Case Study
CARA – Comprehensive, Certified EMR and Practice Management Platform
Modernizing Employer-Based Healthcare with a Scalable, Compliant Solution for Multi-Specialty Clinical and Administrative Operations
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 & Outcomes
- CARA was successfully deployed across all CareHere clinical sites, improving operational efficiency, documentation quality, and compliance reporting.
- Enabled the client to qualify for HITECH incentive reimbursements.
- Reduced coding errors and billing rejections via automated documentation-to-billing linkages.
- Streamlined multi-specialty operations into a unified, centralized platform.
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.
Project Overview
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 and Capabilities
Standards-Based Clinical Architecture
- 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.
Smart Coding Engine (Automated Clinical Coding)
- 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.
Template-Driven, Specialty-Agnostic Design
- 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.
Practice Management (PM) Module
- 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
Integrated Lab Management
- 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
Compliance and Certification
- 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
Security, Privacy & Role-Based Access
- 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
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.
Project Vision
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 Functional Capabilities
Standards-Based Clinical Architecture
- 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.
Smart Coding Engine (Automated Clinical Coding)
- 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.
Template-Driven, Specialty-Agnostic Design
- 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.
Practice Management (PM) Module
- 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
Integrated Lab Management
- 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
Compliance and Certification
- 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
Security, Privacy & Role-Based Access
- 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
Impact & Outcomes
- CARA was successfully deployed across all CareHere clinical sites, improving operational efficiency, documentation quality, and compliance reporting.
- Enabled the client to qualify for HITECH incentive reimbursements.
- Reduced coding errors and billing rejections via automated documentation-to-billing linkages.
- Streamlined multi-specialty operations into a unified, centralized platform.
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.
