EHR and Software Integrations

MedPrecision supports the EHR and PM systems covering the majority of US ambulatory volume per the ONC 2024 Health IT Certification report: eClinicalWorks, Athenahealth (athenaPractice and athenaOne), AdvancedMD, Kareo (Tebra), NextGen Healthcare, DrChrono, Practice Fusion, ChartLogic, ModMed (Modernizing Medicine), NueMD, CareCloud, CollaborateMD, Greenway Intergy, Allscripts Professional, and Epic Community Connect. Specialty platforms include WebPT and Heno (physical therapy), TheraNest and SimplePractice (mental health), CentralReach (ABA), Brightree (DME), and PCC (pediatrics). Hospital-side integration covers Epic, Cerner Oracle Health, MEDITECH, and CPSI through HL7 v2.x interfaces. Each integration is mapped to four core data flows: ADT demographics push, charges and coding pull, ERA and payment posting back to the PM, and patient statement coordination. Practices on systems not on this list receive a 2 to 3 week custom HL7 or sFTP build at separately quoted scope.

Integration timelines vary by system architecture: standard API integrations with Athenahealth, Kareo (Tebra), AdvancedMD, eClinicalWorks v11+, DrChrono, and CareCloud complete in 5 to 7 business days using documented partner APIs. HL7 v2.x interfaces with hospital systems and older EHR builds (NextGen, Allscripts, Greenway) take 10 to 14 business days due to interface engine configuration and bidirectional message testing. Custom sFTP-based batch integrations for legacy or non-standard systems take 2 to 3 weeks including secure file transfer setup, mapping document approval, and three rounds of test-file reconciliation. FHIR R4 integrations with Epic Community Connect and Cerner Oracle Health take 3 to 4 weeks due to OAuth 2.0 SMART-on-FHIR client registration with the host hospital IT department. All timelines run in parallel with payer enrollment and BAA execution, so the integration is rarely the critical path on the overall 2 to 4 week onboarding window.

Yes. Custom interfaces are built when the practice uses a system without an existing MedPrecision integration or requires non-standard data flows. HL7 v2.x interfaces use the X12N-aligned message types most relevant to billing: ADT-A04 (patient registration), ADT-A08 (patient update), DFT-P03 (charge transmission), and ACK acknowledgments per the HL7 2.5.1 standard. FHIR R4 interfaces use the resources defined in the US Core Implementation Guide v6.1.0: Patient, Encounter, Procedure, Condition, Coverage, and Claim. Build process includes a mapping document deliverable signed by both sides, a sandbox phase running test files against the practice's QA environment, and a production cutover with reconciliation against the first week of live data. Quoted cost ranges from 4,000 dollars (simple HL7 file pull) to 12,000 dollars (full bidirectional FHIR with custom extensions). Interface ownership and source code remain with MedPrecision; the practice receives full mapping documentation.

Yes. MedPrecision regularly integrates with legacy systems still in production at established practices, including older versions of NextGen, Allscripts Professional, Greenway PrimeSUITE, Misys (now Allscripts), and proprietary in-house systems built on FoxPro, Access, or older SQL Server schemas. Legacy integration uses one of three patterns based on what the system exposes: (1) HL7 v2.3 or v2.4 over MLLP (Minimal Lower Layer Protocol) when an interface engine is present, (2) sFTP-based batch file exchange with twice-daily charge file pulls when no real-time interface exists, or (3) read-only database access with a dedicated MedPrecision service account when the system supports ODBC connections. Legacy integrations carry no premium pricing and follow the same security controls as modern API integrations including TLS in transit, AES-256 at rest, and audit logging per HIPAA Security Rule 45 CFR 164.312(b).

The practice owns all credentials and data at all times. MedPrecision operates under role-based service accounts created within the practice's EHR/PM system using the practice's administrator privileges; the practice retains the master account, can disable MedPrecision access at any time, and can rotate credentials without notice. All clinical data, billing data, demographics, charges, and payment posting history remain in systems controlled by the practice. The BAA includes a return-of-data clause requiring MedPrecision to deliver a complete data export within 15 calendar days of contract termination, in CSV or JSON format aligned to the PM system schema. Custom interfaces built by MedPrecision are documented in mapping documents the practice receives at go-live; if the practice transitions to another biller, those mapping documents transfer with the practice and reduce the new vendor's integration time substantially.

Four core data flows run daily: (1) demographics push at the start of each business day pulls newly registered or updated patients from the EHR ADT feed, validating insurance eligibility through the clearinghouse before the visit, (2) charge capture pull at end-of-day collects all encounters with CPT, ICD-10-CM, modifiers, and rendering provider data, (3) ERA and payment posting back to the PM occurs continuously throughout the day as 835 transaction files arrive from clearinghouses (typically every 30 to 60 minutes during business hours), and (4) patient statement coordination runs nightly to flag balances ready for statement issuance based on statement-cycle rules per payer mix. Additional periodic flows include monthly fee schedule sync, quarterly provider credentialing status updates, and annual code-set updates aligned to CMS HCPCS Level II and AMA CPT changes. All transfers are encrypted, logged, and reconcilable to the dollar.