For clinicians & care teams
Catch COPD exacerbations
before your patient calls
an ambulance.
Continuous SpO2 monitoring, symptom escalation alerts, AI-powered self-management coaching, and EHR sync - so your team intervenes at the first sign of deterioration, not after a hospital admission.
HIPAA compliant · EHR integration · Pulse oximeter, Peak Flow Meter & medication adherence tracker · Setup in weeks
Integrates with
EpicCernerathenahealtheClinicalWorksMEDITECHNextGenPointClickCareAdvancedMDAllscriptsWellSky+ more
Why continuous monitoring changes COPD outcomes
Exacerbations are predictable.
SpO2 and symptoms tell you days in advance.
Based on published clinical evidence. Revenue estimates are illustrative and vary by payer mix.
Simple enrolment
From referral to monitored patient
in under a week.
No clinic visits for setup. A connected pulse oximeter ships directly to the patient - and where clinically indicated, a Peak Flow Meter for precision PEF and FEV1 monitoring. Isabella guides setup and daily readings. Your team sees every measurement without any extra work.
1
Refer in seconds from your EHR
Search your patient in the Ziva portal or EHR. Select the COPD protocol and set their SpO2 alert threshold. Ziva handles everything next.
2
Devices ship to their door
A validated Bluetooth pulse oximeter arrives pre-paired. Where indicated, a Peak Flow Meter is included - capturing PEF and FEV1 alongside SpO2 for a fuller respiratory picture. Isabella guides setup in under 5 minutes.
3
SpO2 readings flow to your dashboard
Your team monitors trends and receives alerts when SpO2 drops or symptoms escalate. Isabella manages daily coaching in between.
4
Visit prep happens automatically
Before every appointment, a 30-day summary is attached to the patient chart - SpO2 trend, rescue inhaler use, symptom log, activity, and CAT score.
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
Vera M., 69*
Device in transit
Today
In transit
Derek H., 61*
First reading received
Yesterday
Active
Susan P., 74*
20 readings this month
3 days ago
Active
Optimal enrolment window
Post-exacerbation
Enrolment at or after discharge from an acute exacerbation captures the highest-risk period and motivates patient engagement. First reading within 3–5 days.
*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.
Frank O., 67* — 14-day SpO2
Alert active
Resting SpO2 (%) — last 14 days
88%
84%
Day 1Day 7Today
SpO2 84% - third reading below 88% threshold. Rescue inhaler 4× in 24h.
7-day avg SpO2
87%
Rescue use / 24h
4×
CAT score trend
↑ 8 pts
Isabella · Clinical summary
"SpO2 declining over 6 days — now below the critical 88% threshold. Frank reported worsening productive cough and green sputum yesterday, consistent with a bacterial exacerbation. Rescue inhaler used 4× in last 24h. Recommend urgent clinical review and antibiotic consideration."
SpO2 monitoring & alerts
See deterioration 2–5 days
before it becomes a hospital stay.
A single SpO2 reading tells you nothing about trajectory. Ziva gives you the trend - resting SpO2 over days, rescue inhaler frequency, symptom burden, and activity decline - so clinical decisions are grounded in a week of context, not one moment in clinic.
✓Per-patient SpO2 thresholds — typically 88% for alert, configurable by severity and baseline
✓Rescue inhaler use tracked — frequency spikes are an early exacerbation marker
✓Daily symptom burden tracked — breathlessness, sputum colour, wheeze, exercise tolerance
✓Multi-signal escalation — SpO2 + symptoms + rescue use together trigger faster alerts
✓Alerts documented in EHR — critical readings generate clinical notes posted to the patient record
Default alert rules — configurable per patient
SpO2≤ 88% → Urgent alert
Rescue inhaler≥ 4× in 24h → Watch alert
CAT score≥ 5pt rise in 7 days → Team flag
*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 reduce COPD readmissions in your panel?
30-minute demo - enrolment, SpO2 alert configuration, EHR integration, and the revenue model for your practice.
AI patient coaching
Your COPD protocol,
delivered every day between appointments.
COPD patients typically see their provider a few times a year. Isabella fills the time between - coaching on inhaler technique, activity pacing, smoking cessation, exacerbation recognition, and trigger avoidance, within the parameters your team sets. When something exceeds clinical limits, Isabella escalates immediately.
✓Inhaler technique reminders and adherence tracking — maintenance and rescue inhalers logged separately
✓Activity pacing guidance — targets set by your team, adjusted to current SpO2 and symptom level
✓Smoking cessation support — behavioural coaching aligned to your clinical programme
✓Exacerbation recognition education — patients learn their personal warning signs and when to call
✓Clear escalation logic — Isabella alerts your team when coaching is not enough
Activity coaching — Colin R.*
Isabella → Patient
"Your SpO2 is 95% this morning — a good day for a walk. Dr. Patel's team suggests 10–15 minutes at a pace where you can still hold a conversation. Stop and rest if you feel breathless before that. Walk in the afternoon when air quality is typically better."
Inhaler coaching — Margaret T.*
Isabella → Patient
"You've used your rescue inhaler twice before noon. Your maintenance inhaler is most effective taken every morning at the same time — have you had it today? Using your preventer consistently reduces how often you need the reliever."
Escalation → Dr. Chen's team
Isabella → Provider alert
"Frank O. SpO2 has fallen to 84% - below clinical threshold for 3 consecutive days. Reports green sputum and increased breathlessness. Rescue inhaler use 4× today. Pattern consistent with acute bacterial exacerbation. Urgent clinical review required."
What flows into your EHR automatically
🩺
SpO2 readings → vital signs
Every reading posts as an observation in the patient chart
🔔
Exacerbation alerts → EHR notes
SpO2 threshold breaches generate clinical notes posted to the patient record
📋
30-day summary → pre-visit notes
SpO2 trend, rescue use, CAT score, and symptom log auto-generated before every appointment
💊
Medication adherence → patient record
Connected adherence device logs each dose taken - posted to the chart and correlated with SpO2 trends
📊
RPM time log → billing documentation
Monthly billing summary compiled and ready to submit
Running automatically — no staff time needed
●Daily SpO2 reading reminders to patients
●Missed reading detection and re-engagement nudges
●Medication adherence tracked via connected device - dose-level logging to chart
●Maintenance inhaler refill reminders aligned to prescription
●Weekly symptom summary sent to patient and logged to chart
●End-of-month billing documentation compiled automatically
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. SpO2 readings, exacerbation alerts, and billing documentation flow into your existing system - your team doesn’t log into another platform or manage a separate inbox.ngs, exacerbation alerts, and billing documentation flow into your existing system - your team doesn't log into another platform or manage a separate inbox.
✓HL7 FHIR R4 — SpO2 readings post directly as vital signs in the chart
✓Configurable alert routing — inbox, task list, or pager by severity
✓Pre-visit summary auto-attached — SpO2 trend, rescue use, CAT score, and symptom log
✓No new login — all data surfaced inside your existing tools
RPM & CCM billing
COPD patients qualify for
both RPM and CCM billing.
Medicare and most commercial insurers reimburse Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) separately - and COPD patients with comorbidities (heart failure, hypertension, diabetes) commonly 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~$65/mo
99457Management, first 20 min/month~$51/mo
99458Each additional 20 min~$41/mo
CCM — Chronic Care Management
For patients with 2+ chronic conditions (COPD + heart failure, hypertension, or diabetes)
99490Standard CCM, first 20 min/month~$62/mo
99439Standard CCM, each additional 20 min~$47/mo
99487Complex CCM, first 60 min/month~$130/mo
99489Complex CCM, each additional 30 min~$67/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
50
10200
Also eligible for CCM (2+ conditions)
30
0= RPM count
RPM
Device supply + management (99454/99457)$5,800/mo
Additional time (99458)$1,330/mo
CCM type
First 20 min (99490)$1,860/mo
Additional 20 min (99439)$1,057/mo
Combined monthly revenue (RPM + CCM)
$9,695
$116,340 annually
Illustrative only. RPM and CCM can be billed together in the same month. Actual revenue depends on payer mix, 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 exportable.
Book a demo
See Ziva in action with
your COPD panel.
30 minutes. We walk through the platform, configure SpO2 alert thresholds for your protocols, review the EHR integration, and design a pilot for your practice.
✓Live walkthrough of the SpO2 dashboard and patient views
✓Alert threshold configuration for your COPD protocol
✓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
Practice onboarding typically takes 2–3 weeks from contract signing to first patients enrolled - covering EHR integration, COPD protocol configuration, a 1-hour staff training, and first device orders. Most practices enrol their first cohort in week 3 and reach their target panel within 60 days. Post-exacerbation enrolment at discharge is fastest.
A validated pulse oximeter ships to every enrolled COPD patient. Depending on the device, it ships either with a cellular gateway already synced with Ziva - readings transmit automatically, no pairing or smartphone needed - or as a Bluetooth device the patient connects to the Ziva app once during setup. Where clinically indicated, a Peak Flow Meter is also included - providing high-precision remote monitoring of PEF and FEV1 alongside daily SpO2. Device cost and fulfilment are included in the platform fee. Isabella guides each patient through their first readings in under 5 minutes. Devices ship within 48h of enrolment.
Yes - thresholds are configurable per patient. The default alert is SpO2 ≤ 88%, but this can be adjusted based on the patient's baseline and GOLD stage. Rescue inhaler frequency thresholds and CAT score escalation rules are also configurable. Alert routing is set by severity - urgent readings can go to a pager or on-call inbox, watch-level alerts to a task list.
Ziva integrates with Epic, Cerner, athenahealth, eClinicalWorks, MEDITECH, NextGen, PointClickCare, AdvancedMD, Allscripts, WellSky, and more via HL7 FHIR R4. For systems not listed, Ziva provides a standalone portal and CSV export. Contact our team to discuss your environment before the demo.
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. SpO2 readings on 16+ days per month satisfy RPM's physiological data transmission requirement. Ziva does not submit claims directly. Review with your compliance officer before go-live.
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. Security documentation and DPA available for your compliance team.