Healthcare software development services
Clinical, patient and revenue systems built by senior LATAM engineers who work your hours, inside your HIPAA perimeter and around the way your clinicians actually work.






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15+years delivering software
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100+senior engineers across LATAM
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6-8hdaily overlap with US teams
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6+Fortune 500 & global brands trust us
Software clinicians will actually use, built the way HIPAA requires
Healthcare software gets rejected by the people who have to use it long before it gets rejected by an auditor. A workflow that adds three clicks to a visit does not survive, no matter how well it integrates.
FusionHit builds healthcare products with senior engineers across Latin America who have worked with PHI, with HL7 and FHIR interfaces, and with the constraints a compliance officer brings to a design review. They work US Central and Eastern hours, so a clinical question gets answered while the clinic is still open.
\ Healthcare systems we build
The systems our clients bring us most often, each one built around the clinical workflow, the data standards and the rules it has to live with.
EHR integrations and custom modules
HL7 and FHIR interfaces to Epic, Oracle Health and the rest, plus the modules your EHR was never going to give you.
Telehealth and virtual care
Video visits, scheduling, intake and documentation that fit into the visit rather than sitting beside it.
Patient portals and digital front door
Scheduling, results, messaging, forms and payments, in one place a patient can use without calling the front desk.
Revenue cycle and billing
Eligibility, coding support, claims, denials and patient billing, built to reduce the work that lands on your staff.
Care coordination and care management
Care plans, task routing and population views, so the follow-up happens without somebody keeping a private spreadsheet.
Remote patient monitoring
Device data, thresholds and alerting, with the escalation path a nurse can trust at two in the morning.
Clinical data and analytics
Pipelines, warehouses and reporting on top of clinical and claims data, built for the questions leadership actually asks.
Legacy platform modernization
Moving a clinical or administrative system off an unsupported stack, with the history intact and the workflow unchanged.
The organizations we build healthcare software for
Different organizations, different pressures. These are the ones our engineers already know how to work with.
Hospitals and health systems
Systems that surround an EHR you are not replacing, across departments that each work differently.
Provider groups and clinics
Software that has to fit a fifteen-minute visit and a small team with no IT department.
Digital health startups
A first product that has to pass a health system's security review, not just a pitch.
Payers and health plans
Claims, member and care management systems where a data error becomes a compliance problem.
Medtech and device companies
Software around a device, where the quality process is as much a deliverable as the code.
Labs and pharmacy
Ordering, results and fulfilment systems that connect to everything else in the chain.
How we work inside your HIPAA perimeter
Every provider on this search shows the same HIPAA badge. Almost none of them says how the work is actually done. This is what we put in the agreement before anyone gets access.
No production PHI in lower environments. Engineers build and test against de-identified or synthetic data, and we tell you which method we used for each dataset.
By default, nobody on our side. If a task genuinely needs production access, you grant it to a named engineer for a stated reason, time-boxed and logged.
A Business Associate Agreement signed before work starts, with the same obligations flowing down to anyone we bring onto your account.
In repositories and cloud accounts under your organization, in the region you choose. Your data does not get copied into our systems or onto a personal device.
Every change goes through a ticket, a pull request and a review by a second engineer, so the record an auditor or an OCR inquiry asks for already exists.
HL7 and FHIR interfaces are tested against the receiving system's sandbox and validated with conformance tooling, not declared. The test results are part of acceptance.
Named engineers, your identity provider, your MFA, your device policy. When someone rolls off the team, access is removed the same day and we confirm it in writing.
A clinical owner who can answer workflow questions within the week, sandbox credentials for the systems we integrate with, and your security and privacy contacts from the first sprint.
PHI in development and testing
No production PHI in lower environments. Engineers build and test against de-identified or synthetic data, and we tell you which method we used for each dataset.
Who touches production
By default, nobody on our side. If a task genuinely needs production access, you grant it to a named engineer for a stated reason, time-boxed and logged.
The agreement itself
A Business Associate Agreement signed before work starts, with the same obligations flowing down to anyone we bring onto your account.
Where the code and the data live
In repositories and cloud accounts under your organization, in the region you choose. Your data does not get copied into our systems or onto a personal device.
How changes stay auditable
Every change goes through a ticket, a pull request and a review by a second engineer, so the record an auditor or an OCR inquiry asks for already exists.
How interoperability gets proven
HL7 and FHIR interfaces are tested against the receiving system's sandbox and validated with conformance tooling, not declared. The test results are part of acceptance.
Access, devices and offboarding
Named engineers, your identity provider, your MFA, your device policy. When someone rolls off the team, access is removed the same day and we confirm it in writing.
What we need from your side
A clinical owner who can answer workflow questions within the week, sandbox credentials for the systems we integrate with, and your security and privacy contacts from the first sprint.
How a healthcare build runs
Discovery and workflow mapping
The clinical or administrative workflow, the systems involved and the rules, turned into a scope with acceptance criteria.
Architecture and interfaces
Data model, integration design and the boundary that keeps PHI where it belongs.
Build
Sprints with a demo every week, in repositories under your organization.
Testing and acceptance
Automated tests, interface conformance testing against the sandbox, and your own acceptance with the people who will use the software.
Launch and support
Deployment, training for your team, handover of code and documentation, and a support window written into the agreement.
What it takes to build, by system
Vendors answer this with 'it depends'. Here is what it depends on, by the kind of system, so you arrive at the first call knowing what to expect.
2-4 months
Number of interfaces, whether the vendor gives you a sandbox, message volume, and how much of the mapping has to be built by hand.
4-6 months
Identity and access for patients, the systems it reads from and writes to, payments, and accessibility requirements.
4-6 months
Video and scheduling, documentation inside the visit, device and browser coverage, and the states or regions you operate in.
4-8 months
Payer mix, clearinghouse integration, coding and denial rules, and how much of the current process is undocumented.
5-8 months
Device types and their SDKs, alert thresholds and escalation, and the clinical review workflow behind the alerts.
6-12 months
Feature parity with what staff use today, data and history migration, and running both systems in parallel during cutover.
EHR integration or interface
2-4 months
Number of interfaces, whether the vendor gives you a sandbox, message volume, and how much of the mapping has to be built by hand.
Patient portal or digital front door
4-6 months
Identity and access for patients, the systems it reads from and writes to, payments, and accessibility requirements.
Telehealth or virtual care
4-6 months
Video and scheduling, documentation inside the visit, device and browser coverage, and the states or regions you operate in.
Revenue cycle or billing module
4-8 months
Payer mix, clearinghouse integration, coding and denial rules, and how much of the current process is undocumented.
Remote patient monitoring
5-8 months
Device types and their SDKs, alert thresholds and escalation, and the clinical review workflow behind the alerts.
Legacy platform modernization
6-12 months
Feature parity with what staff use today, data and history migration, and running both systems in parallel during cutover.
Why healthcare organizations build with FusionHit
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Senior engineering talent
Vetted nearshore engineers with production experience in clinical, patient and revenue systems.
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Real-time collaboration
Engineers on US Central and Eastern time, so a clinical question or a production issue is handled inside your working day.
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Ready for the review
PHI handling, access control and change records built into the engineering process, rather than assembled before an audit.
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Integrated partnership
One delivery lead accountable to you, working in your tools and reporting in writing every week.

Healthcare and regulated platforms we have worked on
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Closing the Mobile Platform Gap Through AI-Accelerated Development
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Tell us which workflow is costing your team the most time.
Talk to an expert, 30 minutes, no commitment.
Three ways to work with us
Pick the model that fits how your team runs. Plenty of clients start with one and move to another as the roadmap grows.
Staff augmentation
Senior engineers added to your existing team, under your direction. Best when you have a technical lead and need capacity or a specific skill.
Dedicated development teams
A stable team that works only on your product, with a lead on our side. Best when you want a whole workstream owned without hiring a manager for it.
Software development outsourcing
A defined scope delivered end to end under our management, for a fixed price and date. Best when the scope is clear and you want one number and one date.
Stacks our healthcare teams work in
The technologies behind the clinical and administrative systems we build and maintain.
Other industries we build for
The same engineering standards, applied to the rules each industry runs under.
Fintech
Payments, lending, banking and wealth platforms built inside your compliance perimeter.
Insurance
Policy, quoting and claims platforms for carriers, MGAs and brokers.
SaaS
Multi-tenant products, platform rebuilds and the engineering behind a growing subscription business.
Logistics
Systems that run around the clock, from warehouse to last mile.
Retail
Commerce and store platforms sized for a peak season before it arrives.
Manufacturing
Plant, quality and supply systems that integrate with equipment nobody wants to touch.




