Zivian Health Software: Automate compliance, manage healthcare collaborations, elevate clinical quality, monitor licensing and credentialing, leverage 50-state regulatory intelligence, and workforce reporting.

Zivian Connect Marketplace: Connect with a nationwide network of supervising physicians for clinical collaboration, PC ownership, and Medical Directorship. Or import and manage your in-house collaborations.

PC Ownership: Connect with experienced physician PC Owners in healthcare and telehealth and receive CPOM compliance and PC-MSO setup support tailored to your business.

Medical Directorship: We provide physician leaders for Medical Directorship, ensuring the highest standards of patient care and operational efficiency in your practice.

Licensing: Expand your team’s licensure to ensure you are aligned with state requirements. Track and monitor renewals and expirations. Our team of compliance experts helps you navigate all state rules.

Yes, we support all types of organizations and collaborations.

Zivian can support your scaling needs. We work with physicians and providers in all specialties and within all 50 states. We support clinical collaboration, PC Ownership, and Medical Directorship.

Zivian can find a physician match for most partners in 3-5 business days. Turnaround times can be impacted by the state(s) where you require supervision and other specific needs, such as regulation complexity and specialty requirements.

Yes. The Zivian Health platform provides visibility into collaboration status, board submission status, recurring compliance activity status, and high-level insights into compliance and quality assurance.

Yes, Zivian Health takes privacy and security very seriously. Zivian is HITRUST certified, a security assessment program recognized as the global standard for information security that has been adopted by over 80% of U.S. hospitals and health systems.

Zivian Health offers a range of services that benefit the work of nurse practitioners and physician associates.

Compliance Is Our Cornerstone: Regulations can vary drastically from state-to-state and are constantly changing. Zivian’s chief focus is keeping you compliant. We create you a custom collaboration agreement that meets all state requirements, find you a reliable collaborating physician, and provide a compliance platform that helps you manage your collaborations. 

Compliance Software: A dedicated platform for compliant collaborations. HIPAA-compliant chat and chart review, document storage, automated regulations tracking, a database of state regulations, and an exportable audit trail makes managing your collaborations safe and easy.

Legal Expertise: The Zivian team handles the drafting of your collaborative agreements. These documents encapsulate the requisite state compliance details and the appropriate protocols, so that you can focus on preparing for practice.

Experienced Collaborating Physicians: Our experienced physicians are available to offer support, mentorship, and guidance with any clinical questions that you may have. Your collaborating physician will also be able to help you answer questions about specific patients or scenarios when necessary via the review of charts or ad hoc communication.

In most cases, Zivian Health finds matches for NPs and PAs within 7 days after all required information and documents are submitted. However, if you practice in a state with more stringent regulations, it might take additional time to find a suitable collaborator who aligns with your state’s geographic and meeting requirements.

We provide regular updates for all providers throughout the matching process, and will work with you if we anticipate any issues with finding you an excellent physician collaborator.

Collaboration pricing is based on state regulatory factors that impact your potential physician matches. These factors include:

– Whether the physician must be in the same state or practice location 

– Ongoing compliance requirements such as chart reviews and quality assurance meetings, 

– Limits on the number of NPs or PAs a physician can collaborate with

– Whether or not your collaborator must be a specialist physician

No, we do not require any matching or onboarding fee beyond the agreed upon fee in your service agreement. If additional services or collaborations are needed beyond what was initially discussed, additional fees may be included. However, prior to billing, all fees are captured in the service agreement.

Yes. If you would like to meet with your collaborating physician, you may have an introductory meeting before your collaboration begins.

After a potential collaboration is identified, you will receive an email requesting you to schedule time with your collaborating physician match. This is a great time for you to ask questions about the collaboration, understand their role and determine if the partnership will benefit you and your needs.

After you meet, both you and your physician will have the option to accept the collaboration and sign the proposed collaborative agreement, which will also be shared with you for signature.

Yes. If you plan on prescribing controlled substances, we will match you with a physician that is open to supervising your controlled substance prescriptions. In Texas, physicians would prescribe Schedule II controlled substances on your behalf.

Yes. If you feel that your assigned collaborating physician is not a suitable match, either after the initial meeting or after you have signed a collaboration agreement, we are happy to help you find another collaborator.

If you have any concerns at any point, please let us know so that we can try to remedy the situation.

This depends on state regulations.

In many states, nurse practitioners and physicians are not required to have matching specialties in order to collaborate. In some states, such as Georgia, NPs are required to have physician collaborators with comparable specialties. Currently, all physician assistants are required to practice under the supervision of a physician.

Our role is to help make sure you are matched with a physician that meets all the regulatory requirements so you don’t have to worry. All of these variables are taken into consideration during the matching process.

No, Zivian Health covers physician malpractice insurance. We just request that you add your collaborating physician to your medical malpractice policy as a non-patient facing member.

Charts can be shared via Zivian Health’s platform. Our platform allows advanced practice providers to upload and share charts with their collaborating physicians.

You may reach out to support@zivianhealth.com at any time to request updates to your agreement or to request additional collaborations.

Please send us a message about the state needed and the number of practice locations that you will need coverage for.

The Zivian Health platform has a payment portal for quick and easy transactions. Once your profile is created, you can choose your payment method and set up automatic payments if desired.

Zivian Health will email you a monthly invoice for your records.

Yes, you can terminate your agreement at any time as long as you provide a 30-day notice.

We provide physicians with secure, compliant and convenient clinical collaboration opportunities that expand their practice and maximize their earning potential.

Clinical collaborations are regulated by complex rules that vary based on state and clinical specialty. Our chief focus is maintaining the compliance of all of our collaborators, including:

– Contractual specifications

– State capacity limitations

– Chart reviews, check-ins, referrals

– Geographic limitation and proximity requirements

– Quality Assurance requirements

– Speciality requirements

When physicians and providers enroll with Zivian Health, we collect information that helps us determine their matching preferences based on the services they need, scope and licensure. We work to find matches that we feel will be long-lasting collaborative relationships.

Depending on the services you want to support, see below for general requirements for each collaboration:

Monthly Meetings: meeting with your provider at a regular cadence, typically via teleconference in a group or individual setting. These meetings may support general clinical and professional development questions as well as other aspects of the collaborative relationship.

In some restrictive states (such as Georgia, Tennessee, and Alabama) there could be additional in person meeting requirements which we will supply compliance information for if you are collaborating in those states.

Ongoing Support: review and respond to clinical questions and escalations raised by the provider through the Zivian Health platform.

Chart Review: Conduct a specified number of monthly chart reviews, which depends on the state you are collaborating in.

Zivian Health provides medical malpractice insurance to physicians. Once you are in an active collaboration there will be a COI assigned to you. We do require that each collaborating provider also add you as a secondary provider on their malpractice insurance.

Physicians must complete an enrollment form, disclosure form, credentialing profile, and W-9.

Yes! You will be required to share the total collaborative agreements you have outside of Zivian Health so we can make sure you do not exceed the allowable capacity. Each state has different requirements, so we’ll request the information by state.

You may also bring your external collaborations onto the Zivian platform for centralized compliance management.

Payment is issued on a monthly basis per individual executed and active APP collaboration. Agreements are executed once you and the APP have signed the agreement. You will be paid on the 15th of each month, following the first full month of collaboration. If collaboration commences in the middle of a billing cycle, you will be paid the following pay date.

Please note that if you are collaborating in a state that requires Board approval, the collaboration won’t be active until you receive approval.

The onboarding process typically moves as fast as you do. Most physicians are able to be onboarded in as little as 3 days.

Certain providers may need the ability to prescribe controlled substances through a collaborative agreement. Prior to accepting any agreement, all physicians are required to meet with their potential collaborators to discuss feasibility.

During the physician intake process, a physician may also provide specific requirements for these arrangements, such as EHR preferences and other limitations.

Experience: The choice of physician PC Owner can be very impactful to the business in both good and bad ways. Zivian provides a network of several thousand physicians with experience and familiarity with these types of roles, ensuring they are lubricants to the business and not obstructionists.

Quality: Zivian vets all physician candidates in advance and on an ongoing basis to ensure clean licensure and records, mitigating the risk of something impacting your ability to operate.

Certainty: Should you want to change your PC Owner to a different physician for any reason, Zivian will replace the PC Owner at no expense to you.

Speed: Zivian health can identify a physician PC Owner for your business in days and have necessary paperwork set up within a week.

Knowledge: Zivian hosts monthly advisory meetings with all PC Owners, allowing them an opportunity to share best practices and stay ahead of an evolving compliance landscape.

The state-by-state rule that requires the practice of medicine should be governed by individuals with clinical expertise rather than commercial or corporate entities.

CPOM protects the integrity of doctor-patient relationships and helps facilitate the practice that medical decisions should be based on clinical judgement versus financial considerations.

CPOM is a patchwork of state-specific regulations, each with its own nuances and exceptions making it very complex to understand nationwide.

The operating business (also known as a Management Services Organization, or MSO) partners with a Professional Corporation (often referred to as a “friendly PC”) that administers the clinical care. This entity is wholly owned by a physician licensed in that state, who offers important medical oversight, expertise, and operational support to the PC and the MSO.

Regulatory Compliance: The primary purpose of the PC Owner is to help a healthcare business operate in a manner that complies with CPOM laws. A PC Owner also ensures that the business complies with other healthcare laws, including the Health Insurance Portability and Accountability Act (HIPAA), billing and coding regulations, and other relevant guidelines.

Medical Oversight: The PC Owner is responsible for overseeing the medical aspects of the business. PC Owners make sure that patient care protocols are followed, review medical decisions, and maintain high standards of patient care.

Business Structure: The PC Owner helps structure a business in a way that aligns with legal requirements. This includes determining who can be involved in decision-making processes and what types of services can be provided by the business.

Strategic Direction: The PC Owner may contribute to the strategic planning and overall direction of the business. They provide valuable input based on their medical expertise, helping to guide decisions that align with best practices in the healthcare industry.

Yes, all physicians are thoroughly vetted, verified and credentialed by Zivian Health prior to being enrolled in our network.

We can find a physician match within most requested timeframes.

Turnaround times can be impacted by your specific circumstances, such as business/practice type, geographic reach, and scope of work. However, we can usually match you with a physician in 3 to 5 days if needed.

Creating and structuring a new PC with the support of Zivian Health typically takes 3 to 5 months.

No, we do not require an initiation fee beyond the agreed upon fee in your service agreement. If additional services are needed beyond what is initially discussed, additional fees may be included. However, prior to billing, all fees are captured in the service agreement.

Expanding your PC into additional states with Zivian is easy! Our physician PC Owners are licensed in all 50 states, and we can provide matches that support expansion. Zivian Health also assists with licensing.

We can find a physician match within most requested timeframes. Turnaround times can be impacted by your specific circumstances, such as business/practice type, geographic reach, and scope of work.

Yes, all physicians are verified and credentialed by Zivian Health prior to being enrolled in our network.

Yes, we support all types of practices and organizations.

No, we do not require an initiation fee beyond the agreed upon fee in your service agreement. If additional services are needed beyond what is initially discussed, additional fees may be included. However, prior to billing, all fees are captured in the service agreement.

Pricing is based on a variety of factors including scope of work, geographic reach, and level of involvement.