CARA

Comprehensive, Certified EMR and Practice Management Platform

Modernizing Employer-Based Healthcare with a Scalable, Compliant Solution for Multi-Specialty Clinical and Administrative Operations
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Client Overview

Client: CareHere LLC (now part of Premise Health)
Industry: Employer-based Healthcare Delivery
Setting: 165+ clinical locations across the United States
Challenge: Replace aging EHR infrastructure with a certified, fully integrated, scalable system for both clinical and administrative operations.

Impact & Business Outcomes

About CARA

After successfully modernizing CareHere’s legacy lab interfacing with a Mirth-based HL7 solution, ChampSoft was selected to architect and build an entirely new enterprise-grade EMR and Practice Management system, purpose-built to comply with Meaningful Use Stage 1, 2, and 3, HITECH Act, and JCAHO standards. This platform named CARA was designed as a flexible, template-driven system supporting multiple specialties and complex care workflows.

Key Features & Capabilities

  • Designed from the ground up on a normalized, standards-compliant healthcare database schema, supporting structured clinical documentation and interoperability.
  • Compliant with HL7, CCD/C-CDA, ICD-9/10, SNOMED CT, LOINC, and CPT code standards to ensure long-term adaptability and regulatory alignment.
  • Introduced Smart Coding, a dynamic coding engine that:
    • Automatically generates CPT/E&M codes and populates a contextual superbill based on real-time diagnosis entry.
    • Performs gaps-in-care analysis as providers input diagnoses, enhancing care quality and preventive service compliance.
  • EMR forms and workflows were fully template-configurable, allowing rapid support for multiple specialties including:
    • Primary Care
    • Occupational Medicine
    • Behavioral Health
    • Chronic Disease Management
  • Users could customize encounter documentation templates per site or specialty without requiring code changes.
  • Robust administrative backend including:
    • Scheduling (multi-provider, multi-site)
    • Eligibility and Claims Management
    • Billing and Revenue Cycle Tools
    • Real-time Insurance Verification
    • Patient Portal and Messaging
    • Reporting & Dashboards for compliance, MU, and operational metrics
  • Deep integration with national labs including LabCorp and Quest Diagnostics, providing:
    • Real-time order submission and result retrieval via HL7
    • Automated result mapping and historical data comparison
    • Alerting for abnormal results within clinical workflows
  • Meaningful Use Stage 1, 2, and 3 certified
  • Developed in alignment with HITECH Act incentives and JCAHO standards
  • Supported electronic prescribing (eRx), clinical quality measures (CQM), patient summaries, and audit logging
  • Built with HIPAA compliance at the core
  • Included robust user role management, audit trails, and encrypted data storage
  • Supported integration with Active Directory and SSO frameworks for enterprise clients

Why It Matters

ChampSoft’s CARA platform demonstrates deep domain expertise in healthcare software engineering—covering regulatory, clinical, billing, and interoperability requirements. It reflects not just software delivery, but strategic alignment with industry mandates and long-term scalability for care providers. The system’s adaptability and smart automation have helped clinicians and administrators reduce overhead, avoid compliance pitfalls, and deliver higher-quality care.
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