PAC Interoperability Services USA

Streamline post-acute care data exchange and compliance across the US healthcare continuum.

The Interoperability Challenge in Post-Acute Care

Post-acute care (PAC) organizations—skilled-nursing facilities, long-term acute hospitals, rehabilitation centers, and home-health agencies—play a pivotal role in a patient’s recovery journey. Yet they often operate on fragmented information islands, relying on phone calls, faxes, and outdated HL7 V2 messages to coordinate with hospitals, specialists, and payers. Federal initiatives such as the CMS Interoperability & Patient Access Rule and the Trusted Exchange Framework and Common Agreement (TEFCA) are accelerating the push toward electronic, standards-based data sharing.

PAC Interoperability Services USA eliminates the technological and regulatory roadblocks. Our cloud-native platform serves as a single gateway to national HIEs, EHR vendors, and payer networks. With built-in support for HL7® FHIR®, CCDAs, Direct Messaging, and e-Prescribing, we empower PAC providers to access complete, longitudinal patient records—without straining IT budgets or staff bandwidth. From reconciling medication lists to submitting electronic prior-authorization requests, our solution streamlines care coordination, improves patient outcomes, and shortens length of stay.

Whether you operate one facility or a multi-state enterprise, we tailor connectivity strategies that fit your workflows and growth plans. By translating complex regulations into actionable roadmaps and automating data normalization, we help clinicians spend less time chasing paperwork and more time caring for patients.

OUR TECHNOLOGY STACK

Data Standards
HL7 V2, HL7 FHIR R4, C-CDA, X12 278/275

Programming Languages
C#, Java, JavaScript, TypeScript, Python

Interoperability Frameworks
HAPI FHIR, Mirth Connect, Redox, Rhapsody

Cloud Platforms
AWS, Microsoft Azure, Google Cloud Platform

Databases
PostgreSQL, MongoDB, SQL Server, DynamoDB

Security & Compliance
OAuth 2.0, SMART on FHIR, JWT, TLS 1.3

Messaging & Streaming
Apache Kafka, RabbitMQ, AWS SNS/SQS

DevOps Tooling
Docker, Kubernetes, Jenkins, GitHub Actions

Monitoring & Analytics
Prometheus, Grafana, Splunk, ELK Stack

Testing Frameworks
Postman, JUnit, Cypress, Selenium

Identity Management
Keycloak, Okta, Azure AD B2C

AI & NLP
AWS Comprehend Medical, Google Healthcare NLP, spaCy

Schedule a Free Interoperability Readiness Assessment

Why Choose Cabot for Your PAC Interoperability Journey?

Cabot Technology Solutions has delivered complex healthcare integrations for more than 15 years. Our dedicated healthcare practice includes HL7, FHIR, and HIPAA experts who understand the operational realities of post-acute settings. We hire clinicians, quality managers, and former health-system IT leads to ensure technology aligns with bedside workflows.

Our SOC-2- and ISO-certified development centers leverage a secure-by-design approach—security validation is automated at every CI/CD stage. Beyond code, we offer strategic advisory services such as reimbursement optimization, quality-measure alignment, and change-management planning. Cabot is vendor-agnostic; our only incentive is to implement the best architecture for your organization. This means advising when an off-the-shelf integration makes sense and when a custom interface delivers better ROI.

Clients choose Cabot because we commit to measurable results. We define KPIs—readmission reduction, faster discharge note turnaround, fewer manual fax steps—and share transparent progress updates. From discovery through go-live and beyond, our US-based client-success managers remain your single point of contact, backed by 24/7 support engineers. With Cabot, interoperability stops being an IT project and becomes a strategic advantage.

Our 5-Step Engagement Model

  1. Discovery & Assessment – Review existing EHR interfaces, referral workflows, and compliance gaps.
  2. Architecture Blueprint – Design connectivity map, choose standards (FHIR, CCD, X12), and outline security controls.
  3. Rapid Integration Sprints – Agile two-week sprints to build, test, and validate interfaces in sandbox and staging environments.
  4. Compliance & Security Validation – Conduct HIPAA security risk assessment, performance testing, and user acceptance.
  5. Go-Live & Managed Support – Roll out in phases, train staff, monitor KPIs, and refine as regulations evolve.

Our Industry Experience

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Healthcare

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Ecommerce

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Fintech

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Travel and Tourism

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Security

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Automobile

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Stocks and Insurance

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Restaurant

Download Our PAC Interoperability Playbook

Frequently Asked Questions

Q1. What EHR systems do you support out of the box?
A1. We maintain a continually updated library of more than 40 pre-built connectors, covering Epic, Cerner, MEDITECH, Allscripts (Altera), PointClickCare, MatrixCare, Netsmart, athenahealth, and specialty platforms such as WellSky. Each connector is validated for demographic, clinical, scheduling, and billing interfaces. If you use a proprietary system, our team typically builds a new connector in two to three weeks, fully regression-tested in a sandbox that mirrors your production environment.

Q2. How do you ensure HIPAA compliance?
A2. HIPAA safeguards are embedded at every layer. PHI is encrypted in transit with TLS 1.3 and at rest with AES-256. Access is governed by role-based policies, MFA, and Keycloak. We hold SOC 2 Type II and ISO 27001 certifications, perform annual third-party penetration tests, and integrate static code analysis and vulnerability scans into our DevSecOps pipeline. We sign BAAs with every client and provide full audit logs, breach-notification procedures, and a disaster-recovery plan achieving an RTO under 30 minutes and an RPO of 15 minutes.

Q3. Will this replace my existing HIE participation?
A3. No. Our platform augments your current connections by unifying multiple exchanges under a single credentialed gateway. For regional HIEs (e.g., CRISP, Manifest MedEx) or national networks (Carequality, CommonWell), we map inbound data to FHIR resources and deduplicate patient records so your staff works from one longitudinal view. If you plan to join TEFCA, we provide turnkey QHIN onboarding without disrupting existing relationships.

Q4. How long does a typical implementation take?
A4. Timelines vary by scope:

  • Single-facility deployments: 4–6 weeks.
  • Multi-facility rollouts: 12–16 weeks with parallel integration sprints and phased go-lives.
  • Enterprise projects with custom analytics or consent workflows: up to 20 weeks. A detailed Gantt chart and RACI matrix are delivered up front to eliminate surprises.

Q5. Do you offer ongoing managed services?
A5. Yes. Our Managed Interoperability Services include 24/7 interface monitoring, automatic fail-over, quarterly security patching, and annual HIPAA risk assessments. Dedicated client-success managers meet monthly to review KPIs—message volume, error rates, readmission trends—and recommend optimizations. Optional add-ons cover staff training, policy updates, and help-desk ticket triage.

Q6. What is the pricing model?
A6. Pricing has two parts:

  1. One-time implementation fee—based on number of systems, data-mapping complexity, and optional modules.
  2. Subscription—tiered by monthly transaction volume and number of facilities. All tiers include hosting, maintenance, and 24/7 support. There are no per-user fees, and unused transaction credits roll over for 90 days.
A detailed cost-of-ownership worksheet accompanies every proposal.