For rheumatologists & care teams
Manage your RA patients
between every
appointment.
DMARD adherence, flare patterns, morning stiffness trends, pain scores, and wearable data - so your team sees the full picture before every visit, not a recall-based summary every few months.
HIPAA compliant · EHR integration · RTM billing eligible · Smart pillbox via Tenovi
Integrates with
EpicCernerathenahealtheClinicalWorksMEDITECHNextGen
Why continuous monitoring changes RA outcomes
A 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.
DMARD adherence tracking and daily symptom logging start immediately. No wearable required. Optional Tenovi smart pillbox ships to the patient pre-paired - no clinic visit needed for setup.
1
Set medication schedule
Enter DMARD and biologic name, dose, and schedule. Optional: order a Tenovi smart pillbox - ships to the patient pre-configured. Under 3 minutes in the portal.
2
Patient onboards via Ziva app
Isabella walks the patient through their medication schedule and symptom logging. Designed for ease - works well for older patients and those with hand limitations from active RA.
3
Daily symptom data streams in
Morning stiffness duration, swollen joint count, pain score, fatigue, and activity limitation - logged daily. Pillbox and wearable data streams in automatically. Your portal updates in real time.
4
Isabella flags flare patterns early
Isabella builds a personalised flare signature per patient - and alerts your team when the pattern emerges, before the flare peaks. HRV drops from wearable add an early physiological signal.
5
Monthly RTM report compiled automatically
DMARD adherence, flare log, symptom trends, patient-reported outcomes, and Isabella's clinical notes - auto-attached to your EHR before every visit. Supports RTM billing documentation.
What Isabella tracks for RA patients
💊 DMARD & biologic adherence
Every dose timestamped against schedule. Tenovi smart pillbox detects opening, closing, and refill events automatically. Missed doses flagged and correlated with flare onset over time.
🏷 Daily symptom logs
Morning stiffness duration, swollen joint count and location, pain score, fatigue, and activity limitation - timestamped daily and correlated with medication adherence.
📊 Flare pattern recognition
Isabella builds a personal flare signature per patient and alerts your team when the same pattern emerges. Each flare is logged with preceding signals, joint locations, and severity.
😴 HRV & sleep quality ⌚
RA inflammation suppresses HRV and disrupts sleep before joints worsen. Wearable data adds an early physiological signal - often 1–2 days before the patient logs joint symptoms.
Maria L., 47* — RA panel
Flare alert
Morning stiffness duration — last 4 weeks
15m
10m
30m
45m
Wk 1–2: controlledThis week: 45min ⚠
DMARD adherence this week72% ↓
Joint swellingWrists + fingers ×2
Pain score6.1/10 ↑
HRV (Apple Watch)38ms ↓
Routine days completed22 of 30 ✓
Isabella · Clinical summary
"Maria's current pattern matches her previous 3 flares: morning stiffness increasing over 3+ days, HRV below her personal flare threshold of 42ms, bilateral wrist and finger swelling, and DMARD adherence below 80%. Her last 3 flares all peaked within 48 hours of this pattern. Recommend early intervention — proactive corticosteroid bridge or urgent visit. 22 routine days — RTM 98977 eligible."
Clinical dashboard
See flares building.
Intervene before they peak.
Between appointments, flares build and resolve without your visibility. Ziva gives you the continuous picture - DMARD adherence correlated with morning stiffness trends and HRV - so you can intervene proactively instead of managing flare damage at the next visit.
✓DMARD adherence log — every dose timestamped via smart pillbox or app, missed doses flagged, 30-day percentage visible
✓Personalised flare signatures — Isabella builds each patient's unique early warning pattern from their own history
✓Morning stiffness duration — daily log, 4-week trend, correlated with medication timing and HRV
✓Patient-reported outcomes — pain, fatigue, and activity limitation averaged over 30 days for each appointment
✓HRV and sleep from wearable — RA inflammation's physiological impact visible as an early signal
✓Biologic response tracking — pain and stiffness trends over 12+ weeks to assess treatment effectiveness
*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 RA panel between appointments?
30-minute demo - DMARD adherence dashboard, flare alerts, RTM billing walkthrough.
RTM billing
RA qualifies for RTM
under musculoskeletal codes.
Rheumatoid arthritis qualifies for Remote Therapeutic Monitoring under CPT 98977 (musculoskeletal system). Ziva's daily symptom logs and medication check-ins generate the required data transmissions. New 2026 codes mean even patients with 2–15 engagement days are now billable.
Full engagement — 16–30 days / month
98975Initial setup & patient education (once)~$20 once
98977Device supply · musculoskeletal · 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
Approximate Medicare rates. RA patients may be commercially insured - rates vary by payer. 98985 and 98977 are mutually exclusive per billing period. Consult your billing team.
RTM revenue estimate
RA patients on Ziva
25
5200
Engagement tier
Device supply — musculoskeletal (98977)$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
💊
Smart pillbox detection
Each pillbox open/close event is a timestamped data transmission - the most reliable daily signal for DMARD tracking
🏷
Daily symptom log
Morning stiffness, pain score, swelling, and fatigue - each daily log counts as a patient-reported data transmission day
⌚
Daily wearable sync
Each day HRV and sleep sync from Apple Watch or Oura counts as a passive data transmission day
Illustrative only. Approximate Medicare rates. Consult your billing team before go-live.
Book a demo
See Ziva in action with
your RA panel.
30 minutes. DMARD adherence dashboard, flare alert walkthrough, smart pillbox demo, RTM billing documentation, and a pilot design for your practice.
✓Live walkthrough of DMARD adherence dashboard and flare pattern alerts
✓Tenovi smart pillbox demo — how it ships, pairs, and feeds data into the portal
✓Monthly report format and RTM billing documentation walkthrough
✓EHR integration overview and pilot cohort design for your rheumatology 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
RA qualifies under musculoskeletal RTM codes. CPT 98977 covers device supply for 16+ days per month. CPT 98985 (new 2026) covers 2–15 days. CPT 98980 covers the first 20 minutes of treatment management per month, and 98981 covers each additional 20 minutes. CPT 98975 is billed once for initial setup. Consult your billing team for payer-specific documentation requirements.
The Tenovi smart pillbox detects and records every time the box is opened, closed, or refilled - automatically timestamped and synced to Ziva. No patient input required. It ships to the patient pre-paired and requires no clinic visit for setup. Each detection event is a data transmission day toward RTM billing thresholds. Works for weekly DMARDs like methotrexate and daily medications like hydroxychloroquine.
Isabella analyses each patient's symptom history over time - identifying the combination of signals that consistently precede their flares. For most RA patients this includes morning stiffness duration increasing, HRV dropping below a personal threshold, a recent missed or late DMARD dose, and early joint swelling. When the same pattern re-emerges, Isabella alerts your team - typically 24–48 hours before the patient would otherwise report the flare.
Yes - RA patients with cardiovascular comorbidities can also have blood pressure and weight monitored via Tenovi's Bluetooth BP monitor and weight scale. These readings are included in the same monthly report, giving you a more complete picture for patients on corticosteroids or biologics with cardiovascular considerations. For patients with pulmonary involvement, CPT 98976 (respiratory RTM) may apply alongside musculoskeletal monitoring.
Apple Watch (Series 4+), Oura Ring, Garmin, and Fitbit - connected via Apple Health or Google Fit. Ziva works without a wearable; DMARD adherence, symptom logs, and flare pattern recognition are available from the app alone. For RA patients with significant hand limitations, voice logging and large-tap UI are available in the app.
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.