AI-powered IT for
healthcare,
delivered in hours.
From EHR integrations to HIPAA-compliant automation, we deliver healthcare technology in hours and days. Senior Cloud Nerd engineers — accelerated by our internal DAISA AI agent orchestration — ship production code while traditional firms are still scoping.
Healthcare technology,
delivered in days.
EHR Integration Layer
A unified FHIR API and HL7 transformation layer that wraps Epic, Cerner, Meditech, or Athenahealth — without core EHR development. Every future connection becomes days, not months.
Epic · Cerner · FHIR R4 · HL7 v2
Patient Engagement Platforms
Scheduling, telehealth, secure messaging, and reminder workflows — integrated with your EHR and ready to launch in the time it takes most vendors to sign a SOW.
Twilio · SendGrid · Stripe Health
Revenue Cycle Automation
Automated claim scrubbing, denial workflows, prior auth bots, and real-time AR dashboards. Cut denial rate by 30–40% in the first quarter post-deploy.
X12 837 · ERA 835 · payer APIs
Clinical Workflow Tools
Care coordination, referral tracking, pre-auth automation, and documentation helpers that give clinicians time back without changing the EHR they already use.
FHIR R4 · OAuth 2.0 · SMART on FHIR
Quality & Population Health
Risk stratification, chronic disease registries, HEDIS / STAR / MIPS dashboards, and at-risk patient alerts built on your actual claims and clinical data.
Snowflake · dbt · BigQuery
HIPAA Compliance Infrastructure
BAA management, access control framework, audit log pipelines, and breach notification workflows. Built into the architecture from day one, not bolted on at audit time.
SOC 2 · NIST 800-53 · HITRUST
Reference Architecture
The integration layer we build
over your existing EHR — in weeks
Your Existing Stack
Integration Layer
Built by Cloud Nerd
Owned by your team
FHIR API · event bus · audit trail · access control
Shipped in 3–6 wks via DAISA agents
Modern Capabilities · Days
3–6 wks
Time to first integration
100%
Codebase delivered to you
0
EHR rip-and-replace required
We know exactly what breaks
in healthcare technology.
EHR Integration Paralysis
The Problems
Epic and Cerner APIs require credentialing, sandbox access, and vendor-specific implementation guides that consume the first 90 days before a single line of code ships.
HL7 v2 messages from legacy systems are malformed and inconsistently structured. Every consulting firm rebuilds the same custom parsing logic from scratch.
FHIR R4 interoperability mandates create vendor timelines of 6–12 months — and still don't cover the edge cases your operations team hit every day.
Each new connection (telehealth vendor, lab, pharmacy, payer) becomes its own project, its own budget cycle, and its own emergency.
▸ How We Deliver It
We map your full clinical architecture in hours, generate HL7 and FHIR transformation pipelines, handle Epic and Cerner credentialing end-to-end, and ship a reusable integration layer your team owns. Every future connection is days, not months.
Revenue Cycle Bleed
The Problems
Denial rates average 5–10% across most health systems. Appeals are nearly entirely manual, with billing staff spending 30+ minutes per claim that should be automated.
Prior authorization eats 20–40 minutes of staff time per request, with no automation connecting the EHR to payer portals.
AR aging reports are spreadsheets pulled weekly. Finance can't see real-time cash position without waiting for someone to refresh the export.
Patient collections rely on paper statements and outbound calls. Most organizations recover less than 20% of patient-responsibility balances.
▸ How We Deliver It
We build automated claim scrubbing and submission pipelines, prior-auth bots that connect EHR to payer portals, real-time AR dashboards from your billing data, and intelligent patient payment workflows. We typically see a 30–40% denial reduction in the first 90 days.
Fragmented Patient Data
The Problems
A single patient's record lives in the EHR, the patient portal, the billing system, the lab system, and the care management platform. Care coordinators switch between 5+ screens per patient.
Referral tracking is manual. PCPs send referrals with zero visibility into whether the patient scheduled, showed up, or received care.
Care gap identification for quality programs requires manual chart reviews or monthly extracts. There's no real-time alert when a patient misses a preventive service.
New patient onboarding takes 2–3 weeks of manual intake, eligibility verification, and chart setup that should be automated and complete before the first appointment.
▸ How We Deliver It
We build a unified patient data platform connecting EHR, billing, lab, and care management into a single API layer, automate referral tracking with real-time status feeds, surface care gaps from your quality measure data, and shrink patient onboarding to under 48 hours.
Cloud Nerd + DAISA — how it works
We're an IT consulting firm — real experts who specialize in your exact tech stack. We scope the engagement, define what needs to be built, and stay accountable for the outcome. Think of us as the senior consultant who actually knows your tools and never disappears after the kickoff call.
DAISA is our proprietary AI platform — six specialized agents that automate the full software development lifecycle. While a traditional firm bills 6 consultants for months of work, DAISA's agents run in parallel around the clock: analyzing requirements, designing architecture, writing production code, running tests, reviewing quality, and deploying — in hours or days.
The expertise of a senior consulting team, delivered at AI speed. You get real strategy (from us) and real code (from DAISA) — with two human approval checkpoints before anything ships. No black box, no surprises. Just outcomes, in days instead of months.
How Cloud Nerd delivers
across your whole organization.
Clinical systems that clinicians actually use
EHR workflow improvements deployed without a system replacement
Care coordination tools built around how your care teams actually work
Quality measure dashboards live in weeks, not the next budget cycle
Modern integration infrastructure, owned by your team
FHIR-compliant API layer wrapping your existing EHR without a forklift migration
Cloud-native on AWS or Azure, with full codebase and runbooks delivered
Every integration reusable — connect the next vendor in days, not months
60–80% lower cost than Big 4 consulting
Fixed-scope delivery — no runaway budgets or 90-day discovery phases
First working deliverable in 7 days, not a kickoff deck
Every project tied to measurable ROI: denial rate, AR days, collection rate
HIPAA-compliant by design, not by checkbox
Audit log pipelines and access controls built in from day one
Automated HEDIS, STAR, and MIPS reporting — no more manual chart pulls
Breach notification workflows and BAA tracking ready for any audit
Not your typical
consultancy.
Same scope, same outcome. The only thing that changes is how long you wait, and what your team owns at the end.
There is exactly one
thing we will not do.
Everything else we ship — fast, owned by your team, with senior engineers on the call. Here is the single exception.
A 5-year, full-EHR rip-and-replace program with 100+ consultants on-site, quarterly steering committees, and a 200-page strategy deck before a single line of code ships.
That delivery model exists for a reason — and the firms that run it are built for nothing else. We are built differently: small senior teams + DAISA-orchestrated AI agents, shipping working clinical systems in weeks. If your project genuinely needs the army, send it to the army.
Everything else? Let’s build it.
Ready to modernize your healthcare technology?
Book a 30-minute strategy call. We will walk through your specific clinical stack, identify the highest-impact projects, and show you exactly what we would build first. No pitch deck. Just specifics.