Healthcare software that gives clinicians their attention back
Healthcare does not lack technology. It has a record system that owns the workflow, a dozen bolt-on tools that nearly talk to each other, a fax machine still load-bearing in the prior-authorisation process, and clinicians finishing their notes at ten at night. We build the connective software that removes that cost — FHIR interfaces, patient-facing services, automation over the administrative work — and we design to HIPAA and HITECH from the first sprint, because retrofitting compliance into a live clinical system is nobody's idea of a good quarter.
What healthcare teams are actually up against
Interoperability is now a legal obligation
Data exchange stopped being a differentiator when the information-blocking rules took effect. Providers and payers are expected to expose FHIR APIs, answer patient access requests without friction and connect to TEFCA-aligned networks. Standing still is a regulatory exposure now, not just an operational one.
Documentation burden and clinician burnout
Clinicians spend close to as long in the record as in front of patients, and the inbox follows them home. Ambient scribing genuinely helps with the narrative note — it does not touch orders, coding accuracy, message volume or the referral loop. Treating it as the whole answer is how a pilot quietly dies in month four.
Prior authorisation still runs on portals and hold music
Between the decision to treat and the treatment sit faxes, payer portals with different rules each, and staff on the phone. The APIs to fix this now exist under the CMS interoperability and prior authorisation rule, but very few organisations have wired their own side up to them.
Patients expect the access they get everywhere else
Booking, results, an estimate of what it will cost, and a message thread — on a phone, without a password reset. Most organisations already own a portal that technically does all of this and that patients avoid because calling is faster.
AI cannot simply be pointed at protected health information
HIPAA and HITECH decide where PHI may travel, which vendors may process it, what the business associate agreement must cover and what has to be logged. Any model touching the chart answers those questions before anyone gets to talk about accuracy — and several vendors are still selling as if that step were optional.
Denials, rework and the money lost between systems
A large share of denials are avoidable: eligibility unverified, documentation missing, codes that do not support the claim. The fix is unglamorous, sits across three systems that do not share a record, and is where most of the recoverable revenue actually is.
How we answer those problems
EHR integration and FHIR interfaces
Integration with Epic, Oracle Health, MEDITECH and athenahealth over HL7 v2, FHIR R4 and US Core profiles, including SMART on FHIR apps where the workflow belongs inside the record rather than beside it. We build the interface layer as a versioned, monitored product, not a script somebody wrote once.
Prior authorisation and revenue cycle automation
Eligibility checks at the point of scheduling, automated assembly of supporting documentation, payer API submission where it exists and structured worklists where it does not. Denials are routed by root cause, so the same failure does not arrive again next month wearing a different claim number.
Patient access and engagement
Scheduling, results, intake, cost estimates, reminders and secure messaging delivered as web and native mobile experiences. Built to WCAG 2.2 AA, and to the access timelines the Cures Act sets rather than the ones the vendor roadmap offers.
Telehealth and remote monitoring
Video, asynchronous messaging and device data as ordinary channels inside your existing scheduling, documentation and billing. Telehealth has settled into normal care; it should be dull, reliable, and recorded in the same chart as everything else.
Clinical and operational analytics
A warehouse across record, claims and scheduling data, with dashboards for throughput, denial rate, panel management and readmission risk. Predictive models are validated against your own population, documented for review, and monitored for drift after go-live.
Applied AI with guardrails that hold
Ambient documentation, referral letter drafting, chart summarisation and coding suggestion — deployed under a business associate agreement with retention controls, human review before anything reaches the record, and complete audit logging. Where the evidence for a use case is thin, we say so.
Regulatory context
These regimes shape what can be built and how data moves. We design to them from the first architecture conversation, rather than retrofitting controls once something is already live.
Services we bring to healthcare
Software built around how your business actually works — not bent to fit somebody else's product roadmap.
iOS and Android apps built to survive store review, OS upgrades and the second month — when most apps quietly lose their users.
Moving workloads to AWS, Azure or Google Cloud in waves you can stop — with the running cost worked out before you commit, not discovered on the third invoice.
A warehouse, tested transformations and one agreed definition of every metric — so the number in the meeting stops being an argument.
Straight answers on where AI earns its keep in your business, which ideas to drop, and what it takes to run the survivors in production.
Healthcare questions, answered
Last updated: August 31, 2026
Both, and the split is written down before work starts. You remain the covered entity. We sign a business associate agreement covering everything we touch and build to the Security Rule: encryption in transit and at rest, role-based access, immutable audit logging, and minimum-necessary access for our own engineers. What we cannot do is certify you — your risk analysis and your assessor do that. Our job is to hand them a system that passes without a remediation list.
Tell us where the day is going
The after-hours notes, the authorisation queue, the denials that keep coming back. Those are usually where the business case sits. An hour with our team gets you a straight answer on what is worth building and what is not.
Discuss your project