Healthcare interoperability for organizations the enterprise firms overlook.
FQHCs, critical access hospitals, behavioral health organizations, and independent networks face the same TEFCA, USCDI, and information blocking mandates as large health systems — with a fraction of the IT staff. UE Solutions Group makes those mandates manageable: clean data, working exchange, and audit-ready proof.
USCDI v3 baseline
Required in the ONC Certification Program as of January 1, 2026.
USCDI v5 path
Available through SVAP for certified developers beginning August 29, 2025.
CMS API timelines
Most payer API requirements from CMS-0057-F land primarily on January 1, 2027.
Exchange blueprint
From fragmented inputs to production-grade interoperability
Inbound sources
HL7 v2, EHR extracts, scanned PDFs, referral faxes, payer attachments
Normalization layer
Terminology mapping, patient matching, USCDI-aligned field completion, validation, and packaging.
Outbound lanes
FHIR APIs, network exchange, transitions of care, payer workflows, and patient-facing delivery.
Who we serve
Built for the safety net and independent sector.
Large health systems have dedicated compliance teams and a dozen consultants competing for their business. A 50-bed critical access hospital or a network of FQHCs in the Southwest absorbs the same federal mandates with a fraction of the IT resources. That is the gap we fill.
FQHCs & Rural Health Centers
USCDI v3 data completeness, UDS reporting automation, and Value-Based Care reimbursement tracking — without waiting for your EHR vendor to catch up.
Behavioral Health
42 CFR Part 2 data segregation, consent governance, and referral interoperability built for an OCR enforcement environment that is already live.
Critical Access Hospitals
TEFCA readiness, prior authorization, and FHIR-based exchange designed for facilities with lean IT staff and real operational pressure.
Home Health & Hospice
Close the referral loop with hospitals and physicians, reduce lost transitions, and meet USCDI v3 expectations for transitions of care.
Founder-led delivery
At UE Solutions Group, you aren't passed off to a junior analyst or a generalist project manager. You partner directly with our founder to architect infrastructure that respects both your clinical mission and your operational budget. We build "right-sized" solutions that scale without the "Enterprise Bloat" of larger firms.
Audit-ready evidence
In an active enforcement environment, a "policy manual" isn't enough. You need technical proof. The UE Advantage: Every integration we build includes an "Audit Survival Packet." This provides JSON-validated, cryptographically hashed evidence of compliance that withstands OCR and UPIC scrutiny by proving exactly how—and when—your data was handled.
Service region
We combine global FHIR standards with deep regional expertise to serve the specific needs of providers across Texas, New Mexico, Arizona, and Colorado.
Texas, New Mexico, Arizona, and Colorado
Not Generic IT Consulting
We Are Not...
Commodity Managed Services who simply maintain hardware and connectivity.
We Are...
Clinical Data Architects who ensure the legal, regulatory, and clinical integrity of your health records.
We Are Not...
Legacy Consulting Giants with prohibitive entry costs and bloated timelines.
We Are...
Agile Infrastructure Partners delivering elite-level FHIR systems for high-growth and resource-conscious organizations.
We Are Not...
Rigid EMR Vendors who treat interoperability as a premium add-on or a locked gate.
We Are...
Universal Interoperability Enablers transforming legacy EMR limitations into fluid, full-spectrum FHIR connectivity.
Core pillar
Normalize fragmented clinical data
Turn HL7 v2, flat files, PDFs, and brittle exports into usable FHIR resources that downstream systems can trust.
Core pillar
Design exchange around real workflows
Provider referrals, payer prior authorization, patient access, and network participation each have different payload, identity, and governance constraints.
Core pillar
Prove readiness with evidence
Map sources to USCDI, document gaps, validate payloads, and leave behind governance artifacts your team can operationalize.
Interoperability Engagements With Operational Scope
Focused projects for organizations that need movement, not a year-long transformation program.
Diagnostic Data Readiness Sprint
USCDI v3 is the enforced federal baseline—but legacy EHR vendors are treating compliance as a delayed roadmap item, not a production mandate. Payers are already adopting v5 via SVAP, and v7 enters public comment April 13, 2026. Organizations documenting $125,000 annual savings per 100 beds from reduced duplicate testing and 340% ROI within 18 months from v5 adoption are treating this as a revenue expansion, not a compliance checkbox.
The Vendor Compliance Gap is the operational reality: your EHR vendor's roadmap does not match the federal enforcement calendar. We score vendor compliance gaps, deliver structured remediation planning, and bridge the enforced v3 baseline into voluntary SVAP adoption for v5—positioning your infrastructure for the v7 framework ahead of the April 13, 2026 comment period.
- Vendor Compliance Gap scoring against USCDI v3 data class requirements (labs, imaging, clinical docs)
- Data-readiness remediation plan for missing data classes without requiring an immediate core EHR upgrade
- v3→v5 SVAP readiness roadmap with v7 forward-positioning
- Evidence-based documentation with completeness scoring and remediation plans
Ideal for FQHCs, RHCs, and independent networks whose EHR vendors are stalling on USCDI compliance.
Start this engagementConsent Compliance Sprint
OCR enforcement of 42 CFR Part 2 is live. The Safe Harbor window closed February 16, 2026—consent gaps that were once remediable are now audit findings. HIPAA-tier penalties up to $2.1M annually apply to Behavioral Health and integrated care settings that lack element-level data segregation.
As of February 16, 2026, the Safe Harbor transition period has ended. Any Behavioral Health clinic or provider that hasn't segregated SUD counseling notes from the general medical record is out of compliance. We implement FHIR-native Data Segregation layers and granular consent workflows so your compliance is hard-coded, not manual—and you have audit-ready evidence before OCR delegation takes full effect.
- 42 CFR Part 2–aligned consent workflows and EHR integration
- 42 CFR Part 2 governance checks (consent, audit trail, minimum necessary) with deterministic rule outputs and hashing
- Deterministic evidence packets (JSON + PDF/DOCX) with hashes and versioned artifacts
- Documented evidence and traceability that consent workflows are honored
- Reduced violation risk for Behavioral Health and sensitive-data organizations
Critical for Behavioral Health and any organization handling sensitive information.
Start this engagementReferral Interoperability Sprint
CMS-0057-F 72-hour prior auth enforcement is live—and HTI-5 raises the stakes further by proposing mandatory electronic prior authorization APIs under (g)(31–33). Fax and legacy portal submissions are already being deprioritized. Organizations that haven't built FHIR-native prior auth workflows are bleeding referral revenue now.
We are your FHIR-Native Translation Layer. Payers are increasingly requiring FHIR-based prior authorization submissions to meet the 72-hour mandate. We strengthen your care network with electronic referral and prior-auth workflows so you protect 2026 Q1 cash flow: fewer lost referrals, faster authorizations, and integration with hospitals, specialists, and post-acute partners—weeks, not months.
- Improved referral interoperability and referral tracking with hospitals, specialists, and post-acute providers
- Fewer lost referrals (up to 45% of faxed referrals never result in a visit)
- Stronger hospital relationships and better outcomes for Home Health and Hospice
Home Health and Hospice agencies use this sprint to strengthen hospital relationships and reduce delays.
Start this engagementNeed a faster answer? View our 2-week rapid working sessions →
How Delivery Works
Assess the exchange problem, stabilize the data path, remediate what blocks production, and leave behind evidence your team can use.
Assess
We run a focused Vendor Compliance Gap analysis against USCDI v3 data class requirements—schema validation, vocabulary mapping, and completeness scoring—so you know exactly what your EHR vendor has not delivered and what to remediate.
Remediate
We define the remediation path for missing USCDI data classes, weak workflows, and interoperability blockers—so your team can improve data readiness and close consent or referral gaps without defaulting to a rip-and-replace project.
Prove
You get deterministic evidence packets (JSON + PDF/DOCX) with cryptographic hashes and versioned artifacts—technical proof of data-element validation that gives Covered Entities airtight defense for ONC Information Blocking audits.
Get evidence packetsCare Settings We Design For
Settings with real referral friction, incomplete data, consent complexity, and operational pressure.
Behavioral Health
Hard-coded data segregation and consent governance for an active enforcement environment. Get consent management, data completeness, and referral interoperability right—audit-ready, with proof.
Key Use Cases:
Honor granular consent across EHR and exchange partners
Share only what the patient authorized—with proof
Close referral loops with PCPs and crisis providers
FQHCs & RHCs
USCDI v3 compliance and HRSA reporting automation for federally qualified and rural health centers—complete data payloads for UDS automation and Value-Based Care reimbursement tracking.
Key Use Cases:
Automate UDS reporting with USCDI-complete data payloads—not manual reconciliation
Track Value-Based Care reimbursement metrics on validated, exchange-ready data
Close referral loops and reduce leakage to specialists
Wound Care
Link digital wound measurement to billing triggers under the $127.28/cm² CMS flat-rate model—eliminate estimation gaps and UPIC audit exposure.
Key Use Cases:
Eliminate estimation gaps that trigger revenue clawbacks
Defend against UPIC audits with linked documentation
Meet $127.28/cm² flat-rate model requirements
Home Health & Hospice
Close the referral loop with hospitals and physicians—reduce leakage, protect revenue, and improve transitions of care.
Key Use Cases:
Receive and track referrals electronically—no more lost faxes
Close the loop with referring hospitals and physicians
Meet USCDI v3 and transition-of-care expectations
Security & Compliance Built In
Exchange architecture only matters if the data path is governable, traceable, and supportable in production.
Exchange Security
Transport security, controlled endpoints, and exchange patterns designed for healthcare data movement.
Traceability
Transformation decisions, validation outcomes, and transaction history that teams can inspect later.
Controlled Access
Role-aware workflows that keep sensitive clinical and administrative access bounded to need.
Operational Governance
Documentation and delivery practices built for real covered-entity and business-associate conversations.
We support healthcare organizations in operationalizing compliant exchange. Ultimate regulatory responsibility remains with the organization.
Frequently Asked Questions
Common questions about healthcare exchange delivery, USCDI readiness, and implementation scope.
Your compliance deadline doesn't care about your vendor's roadmap.
Whether you're navigating TEFCA, closing a USCDI gap, or trying to stop losing referrals to broken fax workflows — we deliver working interoperability in weeks, not quarters, with evidence your team can stand behind.
Right-sized delivery. Audit-ready proof. No enterprise bloat.