isabella flags rescue use above threshold and controller adherence below target in real time.
4
Trigger patterns identified automatically
Isabella correlates symptom logs with pollen, AQI, activity, and patient-tagged triggers - building a personalised trigger profile visible in the provider portal.
5
Monthly RTM report compiled automatically
Controller adherence, rescue frequency, symptom summary, trigger analysis, and Isabella's clinical notes - ready in the portal and EHR before every visit. Supports RTM billing documentation.
What Isabella tracks for asthma patients
💨 Smart inhaler tracking · Hailie sensor
Ziva integrates with the Hailie smart inhaler sensor (Adherium via Tenovi) - FDA-cleared Bluetooth sensor that clips onto standard inhalers, auto-logging every use with date, time, and technique. No patient logging required. Rescue >2×/week flagged immediately.
🎯 Inhalation technique correction
The Hailie sensor detects whether each puff was taken correctly - actuation timing, inhalation speed, and breath-hold. Poor technique means the medication never reaches the airways. Isabella flags repeated technique errors and coaches the patient between appointments, so you're not discovering a months-long technique problem at the next visit.
🏷 Symptom logs
Wheeze, breathlessness, chest tightness, nighttime waking, and exercise limitation - tagged in real time, timestamped, and correlated with inhaler use. GINA control assessment built automatically.
🌿 Trigger correlation
Pollen, AQI, cold air, exercise, and patient-tagged triggers correlated with symptom frequency. Each trigger ranked by correlation percentage - specific to each patient's data.
😴 HRV & sleep quality ⌚
Nighttime asthma disrupts sleep and HRV. Wearable data catches sleep fragmentation and HRV dips between appointments - and can correlate with days before rescue use spikes.
Sarah K., 34* — Asthma panel
Review needed
Rescue inhaler use — last 4 weeks
1
1
3
5
4w ago · 1×/wk · controlledThis week · 5× ⚠
Controller adherence trend
4 weeks ago
94%
This week
68% ↓
Nighttime symptoms2 nights this week
Missed doses this week4 occasions
HRV (Apple Watch)38ms ↓
Top trigger this monthPollen (82% corr.)
Isabella · Clinical summary
"Sarah's rescue use has risen from 1× to 5× per week over 4 weeks, directly correlated with declining controller adherence — 68% this week vs 94% four weeks ago. High pollen week is a cofactor (82% historical correlation for this patient), but the adherence drop is the primary driver. Recommend step-up discussion or trigger pre-medication plan at next visit. 22 routine days this month — RTM eligible."
Clinical dashboard
See adherence, rescue use,
and triggers - together.
Your clinical exam captures a single moment. Ziva gives you the continuous picture - controller adherence correlated with rescue frequency, symptom trends, and trigger data - so the relationship between missed doses and worsening control is visible before it becomes an emergency visit.
✓Smart inhaler auto-logging — Hailie sensor (via Tenovi) records every inhalation with timestamp and technique automatically via Bluetooth, no patient input required
✓Rescue use frequency — weekly counts trending over 4 weeks, threshold alert when >2× per week
✓Trigger correlation ranked per patient — pollen, AQI, exercise, cold air, and patient-tagged triggers
✓Nighttime symptom log — wheeze, waking, breathlessness correlated with controller adherence timing
✓GINA control assessment auto-generated from rescue frequency, nighttime symptoms, and activity limitation
✓HRV and sleep from wearable — asthma impact on recovery visible over months
*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.
Ready to monitor your asthma panel between appointments?
30-minute demo - inhaler adherence dashboard, rescue use alerts, trigger analysis, RTM billing walkthrough.
Monthly reports & workflow
The full picture arrives
before every appointment.
Isabella compiles a monthly report covering controller adherence, rescue use trend, symptom frequency, GINA control score, trigger summary, and HRV - auto-attached to your EHR before each visit. Your appointment becomes a clinical decision conversation, not a history-taking session.
✓Controller adherence log — every dose with timestamp, missed doses flagged, 30-day percentage
✓Rescue use trend — weekly counts over 30 days, correlation with adherence highlighted
✓GINA asthma control assessment — automatically derived from rescue frequency, nighttime, and activity limitation logs
✓Trigger summary — top triggers ranked by correlation, with environmental context
✓RTM documentation — routine completion log with day counts supporting 98977 (16+ days) or 98985 (2–15 days)
Monthly report — Sarah K.*
Controller adherence74% ↓
Peak rescue use (wk 4)5×/wk ⚠
Nighttime symptoms6 nights this month
GINA controlPartly controlled
Routine days completed22 of 30 ✓
Top triggerPollen (82%)
Isabella · For provider
"Controller adherence declined from 94% to 68% over 4 weeks — directly driving rescue use up from 1× to 5× per week. Nighttime symptoms on 6 nights this month. GINA: partly controlled. Top trigger is pollen (82% correlation). Recommend step-up review or pre-medication plan for high-pollen days. 22 routine days completed — RTM 98977 eligible this month."
RTM billing
Asthma qualifies for RTM.
No second condition required.
Remote Therapeutic Monitoring (RTM) does not require two or more chronic conditions. Asthma alone qualifies. Ziva's daily inhaler logs, symptom check-ins, and wellness routines generate the data transmissions required for billing. New 2026 codes mean even partial engagement (2–15 days) is now billable.
Full engagement — 16–30 days / month
98975Initial setup & patient education (once)~$20 once
98976Device supply · respiratory · 16–30 days/month~$40/mo
98980Treatment management · first 20 min~$50/mo
98981Treatment management · each additional 20 min~$45/mo
Partial engagement — 2–15 days / month (new 2026)
98985Device supply · 2–15 days/month~$40/mo
98979Treatment management · 10–19 min~$25/mo
Ziva's daily inhaler logs and check-ins constitute the data transmissions for RTM device supply codes. Review eligibility and documentation requirements with your billing team. Approximate Medicare rates - many asthma patients are commercially insured and rates may differ. 98985 and 98977 are mutually exclusive per billing period.
RTM revenue estimate
Asthma patients on Ziva
25
5200
Engagement tier
Device supply — respiratory (98976)$1,000/mo
Treatment management (98980)$1,063/mo
Add-on management (98981)$563/mo
Monthly RTM revenue estimate
$2,626
$31,500 annually
What drives RTM day count
💨
Daily inhaler log
Each controller confirmation and rescue use is a timestamped data transmission - the most consistent daily signal for asthma patients
🏷
Symptom tags & wellness check-ins
Symptom logs, trigger tags, and daily wellness check-ins each count as a transmission day toward the billing threshold
⌚
Daily wearable sync
Each day HRV, sleep, and activity syncs from Apple Watch or Oura - counts as a passive data transmission day
Illustrative only. Approximate Medicare rates - many asthma patients are commercially insured and rates may differ. Consult your billing team before go-live.
Book a demo
See Ziva in action with
your asthma panel.
30 minutes. Inhaler adherence dashboard, rescue use alerts, trigger analysis, RTM billing walkthrough, and a pilot design for your practice.
✓Live walkthrough of controller adherence dashboard and rescue use trending
✓Trigger correlation analysis — pollen, AQI, exercise, ranked per patient
✓Monthly report format and RTM billing documentation walkthrough
✓EHR integration overview and pilot cohort design for your practice
Other conditions
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
No - RTM does not require two or more chronic conditions. Asthma alone qualifies. Ziva's daily inhaler logs, symptom check-ins, and wellness routines generate the data transmissions required for billing codes 98977 (16+ days) or 98985 (2–15 days, new 2026). Consult your billing team for documentation requirements specific to your payer mix.
The Hailie sensor by Adherium (distributed via Tenovi) is an FDA-cleared, Bluetooth-enabled device that clips onto standard inhalers. It automatically detects and records every inhalation - date, time, frequency, and technique - without any patient action. Data syncs to Ziva via the Tenovi integration, where Isabella correlates rescue use frequency with controller adherence and symptom logs. Without a smart inhaler, patients can still log rescue use manually via the app with a single tap. The log is timestamped automatically. Isabella tracks weekly rescue frequency, flags when it exceeds the 2×/week GINA threshold, and alerts your team in real time. No smart inhaler hardware is required - app-based logging is sufficient for RTM billing documentation and provides the clinical signal that matters most.
Pollen count (tree, grass, weed), air quality index (AQI and PM2.5), temperature, humidity, and UV index - pulled daily by patient location. Isabella correlates these with each patient's symptom and rescue use logs, building a personalised trigger correlation report that updates monthly. This allows your team to identify whether a rescue use spike is adherence-driven, environmentally triggered, or both - and inform step-up/step-down therapy decisions accordingly.
Isabella automatically calculates a GINA-aligned asthma control assessment from four data points: rescue inhaler use frequency, daytime symptoms, nighttime symptoms/waking, and activity limitation. Each is logged continuously by the patient or derived from wearable data. The assessment is updated weekly and included in the monthly report - giving you an objective control status before every appointment rather than a point-in-time recall at the visit.
Apple Watch (Series 4+) for HRV, sleep, heart rate, and activity. Oura Ring, Garmin, and Fitbit for HRV and sleep via Apple Health or Google Fit. Ziva works without a wearable - inhaler adherence, symptom tags, and trigger logs are all available from the app alone. Wearable data adds HRV and sleep context that is useful for asthma patients with significant exercise-induced or nocturnal symptoms.
Yes. Fully HIPAA compliant, BAA available. All PHI encrypted in transit and at rest. US data residency. Security documentation and DPA available for your compliance team.