Healthcare Interoperability Services

Healthcare interoperability is required by federal regulation. The 21st Century Cures Act, CMS Interoperability and Patient Access Rule, and CMS-0057 all impose specific FHIR API and data exchange requirements on payers, providers, and EHR vendors. Information blocking penalties can reach $1 million per violation. Beyond compliance, interoperability is what makes value-based care, population health, AI, and care coordination possible.

A focused FHIR API build typically runs 6 to 12 weeks. A single EHR integration runs 4 to 16 weeks depending on scope and the target system. CMS-0057 compliance programs for payers typically run 6 to 12 months. A full enterprise interoperability program at a health system or HIE runs 12 to 24 months in phased delivery.

A focused FHIR API build runs $50,000 to $200,000. A TEFCA readiness program runs $150,000 to $500,000. A CMS-0057 compliance build for a payer runs $300,000 to $1.5M depending on size. Full enterprise interoperability platforms range from $500,000 to $2M+. Bacancy scopes pricing to your specific environment and regulatory deadlines.

EHR integration services focus on connecting your platform to specific named EHRs (Epic, Cerner, Athenahealth). Healthcare interoperability services are broader. They cover the full standards stack (FHIR, HL7 v2, CDA, X12, DICOM, IHE), all the regulatory frameworks (CMS, ONC, TEFCA, USCDI), and the architecture-level work that makes interoperability sustainable. EHR integration is one workstream inside interoperability. See our healthcare EHR integration services for narrower EHR work.

Yes. We help EHR vendors and health IT developers prepare for ONC Health IT Certification (g)(10) criterion. Includes FHIR API conformance to US Core IG, security and SMART on FHIR implementation, audit logging, documentation, and Inferno conformance testing support.

CMS-0057 is the CMS Interoperability and Prior Authorization Final Rule. It requires CMS-regulated payers to expose four FHIR APIs by January 2027: Patient Access, Provider Access, Prior Authorization, and Payer-to-Payer. Payers also need to publish electronic prior authorization decisions within specified timeframes. We build the FHIR API surface, the integration with claims platforms, and the audit infrastructure required by the rule.

Our team works with US Core, Da Vinci (CRD, DTR, PAS, PDex, HRex), CARIN BB and Consumer Directed Payer Data Exchange, International Patient Summary, USCDI+ data classes, and custom payer or provider implementation guides. We also profile FHIR resources for organizations creating their own conformance requirements.

Bacancy is ISO 27001:2013 certified as an organization. Our team holds individual certifications including HL7 FHIR Foundation, AWS Solutions Architect, Microsoft Certified Azure Solutions Architect, and Google Cloud Professional Architect. We sign Business Associate Agreements (BAAs) with all healthcare clients.