Healthcare software development for the practice that still faxes.
Custom medical software development sized for clinics, therapy groups and home-health agencies: online intake, scheduling with reminders, patient portals, referral tracking — built around the EHR you already run, never instead of it. HIPAA's safeguards are in the price, not a 25% surcharge.
The practice bills insurers. The software bills the practice.
A 3-provider practice, priced from the vendors' own published sheets, August 2026. The EHR seat is the part worth paying for — it stays. It's the rented layer around it that never stops billing.
Page one has a waiting room. You're not in it.
The companies ranking for these keywords serve, in their own words, "mid-market and enterprise healthcare teams" — hospitals, health systems, ACOs, payers, pharma. One publishes EHR builds "from $120,000 to over $2,000,000." Meanwhile, 47.4% of US physicians work in practices of ten or fewer (AMA, 2024). Nearly half of American medicine is a small business — priced like a hospital everywhere it looks for software.
Keep the EHR. Fix everything around it.
Every shop on page one will happily build you a new EHR. We won't — an EHR migration is the riskiest project a practice can run, and yours already works. Here's the useful fact they don't mention: ONC-certified EHRs are required by regulation to expose a standard FHIR API (§170.315(g)(10)). Your EHR has a door built into it by law. We build through it.
Medical software development, with the compliance said out loud.
First, the honest part: there is no such thing as "HIPAA-certified" software — no certification exists, and anyone selling one is selling a badge. HIPAA requires safeguards. They're a checklist, and every build here ships with the checklist done:
ROLE-BASED ACCESS — FRONT DESK ≠ PROVIDER ≠ BILLER
AUDIT LOG ON EVERY PHI TOUCH
AUTO-LOGOFF & MFA
YOUR ACCOUNTS, NOT A VENDOR POOL
≈$15–30/MO REALISTIC INFRA
TEXT REMINDERS VIA BAA-COVERED MESSAGING, CONTENT KEPT MINIMAL
ACCESS & RETENTION RULES BUILT IN
EXPORT ANYTIME — RECORDS ARE YOURS TO HAND OVER
BREACH-NOTIFICATION PLAN DOCUMENTED
Diagnosis first. Then a number, in writing.
The one page-one competitor that publishes prices starts at $50,000 — and its fixed quote still arrives "after discovery." The rest run $120K to $2M, behind a sales call, with compliance billed as a 15–30% extra. Here the plan reads like the ones you write: findings, course of treatment, cost — before anything begins, from a US developer in Austin, not an offshore bench.
Sixty days of post-launch fixes are in the contract — longer than our standard, because in a clinic the first month of real patients is the test that matters.
NO DEMO GAUNTLET · NO "CALL FOR PRICING" · THE NUMBER COMES FIRST — GET THE PLAN FILLED IN →
Asked from behind the counter.
EVERY ANSWER HOLDS IN WRITING. THE QUOTE MAKES THEM CONTRACTUAL.01 What does custom healthcare software development cost here?
Practice-scale systems land at $13,500–$40,000 — fixed, phased, quoted in writing within 24 hours, HIPAA safeguards included. The guides ranking beside this page quote $30,000–$500,000, put "practice management software" at $75,000–$200,000, and price compliance as a 15–30% surcharge. The one competitor publishing a table starts at $50,000, quote "after discovery." If all you need is one scheduling tool at $54 a month, rent it happily — this pays off when you're stacking rented layers or working around all of them.
02 Will you replace our EHR?
No — and be careful with anyone eager to. An EHR migration is the highest-risk project a practice can undertake, and every shop on page one sells one. Your certified EHR is legally required to expose a FHIR API; we integrate through it and through vendor APIs (athenahealth, eClinicalWorks, Tebra, DrChrono and the rest). The EHR keeps doing charts and claims. We fix the intake, scheduling, reminders, portal and reporting around it.
03 Is it HIPAA-compliant — really?
Here's the straight version: no software is "HIPAA-certified" — no such certification exists. Compliance is safeguards plus paperwork, and both ship with the build: encryption in transit and at rest, role-based access, an audit log on every PHI touch, auto-logoff, BAA-covered hosting in your own cloud account — and a signed BAA between us, standard. What we won't do is sell you a badge.
04 Can we legally text patients reminders?
Yes, done right: messaging runs through a BAA-covered provider, message content stays minimal ("You have an appointment Tuesday at 2:15 — reply C to confirm"), and patients opt in and can opt out. It's worth the care — in published trials, reminders took a 38% no-show rate down to 24%, and MGMA puts the average practice at 5–7% of slots simply evaporating.
05 Will the front desk and our patients actually use it?
Nothing installs. The front desk gets one screen — today's schedule, arrivals, balances, flags — in a browser. Patients get a link: book, fill intake at home, see results, pay. 65% of patients already use portals (ONC, 2024) and 68% say they want online booking; your no-show texts arrive on the phone they're already holding. If either side can use a patient portal from a hospital, they can use this — except this one matches how your practice actually runs.
06 Who owns it, who maintains it, and what does it cost to run?
Yours from commit one — repo, database, and a BAA-covered server in your own cloud account at roughly $15–30 a month. Boring, mainstream stack (Go or PHP, PostgreSQL) that any developer you ever hire can maintain. Sixty days of post-launch fixes are in the contract; after that, a small retainer or nothing at all. No per-provider fees, no renewal letter, no vendor who can sunset your front desk.