We build telemedicine apps, patient portals, and hospital operations software, and integrate with the EHR and EMR systems you already run, all on HIPAA-compliant infrastructure. We’ve shipped for hospitals and health platforms, from a multi-tiered patient-feedback system for a top private hospital to a Meditech materials migration. Compliance isn’t a box we tick at the end; we design for HIPAA, audit trails, and access control from day one.
Tell us about your roadmap. We reply same day.
HIPPA BAA available • IP assigned to you.
Mobile and web apps for doctor-patient video consults, scheduled and on-demand visits, e-prescriptions, follow-up workflows, and post-visit documentation. We have shipped telemedicine flows that connect into existing EHR systems so the visit record lands in the patient chart automatically. Latency targets, fallback to audio, and consent capture are part of standard scope.
Patient-facing web and mobile portals with self-service appointment booking, lab result viewing, prescription refills, secure messaging, document upload, and billing history. Single sign-on with your patient identity system, accessibility audited to WCAG 2.1 AA, and mobile-first design are standard.
Our integration layer connects healthcare apps to existing EHR and EMR systems through HL7 v2, FHIR R4, and vendor-specific APIs. Common integrations include Epic, Cerner, athenahealth, Allscripts, and AdvancedMD on the US side, and SystmOne and EMIS on the UK side. We do not build EHR platforms; we connect the apps your teams use into the EHR your hospital already runs.
Back-office systems for hospitals and clinics: billing and claims, inventory and pharmacy management, staff scheduling, lab order tracking, and reporting dashboards. We build custom modules that integrate with your existing HIS or billing platform, or replace older internal tools where the legacy system is the bottleneck.
Model development for clinical decision support, triage assistance, image classification on radiology and pathology data sets, and natural-language clinical note summarization. We build the AI feature, ship it inside a clinician workflow, and put eval and audit logging in place. We do not produce FDA-cleared medical devices; our scope is software features that support clinician decisions, with the human in the loop.
Therapy apps, mood tracking, mindfulness and meditation platforms, and behavioral-health intake flows. We work with licensed therapy practices, employee wellness platforms, and digital mental health startups. Crisis-escalation flows, consent management, and safe messaging patterns are built in from day one.
Custom analytics on operational, clinical, and financial data. Common requests include readmission analytics, claims denial trending, capacity and bed-occupancy dashboards, and regulator reporting feeds. We work in your existing data warehouse where possible and avoid duplicate data stores when not.
Cloud architecture work for healthcare clients who need HIPAA-aligned hosting, encryption at rest and in transit, role-based access control, immutable audit logs, and Business Associate Agreement readiness. We design the system so your security and compliance team can defend it during audits, and we run the platform with the uptime your clinical operations require.
Most healthcare projects start with a compliance lead in the room. We map your patient-data flow, the HIPAA technical safeguards your system needs to satisfy, the EHR integration points you need to connect to, and the operational outcomes your clinical or admin teams expect. Output is a written scope, a system diagram, an integration list, a delivery timeline, and a budget range.
Cloud-native architecture on AWS, Azure, or GCP with isolated environments for prod, staging, and protected health information. Auth, role-based access control, audit logging, and a deployable CI/CD pipeline come online in sprint zero so you can review code from week one. Data residency is built to match the geography your patients live in.
Two-week sprints with working software demoed every fortnight. Your clinical owner, compliance lead, and engineering leader join the demos. We use feature flags so risky paths can be rolled back in minutes. Penetration tests run at the end of each release cycle. Audit logs are reviewed against HIPAA technical safeguards before every production push.
We do not disappear at launch. Our SRE team runs your platform with uptime targets aligned to clinical operations and a 24×7 on-call rotation. When auditors arrive, our engineers join your calls and produce evidence on demand. When regulators ask questions about access patterns or breach controls, we have the audit logs ready.
Most healthcare dev shops build apps in isolation. The real work is integration with the EHR, the billing platform, and the lab and pharmacy systems your hospital already runs. Our default scope includes the integration layer, not just the user-facing app.
Patient data, audit logging, role-based access, encryption practices, and Business Associate Agreement readiness are part of discovery, not a bolt-on at audit time. We have shipped systems that satisfied HIPAA technical safeguards in production environments.
Our portfolio includes telemedicine apps, patient portals, hospital admin modules, mental health platforms, and clinical AI features for real healthcare clients. Ask us for a portfolio tour matched to your product type.
All employed full-time by ScalaCode, not freelancers. Mid-level engineers from $13 per hour. Senior engineers from $18 per hour. Tech leads from $23 per hour. Time-zone overlap of 4 to 6 hours with US East and full overlap with UK and EU working days.
For clinical AI features we ship decision support, not autonomous diagnosis. Every model output is reviewable by the licensed clinician on record. Explainability and audit logging are core scope so a compliance officer can defend each decision.
Dedicated-team engagements bill monthly with one-month notice. Scale up, scale down, or end the engagement at any month boundary. Source code and documentation stay current so handover to another team is clean.
Best for a defined deliverable. A telemedicine module, a patient portal MVP, a single EHR integration, or a hospital admin feature. Scope, timeline, and price locked at the start. Ideal when discovery is already done.
Pod of 3 to 12 engineers led by a senior tech lead. Monthly billing with one-month notice. The team includes back-end, front-end or mobile, QA, and a half-time integration lead. Best for end-to-end platform builds and ongoing healthcare product work.
Plug specific roles into your in-house team. Mid-level engineers from $13 per hour. Senior from $18 per hour. Tech leads from $23 per hour. Two-week trial-to-hire option available.
If you are uncertain whether to build, integrate, or modernize, start with a 2-week paid sprint. Output: a written architecture plan, a compliance gap analysis, a list of integrations needed, and a build estimate. Most clients use it to validate scope before committing to a larger engagement.
| Option | Strength | Where it tends to break |
|---|---|---|
| In-house build | Full ownership, deep institutional knowledge, direct clinical access | Senior healthcare engineers cost $180,000-plus in the US. Hiring 6 of them takes 9 months. Many healthcare orgs run out of patience before the team is fully staffed. |
| Healthcare-specialty consultancies | Brand cover for board and regulator conversations | Blended rates near $200 to $300 per hour. Six-month discovery phases. Best engineers rotate off the project by month 3. |
| Freelance marketplaces (Toptal, Upwork) | Fast onboarding, hourly billing | HIPAA auditors will ask who has access to PHI. Marketplace contractors are hard to evidence. Engineers leave mid-project. |
| ScalaCode | India-based senior engineers, integration-first delivery, HIPAA-aware practices, predictable monthly pricing | Time-zone overlap with US East is 4 to 6 hours, not 8. We handle this with async-first practices and overlap shifts. UK and EU clients get full live overlap. |
EHR integration projects, hospital admin and billing modules, patient portal builds, clinical reporting dashboards. We work with both private hospital groups and clinic networks.
End-to-end telemedicine apps and platforms. Doctor-patient video, e-prescriptions, scheduled and on-demand visits, integrated payment, and EHR sync. We have shipped flows for general medicine, behavioral health, and specialty consult products.
Therapy platforms, mood and habit tracking, mindfulness and meditation apps, employer-sponsored mental health benefit platforms. Crisis flow design and clinical-content compliance are first-class scope items.
Funded health-tech startups building patient-facing or provider-facing SaaS. Our model is usually a dedicated team that ships the MVP and stays through scale. We share architecture decisions with the in-house technical co-founder.
Model development and deployment for triage support, radiology and pathology image classification, and clinical note summarization. We do not produce FDA-cleared devices; our scope is the feature embedded in a clinician workflow with the human in the loop.
Pharmacy management apps, lab order tracking, e-prescription routing, and patient-facing prescription refill apps. Integration with existing pharmacy or lab systems is the usual starting point.
$13/hr
$13 - $15/hr
$18 - $20/hr
$23 - $25/hr
$1,200 - $1,500/month
$1,800 - $2,200/month
$2,600 - $3,000/month
$3,200 - $4,000/month
2 weeks
$8,000 - $15,000
patient portal, EHR integration, billing module
$25,000 - $80,000
telemedicine app, mental health platform
$80,000 - $250,000
$250,000 - $600,000
I looked around at several developers to compare costs, but they didn’t fit within my budget. Finally, I reached out to a company in India called ScalaCode. We set up several online meetings over a couple of weeks and came up with an app that did exactly what I wanted within my budget. I can confidently say that ScalaCode has been an excellent choice for me.
Ruddy McKenzie
Founder of RM EPOSStakeholders are impressed with ScalaCode deliverables. The mobile app has been accepted on both Google Play and App Store. Moreover, we are impressed with the team’s range of abilities from design and development to database and app creation. Overall, the engagement has been a success.
James Ellis
Owner, Artist-Tipping PlatformScalaCode provides great results, uplifting the collaborative experience with their impressive project management style. The team always delivers as expected, which is manifested by the length of the ongoing relationship with us. Overall, their services have been impressive.
Jaa St. Julien
Pres. & Chief Strategy Officer - St. Julien CommunicationsStakeholders are impressed with ScalaCode deliverables. The mobile app has been accepted on both Google Play and App Store. Moreover, we are impressed with the team’s range of abilities from design and development to database and app creation. Overall, the engagement has been a success.
Manuel
CEO, 4SaleThe application was basically built from scratch, and was complicated, as the software was to be integrated with a certain Medical EHR software. As the CEO of SHG, I was very pleased with the services, expertise, and support we received from ScalaCode, from the beginning directly through the first LIVE implementation.
Stephen Holmes
CEO, Steve Homes GroupThe iOS and Android apps exceeded the expectations of the internal team. ScalaCode crafts high-quality products that are easy to use and fit the requirements of the client. The team is technically experienced, hard-working, and knowledgeable.
Carolyn Dare
Director, Empowered AchieverI needed a reliable team on-hand, and ScalaCode delivered. Their excellent availability and project oversight made a big impact.
Faid Lalji
Learn ArenaOur XR project had unique hurdles, but ScalaCode grasped it fast and delivered beyond expectations with excellent collaboration.
Alessandro
CEO / Founder (XR Company)We build telemedicine and video consult apps, patient portals, EHR and EMR integrations, hospital admin and billing modules, clinical decision support features, mental health and wellness apps, healthcare analytics, and HIPAA-compliant infrastructure. We do not build standalone EHR platforms or FDA-cleared medical devices; we integrate with the EHR your hospital already runs and ship clinician-in-the-loop AI features.
A focused patient portal or telemedicine MVP ships in 12 to 20 weeks. A single EHR or EMR integration runs 6 to 12 weeks once the API access is provisioned. A multi-product platform with several integrations runs 9 to 18 months. Discovery and compliance scoping take 1 to 3 weeks before the build starts.
A 2-week discovery and compliance sprint runs $8,000 to $15,000. A single-module build runs $25,000 to $80,000. A mid-sized healthcare product runs $80,000 to $250,000. A multi-product platform runs $250,000 to $600,000. Dedicated-team engagements bill monthly at $8,000 to $60,000 per month depending on team size and seniority.
We have shipped integrations using HL7 v2, FHIR R4, and vendor-specific APIs. Common targets include Epic, Cerner, athenahealth, Allscripts, and AdvancedMD in the US, and SystmOne and EMIS in the UK. During discovery we confirm exact vendor and version with you and design the integration adapter so swapping vendors later is straightforward.
We build to HIPAA technical safeguards: access control, audit logging, encryption at rest and in transit, transmission security, and Business Associate Agreement readiness. We do not certify your platform for you; we deliver the system so your security and compliance team has the evidence they need during audits. HIPAA awareness is part of the discovery sprint at no extra cost.
Yes, with a clinician in the loop. We build decision support, triage assistance, image classification on radiology or pathology data, and clinical note summarization. Models are explainable so a clinician or compliance officer can defend each output. We do not produce FDA-cleared autonomous diagnostic devices; we deliver software features embedded in clinician workflows where the licensed clinician makes the final call.
NDAs are signed before the first scoping call. The MSA assigns all source code and IP to you on delivery. You own the repository from day one. We can deploy in your cloud account so patient data and code never leave your perimeter. Role-based access control, immutable audit logging, and encryption practices align with HIPAA technical safeguards.
We do healthcare project rescue work. We start with a 2-week diagnostic sprint where we audit your code, your architecture, your compliance posture, and your team velocity. The output is a written recovery plan with specific actions, timeline, and budget. About 30 percent of our new clients arrive in this exact situation.
I had a vision but needed technical execution, ScalaCode transformed it into a working platform with creative precision.
Recognized by Industry Leaders & Valued by Global Clients
