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CLIENTS TESTIMONIALS

What Our Clients Have to Say About Thinkitive’s EHR Development for Primary Care

Discover our latest ventures in primary care software development for our clients. Learn about their unique challenges and prepositions and how we helped them streamline their practice with custom healthcare software solutions.

Pre-Built Components to Accelerate EHR Development Timeline Primary Care

Develop EHR with patient portal primary care, and other specific features and functionalities faster with Thinktive’s pre-built primary care EMR software development components.

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Complete Connectivity of Your Custom Behavioral Health Software Solution with EHR integration

Connect your behavioral EHR/EMR software with other necessary healthcare software like pharmacies, labs, billing, etc., for holistic care delivery.

ePrescription & Labs Integration

We provide psychiatry EMR software development ...with ePrescriptions and Labs integration to enable you to send orders directly from the EMR system. These integrations offer multiple benefits, from reducing errors to improving clinical efficiency and reducing the overall cost of care for both patients and providers.

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Surescripts

Surescripts is the leading e-prescribing network that helps in improving medication ... safety and convenience for patients, providers, pharmacies, and payers. Integrate Surescripts in custom EHR, enabling secure electronic e-prescribing and real-time access to patient medication history.

Billing & Payment

Safe, secure, and seamless healthcare transactions with our billing, ... payment, and point-of-sale integrations into your custom EHR. Give your virtual care practice a comprehensive real-life healthcare ecosystem.

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Waystar

Waystar provides healthcare revenue cycle management solutions. Integrating it with EHR solutions streamlines claims processing, reduces denials, and optimizes revenue capture through automation and AI, improving financial efficiency for healthcare organizations.

Communication

Facilitate real-time communication with patients via various ...mediums, all from your custom EHR software. Give your virtual care practice a comprehensive real-life healthcare ecosystem.

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Sfax

Sfax is a secure faxing solution designed for healthcare. Integrating it with your customizable EHR enables secure exchange of patient information like faxes within the system, ensuring patient data privacy and compliance with HIPAA regulations. This streamlines communication and protects sensitive medical information.

Engagement Model Background

Calculate Your Primary Care EHR Development Cost & ROI in 2 Minutes

Discover primary care EHR development cost and its return on investment. Our calculator is based on real data from 500+ implementations.

From Discovery to Deployment in 12-16 weeks

We have grown a niche EMR EHR software development to curate an ideal EMR EHR software solution for your unique needs.

1. Discovery
1-2 weeks
2. UX Mapping
2-3 weeks
3. Agile Development
8-12 weeks
4. Integration
2-3 weeks
5. Compliance Testing
1-2 weeks
6. Go Live + Support
2-3 weeks
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1. Discovery

1-2 Weeks

Start by understanding your practice’s unique workflows and requirements.

  • Stakeholder interviews and collaborative workshops
  • Audit of current systems and infrastructure
  • End-to-end workflow mapping and documentation
  • Success criteria definition based on clinical priorities
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Key Deliverables

  • Feature Requirement Document
  • Stakeholder Analysis Report
  • Current State Assessment
  • Gap Analysis Report
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Resource Allocation

  • 2 Business Associates
  • 5 Full-Stack Developers
  • 2 UX Designers
  • 1 QA Engineer
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2. UX Mapping

2-3 Weeks

Collaborate to transform insights into intuitive, role-based, and user-friendly EHR workflows and interfaces.

  • Wireframing key user journeys (charting, scheduling, documentation)
  • Prototyping clinical and admin modules
  • Designing specialty-specific dashboards and navigation
  • Conducting feedback loops with end users
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Key Deliverables

  • Workflow-Based Wireframes
  • Clickable Prototype
  • UI Style Guide & Component Library
  • User Feedback Summary
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Resource Allocation

  • 2 UX Designers
  • 1 UI Designer
  • 2 Business Associates
  • 1 Technical Architect
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3. Agile Development

8-12 Weeks

Build custom, secure, and precise EHR modules based on your requirements.

  • Backend and frontend module development
  • Role-based access control and user management
  • Specialty-specific templates (e.g., SOAP, PHQ-9, HPI)
  • Automated coding, alerts, and decision logic
  • Sprint-based testing and QA cycles
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Key Deliverables

  • Fully Developed Frontend & Backend Modules
  • Clinical Templates & Configurations
  • Access Control Setup
  • Unit & Integration Test Reports
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Resource Allocation

  • 5 Full-Stack Developers
  • 2 QA Engineers
  • 1 DevOps Engineer
  • 1 Project Manager
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4. Integration

2-3 Weeks

Integrate your EHR with labs, pharmacies, and billing platforms.

  • Integration with labs (e.g., LabCorp, Quest)
  • eRx and pharmacy integration via SureScripts
  • Clearinghouse or RCM platform connectivity
  • HL7/FHIR interface development
  • Integration testing with real data
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Key Deliverables

  • Integrated API Endpoints
  • Lab & Pharmacy Connectivity Setup
  • Interface Engine Configuration
  • Integration Test Reports
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Resource Allocation

  • 2 Integration Specialists
  • 2 Backend Developers
  • 1 QA Engineer
  • 1 Project Manager
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5. Compliance Testing

1-2 Weeks

Ensuring your EHR meets all regulatory and data protection standards, including HIPAA.

  • HIPAA security and privacy compliance review
  • Role-based access and audit trail validation
  • ONC-Certification alignment (if required)
  • Risk assessments and documentation
  • Encryption and secure data handling protocols
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Key Deliverables

  • Compliance Checklist & Audit Report
  • Risk Assessment Summary
  • Data Protection Policy Documentation
  • Role-Based Access Validation Report
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Resource Allocation

  • 1 Compliance Officer
  • 1 Security Specialist
  • 1 QA Engineer
  • 1 Technical Lead
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6. Go Live + Support

2-3 Weeks

Continuous support for a seamless EHR rollout, from provider training to data migration.

  • Final UAT (User Acceptance Testing)
  • Staff training and onboarding
  • Legacy data migration
  • Production deployment and monitoring
  • Post-go-live bug fixes and enhancements
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Key Deliverables

  • Production-Ready EHR System
  • Training Materials & Sessions
  • Go-Live Checklist & Rollout Plan
  • SLA-Based Support Plan
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Resource Allocation

  • 2 Support Engineers
  • 1 Project Manager
  • 1 QA Lead
  • 1 Training Specialist

Real Stories of Primary Care Practices Thriving with Custom EHRs

Discover how multiple providers moved from one-size-fits-all systems to custom EHRs that streamline care and boost patient outcomes.

Built to Meet Every Healthcare Standard

The foundation of healthcare data security and privacy

HIPAA Compliance
ONC Certification
FHIR/HLT
Cures Act
Coding Standard
SOC 2 Type II
ISO 27001
FDA 510(k)

HIPAA Compliance

Protect patient health information by adhereing to strict privacy and security safeguards.

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Fines & Penalties

  • Tier 1: Unaware of violation — $141 to $71,162 per violation
  • Tier 2: Reasonable cause (not willful) — $1,424 to $71,162 per violation
  • Tier 3: Willful neglect, corrected — $14,232 to $71,162 per violation
  • Tier 4: Willful neglect, not corrected — $71,162 to $2,134,831 per violation
  • Annual Maximum: $1.5M (Per Violation Type)
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Why It’s Required

  • Expands and strengthens HIPAA enforcement
  • Requires breach notification to patients and HHS
  • Promotes secure EHR adoption and meaningful use
  • Enables State Attorneys General to file HIPAA lawsuits
  • Boosts patient confidence in digital health systems
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Process

  • Conduct EHR system audits for compliance gaps
  • Encrypt all stored and transmitted ePHI
  • Establish breach detection and reporting procedures
  • Train staff on HITECH-specific privacy/security updates
  • Maintain detailed documentation for audit readiness

Our HIPAA Compliance Partners

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ONC Certification

Ensures that your EHR meets federal standards for safety, usability, and interoperability.

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Non-Compliance Risks

  • Using uncertified EHR systems - Ineligible for CMS incentives (MIPS, Medicaid PI)
  • Certification non-compliance - Subject to CMS payment adjustments or scoring penalties
  • Vendor decertification - Removal from CHPL and reduced provider trust
  • Repeat violations or program exclusion - Long-term loss of eligibility and reputational harm
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Why It’s Required

  • Required for participation in federal incentive programs (like Promoting Interoperability)
  • Required for participation in federal incentive programs (like Promoting Interoperability)
  • Demonstrates compliance with national standards for security and interoperability
  • Enhances trust among providers, payers, and patients
  • Enables seamless data exchange between providers and health systems
  • Protects your reputation by aligning with a federally approved certification
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Process

  • Choose an EHR system certified under the ONC Health IT Certification Program
  • Ensure compliance with 2015 Edition Cures Update criteria (including FHIR APIs)
  • Verify support for clinical quality measures and interoperability standards
  • Implement Real World Testing and attestations as required
  • Partner with a vendor experienced in certified EHR development and maintenance

Our Partners

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FHIR/HL7

The modern backbone of real-time, interoperable healthcare data exchange.

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Non-Adhrence Risks

  • Poor compatibility with apps and systems
  • Integration breakdowns and data silos
  • Non-compliance with CMS/ONC rules
  • Regulatory attention and data blocking risks
  • No readiness for AI, remote care, or digital growth
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Why It’s Required

  • Required under CMS and ONC Interoperability mandates
  • Enables seamless data exchange between systems, payers, and patient-facing apps
  • Future-proofs your EHR system for upcoming regulations and digital health innovation
  • Enhances patient access to data via standardized APIs
  • Supports integration with 3rd-party tools, remote monitoring, and care coordination apps
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Implementation Process

  • Adopt FHIR-based APIs as per ONC 2015 Cures Update criteria
  • Map clinical and administrative data to FHIR resource models
  • Ensure secure authentication (e.g., SMART on FHIR, OAuth 2.0)
  • Test interoperability with external systems, apps, and payers
  • Monitor compliance with CMS and ONC guidelines around data exchange and access

Our FHIR-HL7 Compliance Partners

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21st Century Cures Act

Empowers patients with data access and drives interoperability across systems.

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Fines & Penalties

  • Up to $1M per violation for developers, HIEs, and HINs engaged in information blocking
  • Loss of CMS incentives for non-compliant providers
  • Zero score in MIPS Promoting Interoperability category
  • Reduced Medicare payments to hospitals and CAHs
  • Exclusion from ACO participation for at least one year
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Why It Matters

  • Mandated by ONC and CMS for patient access to records
  • Drives transparency and patient-centered care
  • Requires seamless API access to health information
  • Enables compliance with FHIR and SMART on FHIR standards
  • Essential for future CMS reimbursement and program eligibility
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Implementation Steps

  • Enable API-based access to EHR data as per Cures Act Final Rule
  • Prevent information blocking through clear data-sharing policies
  • Adopt certified EHR technology that meets ONC 2015 Cures Update
  • Train staff on permissible exceptions and patient data rights
  • Monitor compliance, patient access logs, and information requests

Our 21st Century Cures Act Compliance Partners

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Medical Coding Standards

Standardizes clinical language to ensure accurate billing, reporting, and care.

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Non-Compliance Consequences

  • Claim denials or delays due to incorrect CPT/ICD codes>
  • Revenue loss - reimbursement underpayments and recoupments
  • Audit exposure from CMS or payers triggered by miscoding
  • False Claims Act liability for upcoding, unbundling, or misrepresenting services
  • Exclusion from Medicare/Medicaid for persistent violations of NCCI or coding rules
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Advantages

  • Ensures accurate medical billing and prevents claim denials
  • Supports timely reimbursements from insurers and CMS
  • Reduces risk of fraud investigations and legal exposure
  • Maintains payer trust and long-term contract eligibility
  • Enables compliance with national coding updates (e.g., CMS, AMA)
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Process

  • Implement automated coding validation tools
  • Stay aligned with CMS and AMA coding updates
  • Regular internal audits and coding reviews
  • Train staff on evolving coding standards and edits (e.g., NCCI)
  • Integrate intelligent prompts into EHR for real-time support

Our Medical Coding Standards Adherence Partners

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SOC 2 Type II

Validates your system’s operational security, availability, and data integrity controls.

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SOC 2 Non-Certification Risks

  • Loss of business contracts due to security concerns
  • Reputational damage from failed audits or data breaches
  • Potential legal exposure in breach-related lawsuit
  • Operational disruptions due to system downtime
  • Reduced partner and payer confidence in your platform
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Why It Matters?

  • Demonstrates commitment to data security & integrity
  • Builds trust with healthcare providers and partners
  • Ensures safe handling of PHI and ePHI in cloud environments
  • Strengthens resilience against breaches & system failures
  • Aligns with HIPAA and industry-recognized security standards
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Process We Follow

  • Conduct annual third-party audits covering security, availability, processing integrity, confidentiality, and privacy
  • Enforce access controls, encryption, and data backups
  • Implement incident response plans and log monitoring
  • Conduct regular staff training on security protocols
  • Maintain detailed audit trails and evidence for compliance

Our SOC 2 Type II Compliance Partners

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ISO 27001

Demonstrates a globally recognized commitment to managing healthcare data risks.

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Non-Certification Risks

  • Contract losses due to lack of recognized security standards
  • Increased breach risk from unstructured security practices
  • Reputational damage from non-conformity during client/vendor reviews
  • Regulatory scrutiny in case of security incidents
  • Loss of competitive edge in global or enterprise healthcare markets
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Why It’s Required?

  • Proves a systematic approach to information security
  • Strengthens risk management and threat mitigation
  • Builds trust with healthcare clients and partners
  • Ensures confidentiality, integrity, and availability of PHI
  • Aligns with global data protection standards and HIPAA
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Certification Process

  • Develop and maintain an Information Security Management System (ISMS)
  • Perform regular risk assessments and internal audits
  • Define and enforce access control and data encryption policies
  • Conduct continuous monitoring and incident response simulations
  • Maintain third-party ISO 27001 certification via accredited bodies

Our ISO 27001 Certification Partners

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FDA 510(k) Clearance

Proves your software is safe and effective for clinical use under FDA regulations.

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Risks of FDA 510(k) Non-Clearance

  • Prohibited from legally marketing or distributing the product
  • Risk of FDA enforcement actions, including seizure or injunction
  • Civil or criminal penalties in case of unapproved software use
  • Loss of provider confidence in uncertified clinical features
  • Significant delays in product launches or go-to-market timelines
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Why It’s Required?

  • Required for Software as a Medical Device (SaMD) classification
  • Enables legal market entry for clinical decision support tools
  • Demonstrates safety, efficacy, and substantial equivalence
  • Builds trust with providers and patients using regulated features
  • Reduces legal and regulatory exposure in case of adverse outcomes
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Clearance Process

  • Determine if the software qualifies as a regulated medical device
  • Conduct risk classification and predicate device comparison
  • Prepare technical documentation and usability validation
  • Submit 510(k) premarket notification to the FDA
  • Support post-market surveillance and updates after clearance

Our FDA 510 (k) Compliance Partners

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Engagement Model Background

Why Thinkitive is the #1 Choice for Custom EHR Software Development

10+ years exclusively in healthcare technology with 500+ successful custom EHR development projects.

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Green tick iconTailored to Your Needs

Thinkitive’s first step to developing ... customizable EHR software is to understand your unique needs and requirements. Based on that, our development team develops a customized software solution to meet your requirements and solve your problems.

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Green tick iconReady-to-Use Components

With our ready-to-use technology components ...like video conferencing, appointment scheduling, and SOAP notes, fasten your custom EHR Software development process.

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Green tick iconThird-Party Integration

Integrate your EHR software system with ... multiple third-party systems like Telemedicine, RPM Devices, Labs, Radiology, etc., to build a complete virtual healthcare ecosystem.

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Green tick iconAffordable EHR Solutions

With our ready-to-use base EHR software framework, ...we present you an affordable primary care EHR software development which is specially curated for your healthcare practice.

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Green tick iconIn-Depth Domain Expertise

We have expertise in HIPAA-compliant ...primary care EHR development that provides flexible, scalable, and robust solutions.

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Green tick iconTimely Delivery

WWe have curated an EHR system development ...process that covers all the aspects of your healthcare practice’s unique needs and requirements with transparency for on-time delivery.

Custom Primary Care EHR Development Blogs

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