For neurologists & care teams
Manage your Parkinson's
patients between every
appointment.
Medication timing adherence, gait metrics, on/off period tags, sleep and HRV monitoring - so your team sees the full picture before every visit, not just a clinical exam every few months.
HIPAA compliant · EHR integration · RTM billing eligible · Setup in weeks
Integrates with
EpicCernerathenahealtheClinicalWorksMEDITECH
Why continuous monitoring changes Parkinson's outcomes
A clinical exam every few months is one snapshot.
Daily data is the story between those visits.
Simple enrolment
From referral to monitored patient
in under a week.
Medication adherence tracking and on/off period logging start immediately - no wearable required. Connecting Apple Watch or Oura adds gait metrics, HRV, and sleep data automatically.
1
Refer and set medication schedule
Set medication names, dose timing, and frequency. Isabella builds reminders and adherence tracking from your parameters. Under 3 minutes.
2
Patient onboards via Ziva app
Isabella walks the patient (and carer if involved) through their daily routine - medication logging, symptom tags, and wearable connection. Designed for ease with large tap targets and simplified interaction.
3
Gait and mobility data streams in
Walking speed, step length, step count, and walking asymmetry from Apple Watch populate the panel daily - automatic, no patient logging required.
4
Symptom tags logged by patient or carer
On/off periods, dyskinesia episodes, freezing, falls, and mood changes tagged in real time - or by a family carer if the patient has motor difficulty. Timestamped and correlated with medication timing automatically.
5
Monthly RTM report compiled automatically
Medication adherence log, on/off period frequency, gait trend, HRV, sleep, and Isabella's clinical summary - ready in the portal and EHR before every visit. Supports RTM billing documentation.
What Isabella tracks for Parkinson's patients
💊 Medication timing & adherence
Every dose timestamped against the prescribed schedule. Late and missed doses flagged. 30-day adherence percentage visible to provider and patient. The most impactful signal for managing on/off periods.
🏷 On/off period tags
Patient or carer tags on/off periods, dyskinesia, freezing, and falls as they happen. Timestamped and correlated with medication timing - making the pattern visible over weeks.
⌚ Gait metrics · Apple Watch
Walking speed, step length, and walking asymmetry - streamed automatically from Apple Watch. Objective gait progression data your clinical exam captures only at each visit.
😴 HRV & sleep quality
Autonomic dysfunction is a core non-motor feature of Parkinson's. HRV decline and sleep fragmentation tracked automatically - correlating with disease burden and symptom fluctuation.
Robert M., 71* — Parkinson's panel
Review needed
On/off periods tagged — last 4 weeks
3
5
7
9
4w ago · 3 on/off periodsThis week · 9 ↑
Walking speed trend · Apple Watch
4 weeks ago
1.10 m/s
This week
0.82 m/s ↓
Medication adherence58% ↓
Late doses this week6 occasions
HRV (Apple Watch)31ms ↓
Falls tagged this month2 occasions
Isabella · Clinical summary
"Robert's on/off periods have increased from 3 to 9 per week over 4 weeks. Medication adherence is 58% — the 6 late evening doses correlate directly with morning on/off episodes the following day. Walking speed has declined from 1.10 to 0.82 m/s and HRV is at 31ms. Two falls logged this month. Recommend reviewing medication timing schedule at next visit."
Clinical dashboard
See medication timing, on/off periods,
and gait - together.
A clinical exam every few months captures a snapshot of your patient's motor function at one moment. Ziva gives you the continuous picture - medication adherence correlated with on/off period frequency, gait trends from Apple Watch, HRV and sleep - all layered so the relationship between timing and symptoms is visible.
✓Medication timing log — every dose timestamped, late and missed doses flagged, 30-day adherence visible
✓On/off period tags correlated with medication timing — the relationship between late doses and symptom episodes made visible
✓Walking speed, step length, and asymmetry from Apple Watch — objective gait progression data between clinical exams
✓Fall and freezing episode logs — timestamped by patient or carer, with medication timing context
✓HRV and sleep quality — autonomic and non-motor symptom monitoring across your full panel
✓Carer access — family member or carer can log tags and assist with daily routine on behalf of the patient
*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 Parkinson's panel between appointments?
30-minute demo - medication adherence dashboard, gait metrics, on/off correlation, RTM billing walkthrough.
Monthly reports & workflow
The full picture arrives
before every appointment.
Isabella compiles a monthly report covering medication adherence, on/off period frequency, gait trend, HRV, sleep, fall and freezing logs - auto-attached to your EHR before each visit. Your appointment becomes a clinical decision, not a history-taking session. The report also supports RTM billing documentation.
✓Medication adherence log — every dose with timestamp, late doses flagged, 30-day adherence percentage
✓On/off period frequency — weekly counts, correlation with late doses highlighted
✓Gait summary — walking speed, step length, and asymmetry trend over 30 days
✓Fall and freezing log — dates, times, and medication context for each event
✓RTM documentation — routine completion log with day counts supporting 98977 (16+ days) or 98985 (2–15 days)
Monthly report — Robert M.*
Medication adherence58% ↓
On/off periods this month24 occasions ↑
Walking speed (avg)0.82 m/s ↓
Falls logged2 this month
Routine days completed22 of 30 ✓
HRV (Apple Watch)31ms ↓
Isabella · For provider
"Worsening on/off period frequency (3 to 9 per week) directly correlates with declining medication adherence — 6 late evening doses each week this month. Walking speed down from 1.10 to 0.82 m/s over 4 weeks. Two falls logged. Recommend reviewing medication timing schedule and fall risk at next visit. 22 routine days completed — RTM 98977 eligible this month."
RTM billing
Parkinson's qualifies for RTM.
No second condition required.
Remote Therapeutic Monitoring (RTM) does not require two or more chronic conditions. Parkinson's disease alone qualifies. Ziva's daily routines - medication logging, symptom tags, and wellness check-ins - 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
98977Device supply · 16–30 days/month~$40/mo
98980Treatment management · first 20 min~$50/mo
Partial engagement — 2–15 days / month (new 2026)
98985Device supply · 2–15 days/month~$40/mo
98979Treatment management · 10–19 min~$25/mo
Add-on
98981Treatment management · each additional 20 min~$45/mo
Ziva's daily routines 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 Parkinson's patients are on Medicare. 98985 and 98977 are mutually exclusive per billing period.
RTM revenue estimate
Parkinson's patients on Ziva
20
5150
Engagement tier
Device supply (98977)$800/mo
Treatment management (98980)$850/mo
Add-on management (98981)$450/mo
Monthly RTM revenue estimate
$1,650
$19,800 annually
What drives RTM day count
💊
Daily medication log
Each logged dose is a timestamped data transmission - the most consistent daily signal for Parkinson's patients
🏷
Symptom tags & wellness logs
On/off tags, mood logs, and wellness check-ins each count as a transmission day toward the billing threshold
⌚
Daily wearable sync
Each day gait metrics, HRV, and sleep data syncs from Apple Watch - counts as a passive data transmission day
Illustrative only. Approximate Medicare rates - most Parkinson's patients are on Medicare or Medicare Advantage. Consult your billing team before go-live.
Book a demo
See Ziva in action with
your Parkinson's panel.
30 minutes. Medication timing dashboard, gait metrics, on/off period correlation, RTM billing walkthrough, and a pilot design for your practice.
✓Live walkthrough of medication adherence dashboard and on/off period correlation
✓Gait metrics from Apple Watch — walking speed, step length, asymmetry trend
✓Monthly report format and RTM billing documentation walkthrough
✓Carer access setup for patients with motor difficulties
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. Parkinson's disease alone qualifies. Ziva's daily routines - medication logging, symptom tags, and wellness check-ins - generate the data transmissions required for billing codes 98977 (16+ days) or 98985 (2–15 days, new 2026). Many Parkinson's patients are also on Medicare, which covers RTM. Consult your billing team for documentation requirements specific to your payer mix.
Apple Watch provides walking speed, walking step length, walking asymmetry, double support time, and step count via HealthKit - all without any patient interaction. These metrics are streamed automatically each day the patient wears their Watch. Walking speed below 1.0 m/s is a recognised marker of motor decline in Parkinson's. Walking asymmetry can indicate worsening lateralised symptoms. These signals are available from Apple Watch Series 4 and later paired with an iPhone running iOS 14 or later.
Yes. Ziva supports carer access - a family member or care partner can log medication doses, tag on/off periods, and complete wellness check-ins on behalf of the patient. This is particularly important for Parkinson's patients with significant motor difficulties who may find smartphone interaction challenging. Carer access is set up during onboarding and is visible to the provider in the portal.
The provider sets the patient's medication schedule - names, doses, and timing - from the Ziva portal. Isabella sends reminders at the scheduled times and prompts the patient (or carer) to confirm each dose. Each confirmation is timestamped and compared to the scheduled time. Late doses (outside a provider-set tolerance window) are flagged. The 30-day adherence percentage and late dose pattern are visible in the provider dashboard and monthly report - and correlated automatically with on/off period tags from the same period.
Apple Watch (Series 4+) for gait metrics (walking speed, step length, asymmetry), HRV, sleep, and heart rate. Oura Ring, Garmin, and Fitbit for HRV, sleep, and heart rate via Apple Health or Google Fit. Gait metrics (walking speed, step length, asymmetry) are currently only available from Apple Watch via HealthKit. Ziva works without a wearable - medication adherence, symptom tags, and wellness logs are available from the app alone.
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.