For psychiatrists & mental health care teams
See what's happening
between sessions.
Every day.
Daily mood, HRV, sleep quality, resting heart rate, activity, and medication adherence - so your team sees the full picture before every appointment, not a 10-minute recall under pressure.
HIPAA compliant · EHR integration · RPM & RTM billing eligible · Wearable & Tenovi device support
Integrates with
EpicCernerathenahealtheClinicalWorksMEDITECHNextGen
Why continuous monitoring changes mental health outcomes
Mental health changes daily.
A session every few weeks misses most of it.
Simple enrolment
From referral to monitored patient
in under a week.
Daily mood check-ins and medication tracking start immediately via the app. Optional Tenovi BP cuff and numberless weight scale ship pre-paired. Wearable integration adds HRV, sleep, resting heart rate, and activity automatically.
1
Set medication schedule and alert thresholds
Enter the patient's medications (SSRIs, SNRIs, mood stabilisers), configure mood alert thresholds (e.g. alert if "Very Low" for 3+ days), and select devices to ship. Under 3 minutes in the portal.
2
Patient onboards via Ziva app
Isabella walks the patient through their daily check-in routine. The mood selector is simple - four options, no numbers, no clinical jargon. Designed to feel supportive rather than clinical.
3
Wearable & device data streams in passively
HRV, resting heart rate, sleep duration and quality, and daily activity sync automatically from Apple Watch, Oura, Garmin, or Whoop. Tenovi BP and weight data transmit via cellular - no Wi-Fi needed.
4
Isabella flags multi-signal deterioration
A single "Somewhat Down" day is normal. But mood declining across multiple days, combined with HRV dropping, sleep collapsing, and activity disappearing - that convergence is what Isabella flags as a clinical concern.
5
Monthly report compiled automatically
Mood trend, HRV and sleep trajectory, medication adherence, activity levels, and Isabella's clinical notes - auto-attached to your EHR before every session. Supports RPM and RTM billing documentation.
What Isabella tracks for anxiety & depression
😶 Daily mood — four states
Patients choose from: Optimistic, Generally Positive, Somewhat Down, or Very Low - each day. Simple, non-numeric, non-clinical language that removes the pressure of scoring. Isabella tracks streaks, patterns, and transitions over time.
💓 HRV, resting HR & sleep ⌚
HRV and resting heart rate from wearable - the most clinically validated physiological markers of psychological stress. Sleep duration, quality, and consistency tracked nightly. All three often shift days before mood deteriorates.
🚶 Daily activity ⌚
Step count and activity minutes from wearable - tracked against each patient's personal baseline. Near-zero activity days are a sensitive early signal of depressive episode onset. Exercise response to treatment is visible over weeks.
💊 Medication adherence + BP & weight
SSRI, SNRI, and mood stabiliser adherence via smart pillbox. Tenovi BP cuff for physiological stress monitoring. Tenovi numberless weight scale for patients where weight is a clinical concern - clinician sees trend, patient does not see the number.
Aisha M., 29* — GAD & Depression
Low mood alert
Mood — last 7 days
Gen. Pos.
Mon
Smwt Down
Tue
Very Low
Wed
Very Low
Thu
Very Low
Fri
Very Low
Sat
Very Low
Today
HRV ⌚28ms ↓ (−34%)
Resting heart rate ⌚84 bpm ↑
Sleep (avg this week) ⌚4.8 hrs ↓
Activity (last 3 days) ⌚Near zero
SSRI adherence this week60% ↓
Isabella · Clinical summary
"All five signals deteriorating simultaneously — 4-day Very Low mood streak, HRV at its lowest point in 6 weeks, sleep under 5 hours, activity near zero, and SSRI adherence dropped to 60%. This convergence is clinically significant. Her previous episode 7 months ago showed the same pattern before she presented in crisis. Recommend same-day outreach. 19 routine days — RPM 99454 eligible."
Clinical dashboard
See deterioration when
it's still early enough to act.
Mental health episodes rarely appear without warning. HRV drops, sleep fragments, activity stops - days before the patient self-reports a crisis. Ziva surfaces this multi-signal picture continuously, so your team can reach out in the window that matters.
✓Mood trend — daily 4-state check-in, streaks tracked, transitions flagged when sustained
✓HRV trajectory — personal baseline established over first 2 weeks, percentage deviation tracked daily
✓Sleep quality and duration — nightly from wearable, 7-day and 30-day averages visible in portal
✓Activity collapse detection — near-zero activity sustained over multiple days flagged as a depressive signal
✓Medication adherence — SSRI and SNRI daily log via smart pillbox, missed doses surfaced in real time
✓Treatment response — HRV and mood trajectory over 6–12 weeks makes medication effectiveness visible
*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 behavioral health panel between sessions?
30-minute demo - mood dashboard, multi-signal alerts, RPM & RTM billing walkthrough.
RPM & RTM billing
Anxiety & depression qualify
for both RPM and RTM codes.
Physiological devices (BP, weight) qualify under RPM codes (99454). Therapeutic monitoring - mood logs, medication adherence, and clinician review time - qualifies under RTM management codes (98980/98981). Both apply to behavioral health patients.
RPM — physiological devices (16+ days / month)
99453Initial setup & patient education (once)~$21 once
99454Device supply · BP & weight · 16+ days/month~$54/mo
99457RPM treatment management · first 20 min~$52/mo
99458RPM treatment management · each additional 20 min~$43/mo
RTM — therapeutic data review
98975Initial RTM setup (once)~$20 once
98980RTM treatment management · first 20 min~$50/mo
98981RTM treatment management · each additional 20 min~$45/mo
Approximate Medicare rates. RPM and RTM can be billed together in some circumstances. 99454 requires ≥16 days of device data transmission. Consult your billing team for payer-specific documentation requirements.
Revenue estimate
Behavioral health patients on Ziva
20
5200
Billing mode
Device supply (99454)$1,080/mo
RPM management (99457)$884/mo
RPM add-on (99458)$430/mo
Monthly revenue estimate
$2,394
$28,728 annually
What drives RPM day count
🩸
Daily BP reading (Tenovi)
Each blood pressure reading transmits automatically via cellular - the most reliable daily RPM data point for behavioral health patients
😶
Daily mood check-in
Each mood log counts as a patient-reported RTM data transmission - toward the 16-day threshold for RTM device codes
💊
Smart pillbox detection
Each medication detection event is a timestamped data transmission - supporting both RPM and RTM day counts
Illustrative only. Approximate Medicare rates. Consult your billing team before go-live.
Book a demo
See Ziva in action with
your behavioral health panel.
30 minutes. Mood dashboard, multi-signal alert walkthrough, numberless weight scale demo, RPM & RTM billing documentation, and a pilot design for your practice.
✓Live walkthrough of the mood trend dashboard and multi-signal deterioration alerts
✓Tenovi device demo — BP cuff and numberless weight scale setup and cellular transmission
✓RPM + RTM billing documentation walkthrough for behavioral health codes
✓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
Numeric mood scales (1–10 or PHQ-style) create cognitive and emotional friction for daily use - patients either over-think the number or stop engaging. The four-state selector (Optimistic, Generally Positive, Somewhat Down, Very Low) uses natural language that's quick to answer and non-clinical in tone. Daily completion rates are higher, and the qualitative states map meaningfully to clinical thresholds. Isabella tracks duration, streaks, and transitions - a sustained "Somewhat Down" or any "Very Low" flag is what triggers clinical review.
A monthly PHQ-9 captures one moment. Ziva captures the daily trajectory - and crucially, combines it with objective physiological data that the patient can't misreport. HRV, sleep, resting heart rate, and activity from wearables are passive and continuous. When all four signals move in the same direction as mood, the clinical picture is far more confident than self-report alone. Isabella surfaces the convergence - not just the score.
The Tenovi numberless (or "blind") scale displays no number to the patient - it simply shows a check mark confirming the reading was taken. The weight data is transmitted to Ziva and visible to you in the provider portal. This is specifically designed for patients where seeing their own weight number could be harmful - including those with depression, eating disorder history, or body image concerns. You see the trend; they experience the routine of daily weighing without the number.
Apple Watch (Series 4+), Oura Ring, Garmin, Whoop, and Fitbit - connected via Apple Health or Google Fit. HRV, resting heart rate, sleep duration, sleep stages, and daily activity all stream automatically. Ziva works without a wearable; mood logging and medication adherence are available from the app alone. For patients who don't have a wearable, the physiological signal layer is absent - the mood and medication picture is still clinically useful, and the wearable can be introduced later.
Yes. Ziva is agnostic to treatment modality. For patients in CBT or other therapy, Isabella can track mood patterns between sessions, flag weeks where deterioration preceded a session (useful context for the therapist), and log therapy attendance alongside medication adherence. The monthly report is designed to be useful for both prescribers and therapists. Ziva does not deliver therapy - it monitors the patient's experience of it.
Yes. Fully HIPAA compliant, BAA available. All PHI encrypted in transit and at rest. US data residency. Mental health data is handled with the additional sensitivity protocols required under 42 CFR Part 2 where applicable. Security documentation and DPA available for your compliance team.