Healthcare Software Development
Healthcare Software Development for US Providers
We design and ship custom healthcare software for US home health agencies, staffing companies, and telehealth providers. HIPAA-compliant by architecture. Bidirectional EMR integration from day one. Eight years building in a domain that punishes shortcuts.
- HIPAA-compliant by architecture
- Bidirectional HCHB integration shipped
- Healthcare AI with anti-hallucination
- 7–10×
- ROI generated on average
- 12–15 min
- Saved per clinician per day
- 18–25 min
- Saved per admin staff per day
- 30–40%
- Reduction in hospital & ER visits
Outcomes from CareCoordinations, a home health platform we built for a US client.
What we build
Healthcare software capabilities
Every capability below is backed by production work and domain knowledge, not a generic services slide.
Home health care coordination software
Purpose-built platforms for home health agencies: care coordination, episode management, IDG meetings, and ADT event handling — not generic tools bent into shape.
HIPAA-compliant by architecture
Compliance isn't a checklist at the end. We architect for HIPAA from day one: encryption in transit and at rest, role-based access control, audit logging on every PHI access, and BAA-ready infrastructure.
EMR/EHR integration (HCHB, HL7, FHIR)
We have shipped bidirectional HCHB integration in production: ADT event feeds, MDM attachment sync, real-time two-way data. The same patterns generalize to HL7 and FHIR-based exchange across other EMR systems.
Healthcare staffing & credentialing
Credentialing tracking with expiry alerts, shift scheduling, placement management, timesheet-to-billing workflows, and candidate matching — built for how healthcare staffing actually runs.
Telehealth & virtual care platforms
Appointment scheduling, secure video consultations, vitals and trend tracking, and native iOS and Android apps for clinical workflows that go beyond the waiting room.
Healthcare AI with anti-hallucination guardrails
RAG pipelines that answer only from your real clinical content: source-cited, confidence-scored, with a "not in knowledge base" fallback instead of a confident wrong answer. A hallucinating AI in a clinical context causes real harm.
How we work
Three ways to engage the team
Transparent rates. No lock-in. Pick the model that fits your stage.
Fixed-scope project
From $8,000
MVPs and defined-scope builds
- Scoped and priced upfront
- Delivery in 8 to 16 weeks
- Ideal for first builds
- Most popular
Dedicated team
$2,500 / dev / month
Ongoing products and 3+ month engagements
- Your team, always on
- Full-stack or specialist
- Scale up or down monthly
Staff augmentation
$20 / hour
Filling specific skill gaps
- Minimum 80 hours per month
- Healthcare domain knowledge
- HIPAA-aware developers
Proof of work
Healthcare projects we have shipped
Real client work, real outcomes. Not demos or prototypes.
Healthcare · Home Health
Replacing fragmented tools with a HIPAA-compliant care coordination platform that speaks HCHB natively
7–10×
ROI generated on average
12–15 min
Saved per clinician per day
LaravelSwiftKotlinMySQLRead full case studyAI Engineering · RAG · Knowledge Retrieval
Building a RAG pipeline that answers from real content, not hallucinations
>80%
Retrieval hit rate (relevant source in top 5)
>70%
Questions answered from grounded context
LaravelPHPMySQLOpenAI text-embedding-3-largeRead full case study
Technology
Tech stack for healthcare software
Backend
- Laravel
- PHP
- MySQL
- Redis
Mobile
- Swift (iOS)
- Kotlin (Android)
- React Native
Integrations
- HCHB ADT feeds
- MDM sync
- HL7
- FHIR
AI & Vector
- OpenAI Embeddings
- GPT-4
- MySQL vector store
- BM25 retrieval
Infrastructure
- AWS
- HIPAA-compliant infra
- Docker
FAQ
Questions about healthcare software development
Do you build HIPAA-compliant software?
Yes. HIPAA compliance is built into the architecture from day one — not added as a checklist at the end of the project. This means encryption in transit and at rest, role-based access control, audit logging on all PHI access, and BAA-ready infrastructure. We have shipped a HIPAA-compliant production platform (CareCoordinations) for a US home health client.
Can you integrate with HCHB or other EMRs?
Yes. We have built bidirectional HCHB integration in production, including ADT event feeds (admit, transfer, discharge), MDM attachment synchronization, and real-time two-way data sync. The same integration patterns generalize to HL7- and FHIR-based data exchange with other EMR and EHR systems.
Do you work with US home health agencies?
Yes. Our most significant healthcare engagement was for a US-based home health startup. We built their care coordination platform from the ground up with full HCHB integration, native iOS and Android apps for field clinicians, and IDG meeting support. We understand the clinical workflows, compliance requirements, and operational realities of home health.
How long does a healthcare software project take?
It depends on the scope. A fixed-scope MVP with defined requirements typically takes 8 to 16 weeks. A more complex platform with EMR integration, mobile apps, and AI features takes 4 to 6 months. For ongoing product development, a dedicated team engagement is more appropriate. We give accurate timelines after a proper scoping conversation, not before.
What makes Nexios different from a generic development shop?
Domain knowledge. We understand what an ADT event is, what an IDG meeting involves, what a healthcare staffing agency's credentialing burden looks like, and why a generic AI chatbot in a clinical setting is dangerous. We have shipped real healthcare software that runs in production for actual patients and clinicians.
Start your project
Ready to build your healthcare software?
Tell us what you need. We respond within 4 business hours.