Replace Athenahealth, Kareo, and Dentrix with clinic management software your practice owns. AltStack builds custom healthcare practice management systems: patient scheduling, EHR integration, billing, and patient portals, delivered in 7 days.
These are the challenges costing your team time and money every day.
Electronic health records software vendors lock practices into multi-year contracts with annual price increases. Switching EHR systems is so painful that most practices accept 10–15% annual fee hikes rather than face a disruptive migration.
Your EHR handles clinical documentation, but scheduling, billing, patient communication, and referral management live in separate tools. Front desk staff toggle between 4–6 applications for a single patient visit, creating delays and data entry errors.
Patients expect online booking, digital intake forms, telehealth, and portal access. Most clinic management software offers clunky patient-facing features that frustrate patients and generate negative reviews, hurting your practice's growth.
Complex insurance claim workflows, denial management, and patient balance collections require dedicated staff. Disconnected billing systems lead to missed charges, coding errors, and revenue leakage that costs the average practice 5–10% of annual collections.
Every module custom-built for your workflows. Delivered in 7 days.
Online booking, automated appointment reminders, digital intake forms, and waitlist management. Patients self-schedule based on provider availability, insurance acceptance, and visit type, reducing no-shows by up to 30%.
AltStack doesn't replace your EHR, we build a unified operations layer around it. Bidirectional data sync with your electronic health records software means clinical data flows seamlessly into scheduling, billing, and patient communication without duplicate entry.
Automated charge capture, CPT/ICD coding assistance, claim submission, denial tracking, and patient balance management. Reduce billing staff workload by 40% while improving clean claim rates and accelerating collections.
Branded patient portal for appointment booking, secure messaging, lab results, billing statements, and prescription refill requests. Automated outreach for recall reminders, preventive care alerts, and satisfaction surveys.
HIPAA-compliant architecture with audit logging, role-based access, and encrypted data handling. Built-in reporting for MIPS/MACRA quality measures, payer mix analysis, provider productivity, and financial performance.
Interactive previews of custom modules built for your industry.
Scheduling, patient flow, and staff allocation in one view.
Patient self-booking with automated reminders and intake.
Secure chat, prescription requests, and follow-up coordination.
Intelligent automation modules that learn your workflows and handle repetitive tasks.
Converts voice notes and visit summaries into structured clinical documentation.
Sends appointment reminders, follow-up care instructions, and handles scheduling.
One custom platform instead of 6 separate subscriptions.
| Tool | Category | Annual Cost |
|---|---|---|
| Athenahealth | Practice Management | $24,000/year |
| Kareo | Billing & Practice Management | $10,800/year |
| Dentrix | Dental Practice Management | $9,600/year |
| Solutionreach | Patient Communication | $6,000/year |
| Phreesia | Patient Intake | $7,200/year |
| SimplePractice | Practice Management | $5,400/year |
| Total Annual SaaS Spend | $63,000+/yr | |
Built for how healthcare teams actually work — from first touch to final step.
Patients book online based on real-time availability. The system sends confirmation, intake form links, and insurance verification requests. On arrival day, patients check in digitally, sign consent forms, and update demographics, all before the provider walks in.
After a visit, the system pulls diagnoses and procedures from the EHR, suggests CPT/ICD codes, generates the claim, scrubs for errors, and submits electronically. Denied claims are flagged with reason codes and queued for follow-up, no manual tracking required.
The system identifies patients overdue for preventive visits, screenings, or follow-ups based on clinical protocols. Automated outreach via text, email, and phone reminds patients to schedule, driving reactivation revenue and improving care quality metrics.
When a provider orders a referral, the system identifies in-network specialists, sends referral documentation, tracks authorization status, and follows up with the patient to ensure the appointment is scheduled and completed. Close the referral loop automatically.
Our front desk was drowning in Athenahealth, Solutionreach, and Phreesia, three systems for what should be one workflow. AltStack built us a unified clinic management system with online booking, digital intake, and automated recall. Patient satisfaction scores jumped 28%.
Everything you need to know about custom healthcare software.
Yes. AltStack builds healthcare practice management software that integrates bidirectionally with major electronic health records software via HL7 FHIR APIs, including Epic, Cerner, Athenahealth, eClinicalWorks, and AllScripts. We don't replace your EHR. We build an operations layer around it that unifies scheduling, billing, patient communication, and analytics into one platform.
Dental practice management software like Dentrix costs $5,000–$15,000/year per location. Adding patient communication (Solutionreach: $500/mo), digital intake (Phreesia: $600/mo), and online booking tools pushes annual spending to $20,000–$30,000 per location. AltStack builds a custom unified platform for $15,000–$40,000 one-time, saving multi-location practices significantly in year one.
AltStack builds all healthcare software with HIPAA compliance as a foundational requirement. This includes AES-256 encryption at rest and in transit, role-based access controls, comprehensive audit logging, BAA-covered hosting infrastructure, automatic session timeouts, and secure messaging. We provide documentation for your compliance officer and support BAA execution.
The best patient management system for small practices combines scheduling, intake, billing, and patient communication in one affordable platform. Off-the-shelf options like Kareo or SimplePractice charge $50–150/provider/month and still require add-ons. AltStack builds a custom patient management system fitted to your specialty, payer mix, and workflow for a one-time cost that pays for itself in 3–6 months.
Custom clinic management software reduces no-shows through multi-channel automated reminders (text, email, voice), easy online rescheduling, waitlist backfill when cancellations occur, and deposit/prepayment workflows for chronic no-show patients. Practices using these automated systems typically see 25–35% reduction in no-show rates.
Yes. AltStack builds healthcare practice management software with multi-location support from the ground up, centralized patient records accessible across sites, location-specific scheduling and provider rosters, consolidated billing and reporting, and per-location performance dashboards. Unlike SaaS tools that charge per location, your custom software supports unlimited sites at no additional cost.
Essential healthcare practice management features include online patient scheduling with insurance filtering, digital intake and consent forms, EHR integration, automated charge capture and claim submission, denial management, patient portal with secure messaging, recall and preventive care outreach, referral tracking, quality measure reporting, and financial analytics. AltStack includes all of these in one custom platform.
AltStack delivers production-ready clinic management software in 7 days, including patient scheduling, digital intake, billing workflows, and a patient portal. EHR integrations using HL7 FHIR standards are included in the initial build. Complex features like advanced analytics or multi-location setups are refined during the 2-week post-delivery period.
We migrate patient records, scheduling data, billing history, and clinical documents from any EHR or practice management system via HL7/FHIR APIs or structured export. All data transfers are encrypted and HIPAA-compliant, with integrity verification at every step. Your original data is preserved as a backup.
Get a custom healthcare platform built in 7 days. Full code ownership. No per-seat fees. Ever.