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Ziva Health›Solutions›Pulmonology
For pulmonology practices

The exacerbation
starts three days early.
If someone is watching.

SpO2 drifts, cough frequency climbs, activity tolerance drops - days before the patient calls for help. Ziva watches every enrolled respiratory patient daily and escalates the pattern to your team while it's still an office visit.

HIPAA compliant · Connected pulse oximeters · COPD, asthma & sleep apnea protocols · RPM & CCM eligible

Book a demo How Ziva helps →
Respiratory cohort · this morning
Harold T., 71* · COPD
SpO2 91% avg, 3-day decline · cough increasing
Escalate
Linda M., 64* · Sleep apnea
CPAP adherence 58% this week
Watch
Robert K., 69* · Asthma
Peak flow stable · rescue inhaler use: 0
Stable
Isabella
"Harold's resting SpO2 has dropped from 95% to 91% over three days with a documented increase in cough frequency. That combination often precedes a COPD exacerbation by 48 to 72 hours — flagged for same-day review."
*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.
The gap

The data you need arrives
after the exacerbation.

COPD and sleep-disordered breathing generate objective, quantifiable daily signal - oxygen saturation, cough, adherence - that most pulmonology panels still only see once a quarter.

COPD exacerbations
SpO2 decline and rising cough frequency are measurable days before a patient calls. Without daily data reaching your team, that window goes unmonitored.
CPAP non-adherence
Sleep apnea outcomes depend on nightly usage hours - invisible between download visits unless it is tracked continuously.
Rescue inhaler overuse
Frequent rescue inhaler use signals poor asthma control long before a flare sends a patient to urgent care.
The continuous care experience

A daily respiratory
record for every patient.

Each respiratory patient has a daily point of contact and a daily data record. Isabella handles the routine; your team sees the deviations.

01
Morning SpO2 & symptom check
Connected pulse oximeter and a daily symptom check-in - cough, dyspnea, sputum, sleep quality.
02
CPAP & inhaler data
Nightly CPAP hours and inhaler actuation counts sync automatically, no manual logging.
03
Isabella correlates
SpO2 trajectory against symptom onset against adherence - the sequence, not just the values.
04
Coaching between visits
Breathing technique, trigger avoidance, and adherence reinforced daily.
05
Escalation with the sequence
Your team gets the trend, symptoms, and adherence history together, ready for a same-day visit.
How Ziva helps

What Ziva does
for a pulmonology practice.

Objective daily oxygenation plus subjective daily symptoms plus adherence - the three inputs that determine whether a respiratory patient stays out of the ED.

COPD
SpO2 trend monitoring
Daily oxygen saturation trended against baseline and escalated on trajectory, not a single threshold.
Sleep apnea
CPAP adherence tracking
Nightly usage hours surfaced so non-adherence is caught in days, not at the next download visit.
Asthma
Rescue inhaler monitoring
Actuation frequency tracked to catch declining control before a flare.
Symptoms
Cough & dyspnea trajectory
Daily symptom logging turns decline into a curve instead of a surprise.
Adherence
Medication adherence
Inhaled corticosteroids and bronchodilators tracked separately by clinical relevance.
Activity
Exercise tolerance
Step count and activity data flag functional decline that predates a formal exacerbation.
Impact

Outcomes that matter
in respiratory care.

Earlier detection changes the setting of care - clinic instead of emergency department, medication adjustment instead of hospitalization.

Earlier
Exacerbation detection
SpO2 trajectory and symptom clustering flagged days before a call
Daily
SpO2 & symptom data
Continuous data replaces a single quarterly pulmonary function check
Proactive
CPAP adherence tracking
Nightly usage visible in days rather than at the next download visit
Illustrative
Program revenue
Modeled RPM/CCM revenue for your panel - see reimbursement below

Directional framing based on Ziva's platform capabilities; actual results depend on panel size and payer mix.

Proof

A COPD exacerbation
caught before the ER visit.

Conditions covered

Respiratory and comorbid conditions.

Respiratory patients often carry cardiac and metabolic comorbidities. Ziva runs concurrent protocols on the same record.

COPDHeart failureWeightDiabetesMental healthAll conditions →
Reimbursement

Pulmonology has clear
RPM billing pathways.

Pulse oximetry is squarely what RPM was written for, and most respiratory patients also meet CCM’s two-chronic-condition requirement.

RPM — 99453 / 99454 / 99457 / 99458
Device-based physiologic monitoring, 16+ transmission days per month
99453One-time setup & patient education — ~$19
99454Device supply + daily transmission — ~$46/mo
99457First 20 min interactive care management — ~$48
99458Each additional 20 min — ~$39
CCM — 99490 / 99439
Patients with two or more chronic conditions expected to last 12+ months
99490First 20 min clinical staff time / month — ~$62
99439Each additional 20 min — ~$47 (up to 2×)
Ziva's time logs, monitoring records and monthly reports supply the documentation these codes require. Confirm eligibility and rates with your billing team and MAC.
Program revenue estimate
Enrolled COPD & sleep apnea patients 120
10typical enrollment ramp500
Program type
Device supply (99454)—
First 20 min (99457)—
Additional 20 min (99458)—
Estimated monthly program revenue
—
— annually
Illustrative national-average estimates. Actual reimbursement varies by MAC, locality, payer mix and documented time.
Self-pay option
Not billing insurance? Charge patients directly.
Set your own price for a monthly monitoring program, membership or package. Connect your payment system to Ziva and get paid directly, alongside or instead of CPT billing.
Connects with
StripeSquarePayPalYour existing system
See plans →
Get Started

Start with your
COPD cohort.

Most pulmonology practices begin with 40–60 COPD patients, where exacerbation-prevention economics are clearest, then expand into sleep apnea.

✓Cohort selection and eligibility analysis
✓Alert threshold design for your clinical protocols
✓Revenue modelling for your panel
✓Live in 4–6 weeks including device logistics
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.
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
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 stored and exportable.
Questions

Pulmonology FAQ