— EHR SOFTWARE DEVELOPMENT —

EHR software built around clinicians, not billers

Most EHRs were built for insurance reimbursement. We build custom EHR and EMR software that starts with the clinical workflow — and then makes sure billing, compliance, and reporting fall out of it for free. HIPAA-aware, FHIR-native, and integrated with the systems your clinicians already live in.

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Off-the-shelf EHRs are why clinicians burn out

Generic EHRs force every specialty into the same documentation pattern. Fertility, mental health, sleep medicine, physical therapy, long-term care, and virtual-first practices all lose hours a day to workflows that don't fit how they actually practice.

Custom EHR development — or a thin specialty overlay on Epic/Cerner — pays back in clinician hours, claim acceptance, and patient retention. We build both.

What we typically deliver

  • Specialty-first clinical documentation
  • E-prescribing, labs, and imaging integration
  • Scheduling, intake, and patient portal
  • Claims scrubbing & ERA reconciliation
  • Reporting, QMS, and MIPS/HEDIS exports

— Use Cases —

What teams hire us to build

Real scenarios where EHR software development moves the needle — not vendor demos.

Specialty EHR

Purpose-built EHRs for fertility, behavioral health, sleep medicine, PT/OT, and other specialties where generic systems fight clinicians.

EHR overlays on Epic/Cerner

Thin specialty apps that integrate via SMART on FHIR — keep the mothership EHR, replace only the screens your clinicians hate.

Virtual-first practices

EHRs built for telehealth-native practices where every visit is async or video — with integrated messaging, intake, and e-prescribing.

Long-term care & post-acute

Nursing home, home health, and rehab EHRs with MDS/OASIS workflows, caregiver apps, and family portals.

Patient engagement & portal

Modern patient portals that actually get used — appointment booking, secure messaging, bill pay, and lab-result delivery.

Data migration & interoperability

FHIR and HL7 v2 migrations off legacy systems, plus live interoperability with HIEs, labs, and payer APIs.

— Timeline —

How long a typical engagement takes

01

Workflow discovery

Week 0–1

Shadow 2–3 clinicians, map the real workflow, and scope the documentation model.

02

Architecture & compliance

Week 1–2

FHIR data model, HIPAA controls, and integration plan with your lab/e-Rx/payer partners.

03

MVP EHR

Week 3–10

Working EHR with the core clinical workflow — pilot with 2–5 providers before scaling.

04

Rollout & support

Ongoing

Training, staged rollout, billing integration, and 24/7 sustained support.

— Tech Stack —

Tools & frameworks we ship with

Interoperability
FHIR R4HL7 v2SMART on FHIRCDS HooksX12 270/271/837DICOM
Platform & infra
AWS HIPAAAzure Health Data ServicesPostgresKubernetesTerraform
App stack
Next.jsReact NativeNode.jsPythonTypeScriptGraphQL

— FAQs —

Questions teams ask before hiring us

It depends on specialty and scale. If you are a single-specialty practice with <50 providers and generic EHRs fight your workflow, custom wins. If you are tied to a hospital system on Epic, a SMART-on-FHIR overlay app is usually the right call.

A pilot-ready MVP for a single specialty typically takes 10–16 weeks. A multi-specialty, full-feature EHR is a 6–12 month effort depending on billing, reporting, and integration depth.

Pilot MVPs range from $80k to $250k. Multi-specialty, production-grade EHRs typically run $400k–$1.5M over 6–18 months. We quote fixed-price per phase, not T&M.

Yes. We integrate with clearinghouses (Change Healthcare, Availity, Office Ally), build claim scrubbing rules, and automate ERA posting. This is usually where most generic EHRs leak revenue, so we pay special attention.

We build to ONC Health IT Certification criteria and can support you through Drummond or ICSA Labs certification. Full certification is a separate workstream on top of development.
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