For clinicians & care teams
Manage your patients' weight
between every appointment.
With data that moves daily.
Smart scale RPM, DEXA scan integration, nutrition coaching, sleep and activity correlation, metabolic lab tracking, and medication adherence - so your team sees body composition trends and behavioural patterns in real time, not at the next quarterly visit.
HIPAA compliant · EHR integration · Smart scale ships to patient · DEXA import · RPM & CCM billing ready · Setup in weeks
Integrates with
EpicCernerathenahealtheClinicalWorksMEDITECHNextGen+ more
Why continuous body monitoring changes obesity outcomes
A quarterly clinic visit is one data point.
Daily weight and body composition is 90.
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.
Ziva works with a Bluetooth smart scale (ships to patient), DEXA scan imports, metabolic lab integration, and connects to wearables for sleep and activity. All data feeds the same dashboard and Isabella coaching engine.
1
Refer and set clinical targets
Set the patient's calorie target, protein goal, weight loss rate, and alert thresholds. Upload or link their DEXA scan if available. Takes under 3 minutes.
2
Smart scale & devices ship within 48h
Bluetooth scale arrives pre-configured. Isabella onboards the patient step by step - first weigh-in, body composition baseline, and coaching begins. No clinic visit needed.
3
Daily weight data flows to your dashboard
Morning weigh-ins populate the weight trend chart. Body composition, 7-day rolling average, and plateau alerts appear in real time alongside nutrition logs and activity data.
4
Isabella coaches nutrition, activity & sleep
Daily calorie and protein coaching, meal logging, NEAT tracking, sleep quality monitoring, and medication reminders - delivered within the parameters your team sets.
5
You adjust targets remotely
Update calorie targets, protein goals, activity recommendations, or medication schedule from the Ziva portal - changes are reflected in Isabella's coaching immediately.
6
Billing documentation generated automatically
RPM-qualifying weight data tracked daily. Month-end billing summary with qualifying days, monitoring time, and clinical data ready to submit.
Data sources — all feed the same dashboard
Smart Scale (RPM device)
Daily weight, BMI, body fat %, muscle mass, bone density, hydration. Bluetooth sync - data posts to the chart automatically each morning.
DEXA Scan Import
Clinical gold standard for body composition. Upload scan results and Ziva calibrates scale readings against DEXA - tracking visceral fat, lean mass, and bone density with precision.
Nutrition + Activity
Daily calorie and macro logging, step count, NEAT, and formal exercise sessions - correlated with weight trend to show which behaviours are driving progress or plateau.
Sleep, Labs & Metabolic Data
Sleep quality, metabolic panel results, lipid panel, fasting glucose, insulin sensitivity markers - imported from your EHR or uploaded directly, correlated with weight trend.
Obesity treatment opportunity
73% of US adults
have overweight or obesity. Most are seen in primary care with no structured monitoring between visits. Ziva closes that gap with daily data and remote coaching - RPM-eligible from first enrolment.
Margaret R., 52* — Weight & body composition
Plateau · 14 days
30-day weight trend (lb)
214
Week 1 · 224 lbNow · 214 lb (stalled)
Body composition — scale vs DEXA
Body fat
38.4%
scale today
39.1% DEXA
Muscle
116.2 lb
scale today
✓ preserved
Visceral fat
Level 12
DEXA (6w ago)
↓ from Level 14
Avg sleep this week5.8h ↓
Avg daily calories1,680 kcal (over target)
Daily steps avg6,240 ↓
Medication adherence96% ✓
Isabella · Clinical summary
"Margaret's weight has plateaued for 14 days. Muscle mass is preserved — this is likely metabolic adaptation and sleep-driven calorie creep (5.8h average driving extra intake). DEXA shows visceral fat improving despite scale stall. Consider reducing calorie target by 100–150 kcal or increasing activity. Sleep is the priority lever."
Weight monitoring & alerts
See weight, body composition,
and every factor driving both.
A scale number tells you little on its own. Ziva gives you the full picture - daily weight correlated with body fat, muscle mass, nutrition, sleep, activity, stress, labs, and DEXA scan - so stalls are explained, and plateaus are caught early rather than at the next quarterly appointment.
✓Daily weight trend with 7-day rolling average — alerts when progress stalls for 10+ days
✓DEXA import + calibration — clinical gold standard body composition layered over daily scale readings
✓Body composition tracked daily — is the patient losing fat or muscle? Changes what Isabella coaches
✓Nutrition, sleep, and activity all correlated with the weight trend — Isabella explains every stall
✓Lab markers tracked alongside weight — fasting glucose, lipids, metabolic panel imported from EHR
✓Update calorie targets, protein goals, and activity recommendations remotely from the portal
Default alert thresholds — configurable per patient
PlateauNo loss for 10+ days → Team flag
Rapid gain+5 lb in 7 days → Urgent alert
Muscle loss>1 lb/week → Review coaching
Scale missed3+ days no weigh-in → Patient nudge
*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 put your weight management panel on daily monitoring?
30-minute demo - smart scale setup, DEXA integration, coaching parameters, EHR sync, and the revenue model for your practice.
Coaching & correlation
What your patient ate Thursday
explains Friday's scale reading.
Obesity management is a daily behavioural challenge. Isabella coaches every meal, every walk, and every night's sleep - within the clinical parameters your team sets. When weight stalls, she diagnoses why: calorie creep, poor sleep, low activity, or metabolic adaptation - and adjusts coaching accordingly.
✓Daily calorie and protein target — set by your team, coached by Isabella every meal
✓Meal-to-scale correlation — which foods drove the week's reading, what changed
✓Sleep impact surfaced daily — poor sleep nights flagged with next-day calorie overage data
✓NEAT and exercise tracked together — total calorie burn estimated and shown against intake
✓Medication adherence tracked — prescribed weight-management medications logged and correlated with progress
✓Your team updates all parameters from the portal — calorie targets, protein goals, activity recommendations
Nutrition coaching — James T.*
Isabella → Patient
"Thursday's scale was up 1.8 lb — that's the high-sodium takeaway, not fat. You're still in a calorie deficit for the week. Today let's aim for 1,400 kcal and a 25-minute walk after dinner to clear the water and close the week strongly."
Sleep coaching — Margaret R.*
Isabella → Patient
"Your sleep has averaged 5.8 hours this week — that's raising ghrelin and making you physiologically hungrier each day. It explains the 180 kcal daily overage in your logs. Tonight, try screen off by 9:30pm. This may matter more than your calorie target right now."
Provider-adjustable parameters
Daily calorie targetAdjustable from portal
Protein goal (g/day)Adjustable per patient
Step goalAdjustable per patient
Medication scheduleAdjustable per patient
What flows into your EHR automatically
⚖️
Daily weight → vital signs
Morning weigh-in posts as an observation - weight, BMI, body fat, and 7-day average included
🔬
DEXA results → patient record
Uploaded DEXA data attaches to the chart and is used to calibrate ongoing scale readings
📬
Monthly report → provider portal
30-day weight summary, body composition, nutrition, activity, and adherence compiled monthly - ready to review before each appointment
✏️
Provider updates goals & recommendations
Update calorie targets, macro goals, protein targets, and add clinical recommendations directly from the portal - reflected in Isabella's coaching immediately
💊
Medication adherence → patient record
Adherence tracker logs each dose - posted to chart and correlated with weight trend
📋
30-day summary → pre-visit notes
Weight trend, body composition, nutrition, activity, sleep, and medication adherence auto-attached before every appointment
Running automatically — no staff time needed
●Daily weigh-in reminder and body composition logging
●Meal logging prompts and calorie budget check-ins
●Sleep and activity tracked from wearable or self-report
●Weekly progress report 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. Daily weight readings, body composition, nutrition logs, medication adherence, and billing documentation flow into your existing system - no separate login or secondary inbox.
✓HL7 FHIR R4 — weight readings post directly as vital signs in the chart
✓DEXA upload — body composition results attach to the patient record and calibrate scale data
✓Configurable alert routing — inbox, task list, or push notification by severity
✓Pre-visit summary auto-attached — weight trend, body composition, nutrition, sleep, labs, adherence
✓Remote parameter updates — change all clinical targets from the provider portal in real time
RPM, CCM & IBT billing
Obesity patients qualify for
RPM, CCM, and IBT billing.
Obesity (E66.x) qualifies for Remote Patient Monitoring using the smart scale as the physiologic device. Patients with comorbidities - hypertension, type 2 diabetes, sleep apnoea, dyslipidemia - also qualify for CCM. Medicare additionally covers Intensive Behavioral Therapy (IBT) for obesity. Ziva tracks qualifying data and generates documentation automatically for all three pathways.
RPM — Remote Patient Monitoring (smart scale)
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
IBT — Intensive Behavioral Therapy for Obesity
Medicare benefit for BMI ≥ 30 - separate from RPM, billable together
G0447Face-to-face behavioural counselling, 15 min~$29/visit
G0473Group IBT session~$14/visit
CCM Standard — Chronic Care Management
For patients with obesity + 1 or more chronic conditions (hypertension, T2D, dyslipidemia, sleep apnoea)
99490Standard CCM, first 20 min/month~$62/mo
99439Each additional 20 min~$47/mo
CCM Complex — Complex Chronic Care Management
For patients with multiple high-complexity conditions requiring 60+ min/month of care management
99487Complex CCM, first 60 min/month~$130/mo
99489Each additional 30 min~$67/mo
RPM and CCM can be billed in the same month. Review with your billing team and compliance officer before go-live.
RPM + CCM + IBT revenue estimate
Patients on RPM50
10200
Also eligible for CCM (obesity + comorbidity)30
Medicare patients (IBT eligible, BMI ≥ 30)20
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
IBT
G0447 × 1/month avg$580/mo
Combined monthly revenue (RPM + CCM + IBT)
$10,627
$127,524 annually
Illustrative only. Approximate Medicare rates. Commercial rates vary. Consult your billing team and compliance officer before go-live.
Book a demo
See Ziva in action with
your weight management panel.
30 minutes. Smart scale setup, DEXA integration, coaching parameters, EHR connection, billing pathway review, and a pilot design for your practice.
✓Live walkthrough of the weight dashboard, body composition, and alert views
✓DEXA import demo and calibration against smart scale readings
✓Revenue estimate based on your actual obesity panel size and comorbidity mix
✓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
Yes. A Bluetooth-connected smart scale qualifies as a physiologic monitoring device under CMS RPM guidelines (CPT 99453/99454/99457/99458). Weight readings transmitted on 16+ days per month satisfy the physiological data transmission requirement. The scale 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.
DEXA scan results can be uploaded directly to the Ziva provider portal as PDF or structured data. Ziva uses DEXA values (body fat %, lean mass, visceral fat, bone density) to calibrate the patient's ongoing smart scale readings - providing clinical-grade body composition context alongside daily weigh-ins. Future scans automatically update the baseline. We recommend 6-monthly DEXA for clinically managed patients.
Yes - all parameters are set and adjusted per patient from the Ziva provider portal. Calorie target, protein goal, step target, weight loss rate, medication schedule, and alert thresholds are all individually configurable. Changes take effect in Isabella's daily coaching immediately. All changes are logged with a timestamp for compliance documentation.
The primary obesity codes are E66.01 (morbid obesity, BMI ≥ 40), E66.09 (other obesity), and E66.9 (obesity, unspecified). For overweight: E66.3. Comorbidities (hypertension, T2D, sleep apnoea, dyslipidemia) provide additional CCM billing opportunities. Ziva's billing summary includes ICD-10 codes, qualifying data days, and clinical time documentation for each patient. Review with your compliance officer before go-live.
Intensive Behavioral Therapy (IBT) for obesity is a Medicare benefit for patients with BMI ≥ 30, coded under G0447 (15-min individual counselling) or G0473 (group session). IBT can be billed in the same month as RPM - they are separate benefit categories. Ziva's coaching sessions and provider touchpoints can be documented to support IBT billing. Confirm eligibility and modifier requirements with your billing team.
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.