EHR, LIMS & Clinical Systems Integration

EHR Integration Services, LIMS Software Development & RCM Engineering

Epic, Athenahealth, and eClinicalWorks customization. LIMS development for LabWare, LabVantage, and StarLIMS. Revenue cycle management software connecting clinical workflows to billing, built without disrupting live environments.

EHR Customizations That Break at Upgrade

Custom order sets, workflow rules, and interface configurations built without upgrade resilience silently fail after EHR version updates, triggering emergency remediation that costs more than the original build.

Disconnected Revenue Cycle Creating Cash Flow Risk

Charge capture, claim coding, and payer submission running in disconnected systems with manual reconciliation at every handoff, producing coding errors, rising denial rates, and measurable revenue leakage.

LIMS That Cannot Scale with Lab Volume

LIMS systems designed for single-analyte chemistry tests that fail when processing NGS panels, multi-analyte assays, and population-scale sample volumes, causing backlogs, QC failures, and CLIA inspection findings.

No Automated EHR-to-LIMS Order-Result Workflow

Lab orders manually re-entered from EHR to LIMS, and results manually transcribed back, every step a potential error, a documentation delay, and a compliance gap.

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What we build

EHR Customization, LIMS Development & RCM Integration

Five capability areas covering the full clinical operations stack, EHR configuration, LIMS engineering, RCM automation, and the HL7 interface binding them together.

Epic Customization, Implementation & Integration

Epic configuration and integration engineered to survive upgrade cycles, covering Interconnect interfaces, FHIR APIs, and module-specific customization.

Epic Interconnect HL7 interfaces: inbound ADT, ORM, SIU, outbound ORU, MDM, with complete segment mapping documentation
Epic FHIR API and App Orchard: SMART on FHIR app development, MyChart integration, and App Orchard certification
Beacon, Cupid, Willow module customization with upgrade-resilient configuration documentation
Upgrade readiness: pre-upgrade interface testing, regression analysis, and post-upgrade validation protocols

Athenahealth & eClinicalWorks Integration

Platform-specific integration for the two dominant ambulatory EHRs, each requiring expert knowledge of their distinct API models.

Athenahealth REST API and FHIR R4: patient demographics, scheduling, clinical documents, and lab result delivery
Athenahealth Practice Management: charge capture and claim submission connected to downstream RCM platforms
eClinicalWorks FHIR API and HL7 interfaces: bidirectional patient data exchange and lab order-result workflows
eClinicalWorks customization: clinical content, workflow configuration, and reporting without breaking ONC certification

LIMS Software Development & Customization

Custom and platform-based LIMS for genomics, molecular diagnostics, and clinical reference laboratories.

Custom LIMS: sample accessioning, chain-of-custody, test order management, QC enforcement, result sign-off, and report generation
LabWare, LabVantage, StarLIMS customization: workflow configuration, instrument interfaces, and LIMS-to-EHR HL7 integration
NGS-specific capabilities: library prep tracking, flowcell management, run QC monitoring, and VCF result ingestion
Instrument interfaces: Illumina, Thermo Fisher, IDEXX, Roche, using ASTM/LIS2-A protocols

Revenue Cycle Management Software Development

RCM platform integration connecting clinical documentation to billing, claims, and payer reimbursement.

Quadex integration: charge capture, coding engine configuration, and claim scrubbing rules per payer requirements
Salesforce extended for RCM: patient financial workflows, payment plans, and collections connected to EHR clinical data
CareViso integration: payer contract management, remittance processing, denial workflow, and underpayment identification
Claims lifecycle automation: charge capture through remittance posting, without manual reconciliation steps

Lab Workflow Automation & EHR Connectivity

Fully automated order-result workflow between EHR and LIMS, no manual re-entry at either end.

Order flow: EHR order → HL7 ORM to LIMS → specimen confirmation → specimen in lab queue
Result flow: LIMS result approved → HL7 ORU with structured OBX segments → EHR inbox → critical value alerting
Specimen tracking: barcode scanning at each stage, real-time status visible in the EHR order view
Instrument-to-LIMS-to-EHR: raw instrument output through QC review to approved result delivery, fully automated

Discuss your EHR or LIMS requirements →

Who we serve

Built for the Organizations Running Clinical Operations

Hospitals & Health Systems

Epic-centric IDNs needing EHR customization, interface governance, and upgrade-resilient architecture.

Epic Interconnect interfaces
Multi-site EHR integration
Prior auth and RCM connectivity
HL7 upgrade resilience

See industry page

Clinical Labs & Genomics

Diagnostic and genomics labs need LIMS development, instrument interfaces, and EHR result delivery.

Custom and platform LIMS
NGS workflow automation
LIMS-to-EHR HL7 integration
CAP/CLIA compliance

See industry page

Payers & Insurers

Payer organizations need RCM integration, claims automation, and EHR connectivity for prior authorization.

RCM platform integration
Claims cycle automation
Prior auth EHR connectivity
Clean claim rate optimization

See industry page

Frequently Asked Questions

How do you customize Epic without breaking ONC certification?

We work exclusively within Epic's configuration layer, order sets, clinical rules, Interconnect interfaces, App Orchard FHIR apps, and Chronicles extraction, rather than modifying certified application code. Every customization engagement includes upgrade impact analysis: documenting which configurations are at risk from the target version, and providing a pre-upgrade testing protocol so your environment never requires emergency remediation after go-live.

What are the most common LIMS scalability challenges in genomics labs?

The four most common issues are: database query degradation at high sample volumes; result schemas designed for single-analyte tests that cannot handle multi-hundred-gene panel data structures; instrument interfaces added ad hoc for each new sequencer; and audit trail requirements for CLIA/CAP that the LIMS was not designed to capture at genomic data volumes. We address these through targeted LIMS module extension and purpose-built genomics modules that integrate with the existing platform.

How do you integrate EHR systems without disrupting live clinical workflows?

We implement incrementally, starting with read-only data flows before moving to bidirectional clinical exchange. We build test environments that mirror the production configuration to surface issues before they affect live operations. Every integration component has a documented rollback procedure before go-live, so clinical workflows revert to manual processes rather than failing. Cutovers are staged by user group or facility, not organization-wide simultaneously.

What is the difference between LIMS development and EHR customization, and do I need both?

A LIMS manages the laboratory side: sample accessioning, instrument interfaces, QC management, and report generation. An EHR manages the clinical side: order entry, patient documentation, and result viewing. Most organizations need both, connected by an HL7 order-result interface so orders flow from EHR to LIMS and results flow back without manual re-entry. We build both systems and the interface between them.

Explore the Systems Around Your Clinical Operations Stack

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Ready to Build the EHR and LIMS Integration Your Operations Need?

Tell us your EHR platform, your LIMS environment, and your biggest integration gap.

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